Literature DB >> 29951996

Regional Practice Patterns and Racial/Ethnic Differences in Intensity of End-of-Life Care.

Shi-Yi Wang1,2, Sylvia H Hsu1,3, Siwan Huang4,5, Kathy C Doan6, Cary P Gross2,7, Xiaomei Ma1,2.   

Abstract

OBJECTIVE: To examine whether regional practice patterns impact racial/ethnic differences in intensity of end-of-life care for cancer decedents. DATA SOURCES: The linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database. STUDY
DESIGN: We classified hospital referral regions (HRRs) based on mean 6-month end-of-life care expenditures, which represented regional practice patterns. Using hierarchical generalized linear models, we examined racial/ethnic differences in the intensity of end-of-life care across levels of HRR expenditures. PRINCIPAL
FINDINGS: There was greater variation in intensity of end-of-life care among Hispanics, Asians, and whites in high-expenditure HRRs than in low-expenditure HRRs.
CONCLUSIONS: Local practice patterns may influence racial/ethnic differences in end-of-life care. © Health Research and Educational Trust.

Entities:  

Keywords:  Racial differences; end-of-life care; geographic variation; regional practice patterns

Mesh：

Year:  2018        PMID： 29951996      PMCID： PMC6232508          DOI： 10.1111/1475-6773.12998

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  38 in total

1.  Determinants of treatment intensity for patients with serious illness: a new conceptual framework.

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2.  Clarifying sources of geographic differences in Medicare spending.

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3.  'The worst thing about hospice is that they talk about death': contrasting hospice decisions and experience among immigrant Central and South American Latinos with US-born White, non-Latino cancer caregivers.

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4.  Regional variation in health care intensity and treatment practices for end-stage renal disease in older adults.

Authors:  Ann M O'Hare; Rudolph A Rodriguez; Susan M Hailpern; Eric B Larson; Manjula Kurella Tamura
Journal:  JAMA       Date:  2010-07-14       Impact factor: 56.272

Review 5.  Physician utilization. The state of research about physicians' practice patterns.

Authors:  J M Eisenberg
Journal:  Med Care       Date:  1985-05       Impact factor: 2.983

6.  Negotiating cross-cultural issues at the end of life: "You got to go where he lives".

Authors:  M Kagawa-Singer; L J Blackhall
Journal:  JAMA       Date:  2001-12-19       Impact factor: 56.272

7.  A novel approach to improve health status measurement in observational claims-based studies of cancer treatment and outcomes.

Authors:  Amy J Davidoff; Ilene H Zuckerman; Naimish Pandya; Franklin Hendrick; Xuehua Ke; Arti Hurria; Stuart M Lichtman; Arif Hussain; Jonathan P Weiner; Martin J Edelman
Journal:  J Geriatr Oncol       Date:  2013-04       Impact factor: 3.599

8.  Preferences for aggressive care in underserved populations with advanced-stage lung cancer: looking beyond race and resuscitation.

Authors:  George Kypriotakis; Linda E Francis; Elizabeth O'Toole; Tanyanika Phillips Towe; Julia Hannum Rose
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Review 9.  End-of-Life Care for People With Cancer From Ethnic Minority Groups: A Systematic Review.

Authors:  Melissa A LoPresti; Fritz Dement; Heather T Gold
Journal:  Am J Hosp Palliat Care       Date:  2014-12-29       Impact factor: 2.500

10.  Regional variation in the association between advance directives and end-of-life Medicare expenditures.

Authors:  Lauren Hersch Nicholas; Kenneth M Langa; Theodore J Iwashyna; David R Weir
Journal:  JAMA       Date:  2011-10-05       Impact factor: 56.272
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  6 in total

1.  Racial Differences in Health Care Transitions and Hospice Use at the End of Life.

Authors:  Shi-Yi Wang; Sylvia H Hsu; Melissa D Aldridge; Emily Cherlin; Elizabeth Bradley
Journal:  J Palliat Med       Date:  2019-01-04       Impact factor: 2.947

2.  Disparities in end-of-life care, expenditures, and place of death by health insurance among cancer patients in China: a population-based, retrospective study.

Authors:  Zhong Li; Peiyin Hung; Ruibo He; Xiaoming Tu; Xiaoming Li; Chengzhong Xu; Fangfang Lu; Pei Zhang; Liang Zhang
Journal:  BMC Public Health       Date:  2020-09-04       Impact factor: 3.295

3.  Appraisal of Health States Worse Than Death in Patients With Acute Stroke.

Authors:  Elyse A Everett; William Everett; Matthew R Brier; Patrick White
Journal:  Neurol Clin Pract       Date:  2021-02

4.  Trends and racial disparities in aggressive end-of-life care for a national sample of women with ovarian cancer.

Authors:  Megan A Mullins; Julie J Ruterbusch; Philippa Clarke; Shitanshu Uppal; Lauren P Wallner; Michele L Cote
Journal:  Cancer       Date:  2021-02-25       Impact factor: 6.921

5.  Asian American Medicare Beneficiaries Disproportionately Receive Invasive Mechanical Ventilation When Hospitalized at the End-of-Life.

Authors:  Zhimeng Jia; Richard E Leiter; Justin J Sanders; Donald R Sullivan; Pedro Gozalo; Jennifer N Bunker; Joan M Teno
Journal:  J Gen Intern Med       Date:  2021-04-26       Impact factor: 5.128

6.  Exploratory Study Comparing End-of-Life Care Intensity between Chinese American and White Advanced Cancer Patients at an American Tertiary Medical Center.

Authors:  Emma Ernst; Courtney Schroeder; Avery Caz Glover; Tamara Vesel
Journal:  Palliat Med Rep       Date:  2021-03-09
  6 in total

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