The Effects of the Palliative Medicine Consultation on the DNR Status of African Americans in a Safety-Net Hospital

American Journal of Hospice and Palliative Medicine

Volumn 30, Issue 4, 2013, Pages 363-369

  Sacco, Joseph ^a   Carr, Dana R Deravin ^b   Viola, Deborah ^b  

^a BRONX LEBANON HOSPITAL CENTER   (United States)

^b NEW YORK MEDICAL COLLEGE   (United States)

Author keywords

advanced directives; barriers; consultation; disparities; do not resusitate; hospice; palliative medicine

Indexed keywords

ADVANCED DIRECTIVES; AFRICAN AMERICAN; AGED; ARTICLE; ATTITUDE TO HEALTH; BARRIERS; CONSULTATION; CRITICAL ILLNESS; DISPARITIES; DO NOT RESUSITATE; ETHNOLOGY; FEMALE; HISPANIC; HOSPICE; HUMAN; INTERPERSONAL COMMUNICATION; LIVING WILL; MALE; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PALLIATIVE THERAPY; PATIENT REFERRAL; POVERTY; PROGNOSIS; RESUSCITATION; RETROSPECTIVE STUDY; STATISTICS; UNITED STATES;

ADVANCED DIRECTIVES; BARRIERS; CONSULTATION; DISPARITIES; DO NOT RESUSITATE; HOSPICE; PALLIATIVE MEDICINE;

ADVANCE DIRECTIVES; AFRICAN AMERICANS; AGED; COMMUNICATION; CRITICAL ILLNESS; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HISPANIC AMERICANS; HUMANS; MALE; MIDDLE AGED; NEW YORK CITY; PALLIATIVE CARE; POVERTY AREAS; PROGNOSIS; REFERRAL AND CONSULTATION; RESUSCITATION ORDERS; RETROSPECTIVE STUDIES;

EID: 84878663685     PISSN: 10499091     EISSN: None     Source Type: Journal    
DOI: 10.1177/1049909112450941     Document Type: Article

References (45)

1. Smith AK,McCarthy EP,Paulk E, et al.Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgement, religiousness and treatment preferences.J Clin Oncol. 2008;26 (25): 4131-4137.
2. Welch LC,Teno JM,Mor V.End of life care in black and white: race matters formedical care for dying patients and their families.J Am Geriatr Soc. 2005;53 (7): 1145-1153.
3. Shepardson LB,Gordon HS,Ibrahim SA,Harper DL,Rosenthal GE.Racial variation in the use of do-not-resuscitate orders.J Gen Intern Med. 1999;14 (1): 15-20.
4. Johnson KS,Kuchibhatla M,Tulsky JA.What explains racial differences in the use of advanced directives and attitudes towards hospice care?.J Am Geriatr Soc. 2008;56 (10): 1953-1958.
5. Loggers ET.,Maciejewski PK.,Paulk E., et al.Racial differences in predictors of intensive end-of-life care in patients with advanced cancer.J Clin Oncol. 2009;27 (33): 5559-5564.
6. True G,Phipps EJ,Braitman LE,Harralson T,Harris D.,Tester W.Treatment preferences and advance care planning at the end of life: the role of ethnicity and spiritual coping in cancer patients.Ann Behav Med. 2005;30 (2): 174-179.
7. Steinhauser KE,Christakis NA,Clipp EC,McNeilly EC,McIntyre L,Tulsky JA.Factors considered important at the end of life by patients family, physicians and other care providers.JAMA. 2000;284 (19): 2476-2482.
8. Kaldjian LC,Erekson ZD,Haberle TH, et al.Code status discussions and goals of care among hospitalized adults.J Med Ethics. 2009;35 (6): 338-342.
9. Shrank WH,Kutner JS,Richardson T,Mularski RA,Fischer S,Kagawa-Singer M.Focus group findings about the influence of culture on communication preferences in end-of- life care.J Gen Int Med. 2005;20 (8): 703-709.
10. Williams Dr,Costa MV,Odunlami AO,Mohammed SA.Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities.J Public Health Manag Pract. 2008;14 (6): S8-S17.
11. Goldsmith B,Dietrich J.,Du Q.,Morrison RS.Variability in access to hospital palliative care in the United States.J Palliat Med. 2008;11 (8): 1094-1102.
12. LaVeist TA,Isaac LA,Williams KP.Mistrust of health care organizations is associated with underutilization of health care services.Health Serv Res. 2009;44 (6): 2093-2105.
13. Krakauer EL,Truog RD.Mistrust, racism, and end-of-life treatment.Hastings Center Report. 1997;27 (3): 23-25.
14. Chen FM,Fryer GE,Phillips RL,Wilson E,Pathman DE.Patients' beliefs about racism, preferences for physician race, and satisfaction with care.Ann Fam Med. 2005;3 (2): 138-143.
15. Smith AK,Sudore RL,Perez-Stable EJ.Palliative care for Latino patients and their families: whenever we prayed, she wept.JAMA. 2009;301 (10): 1047-1057.
16. Ortega AN,Fang H,Perez VH, et al.Health care access, use of services, and experiences among undocumented Mexicans and other Latinos.Arch Intern Med. 2007;167 (21): 2354-2360.
17. Gou Y,Palmer JL,Bianty J,Konzen B,Shin K,Bruera E.Advance directives and do- not-resuscitate orders in patients with cancer and metastatic spinal cord compression: advanced care planning implications.J Palliat Med. 2010;13 (5): 513-517.
18. NeagleJTWachsbergK: What are the chances a hospitalized patient will survive in- hospital cardiac arrest?The Hospitalist.2010.http://www.thehospitalist.org/details/article/834467/What_Are_the_Chances_a_Hospitalist. Accessed March 03, 2012.
19. Perdy MA,Kaye W,Ornato JP, et al.Cardiopulmonary resuscitation of adults in the hospital: a report of 14,720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation.Resuscitation. 2003;58 (3): 297-308.
20. Ehlenbach WJ,Barnato AE,Curtis JR, et al.Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly.N Engl J Med. 2009;361 (1): 22-31.
21. Larkin GL,Copes WS,Nathanson NH,Kaye W.Pre-resuscitation factors associated with mortality in 49,130 cases of in-hospital cardiac arrest: a report from the National Registry for Cardiopulmonary Resuscitation.Resuscitation. 2010;81 (3): 302-311.
22. AlabiTOHainesCA. Predicting survival from in-hospital CPR. Emerge Med.2009;17(12):34-46. http://wwwclinicalgeriatrics.com/articles/Predicting-Survival-From-In-Hospital-CPR?page=0,2. Accessed March 30, 2012.
23. Chan PS,Nichol G,Krumholtz HM, et al.Racial differences in survival after in-hospital cardiac arrest.JAMA. 2009;302 (11): 1195-1201.
24. Parsons HA,de la Cruz MJ,Zhukovsky DS, et al.Characteristics of patients who refuse do-not-resuscitate orders upon admissions to an acute palliative care unit in a comprehensive cancer center.Cancer. 2010;116 (12): 3061-3070.
25. Murphy DJ,Burrow D,Santilli S, et al.The influence of the probability of survival on patient's preferences regarding cardiopulmonary resuscitation.N Eng J Med. 1994;330 (8): 545-549.
26. Kass-Bartelmes BL,Hughes R.Advance care planning: preferences for care at the end of life.J Pain Palliat Care Pharmacother. 2004;18 (1): 87-109.
27. Temel JS,Greer JA,Muzilkansky A, et al.Early palliative care for patients with metastatic non-small cell lung cancer.N Engl J Med. 2010;363 (8): 733-742.
28. Manfredi PL,Morrison RS,Morris J.,Goldhirsch SL,Carter JM,Meier DE.Palliative care consultations: how do they impact the care of hospitalized patients?.J Pain Symptom Manage. 2000;20 (3): 166-173.
29. Tulsky JA.Beyond advance directives; importance of communication skills at the end of life.JAMA. 2005;294 (3): 359-365.
30. New York City Department of Health and Mental Hygiene. Community Health Profiles-Take Care Central Bronx. 2nd ed. 2006. http://www.nyc.gov/health. Accessed June 1, 2010.
31. Census2000Demographic Profile Highlights. http://factfinder.cenus.gov. Accessed June 1, 2010.
32. The New York State Statewide Planning and Research Cooperative System Database (SPARCS). http://www.health.ny.gov/statistics/sparcs/operations/overview.htm. Accessed June 10, 2010.
33. Johnson RW,Newby LK,Granger CB, et al.Differences in level of care at the end of life according to race.Am J Crit Care. 2010;19 (4): 335-343.
34. Johnson KS,Kuchibhatla M,Tulsky JA.What explains racial differences in the use of advanced directives and attitudes towards hospice care?.J Am Geriatr Soc. 2008;56 (10): 1953-1958.
35. Lahn M,Friedman P,Bijur P,Haughey M,Gallagher EJ.Advance directives in skilled nursing facilities residents transferred to emergency departments.Acad Emerg Med. 2001;8 (12): 1158-1162.
36. Welch LC,Teno JM,Mor V.End of life care in black and white: race matters for medical care for dying patients and their families.J Am Geriatr Soc. 2005;53 (7): 1145-1153.
37. Goodman DC,Esty AR,Fisher ES,Chang CH.Trends and Variation in End-Of-Life Care by Medicare Beneficiaries With Severe Chronic Illness.
38. Hogan C,Lunney J,Gabel J,Lynn J.Medicare beneficiaries' cost of care in the last year of life.Health Aff (Millwood). 2001;20 (4): 188-195.
39. Hanchate A,Kronman AC,Young-Xu Y,Ash AS,Emanuel E.Racial and ethnic differences in end-of-life costs: why do minorities cost more than whites?.Arch Intern Med. 2009;169 (5): 493-501.
40. Johnson KS,Kuchibhatala M,Sloane RJ,Tanis D,Galanos AN,Tulsky JA.Ethnic differences in the place of death of elderly hospice enrollees.J Am Geriatr Soc. 2005;53 (12): 2209-2215.
41. Norton SA,Hogan LA,Holloway RG,Temkin-Greener, Buckley MA,Quill T.Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high risk patients.Crit Care Med. 2007;35 (6): 1530-1535.
42. Morrison RS,Dietrich J,Quill T, et al.Palliative care consultation teams reduce hospital cost for Medicaid beneficiaries.Health Aff (Millwood). 2011;30 (3): 454-463.
43. Kelly AS,Ettner SL,Morrison RS,Du Q,Wenger NS,Sarkisian CA.Determinants of medical expenditures in the last 6 months of life.Ann Inter Med. 2011;154 (4): 235-242.
44. Hogan C,Lunney J,Gabel J,Lynn J.Medicare Beneficiaries' cost of care in the last year of life.Health Aff (Millwood). 2001;20 (4): 188-195.
45. Viola D,Leven DC,LePere JC.End-of-life care. an interdisciplinary perspective.Am J Hosp Palliat Care. 2009;26 (2): 75-78.