• J Palliat Med · Jul 2022

    Racial Differences in Burdensome Transitions in Heart Failure Patients with Palliative Care: A Propensity-Matched Analysis.

    • Emily Zametkin, Edelva Williams, Mara Feingold-Link, Lan Jiang, Edward Martin, Sebhat Erqou, Stefan Gravenstein, Mitchell Wice, Wen-Chih Wu, and James L Rudolph.
    • Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
    • J Palliat Med. 2022 Jul 1; 25 (7): 1122-1126.

    AbstractBackground: Examining racial disparities in the treatment of heart failure (HF) patients and the effects of palliative care (PC) consultation is important to developing culturally competent clinical behaviors. Objective: To compare burdensome transitions for Black and White Veterans hospitalized with HF after PC consultation. Participants: This retrospective study evaluated Veterans admitted for HF to Veterans Administration hospitals who received PC consultation from October 2010 through August 2017. Methods: We propensity-matched Black to White Veterans using demographic, comorbidity, clinical, hospital, and survival time data. Results: Propensity matching of our cohort (n = 5638) yielded 796 Black and White Veterans (total n = 1592) who were well-matched on observed variables (standard mean difference <0.15 for all variables). Matched Black Veterans had more burdensome transitions than White Veterans (n = 218, 27.4% vs. n = 174, 21.9%; p = 0.011) over the six-month follow-up period. Conclusions: This propensity-matched cohort found racial differences in burdensome transitions among admitted HF patients after PC consultation.

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