TY - JOUR
T1 - Racial Differences in Hospice Care Outcomes in Patients With Advanced Heart Failure
T2 - Systematic Review and Meta-analysis
AU - Chambergo-Michilot, Diego
AU - Becerra-Gonzales, Victor G.
AU - Kittipibul, Veraprapas
AU - Colombo, Rosario
AU - Bravo-Jaimes, Katia
N1 - Publisher Copyright:
© 2024 Elsevier Inc.
PY - 2024/4/15
Y1 - 2024/4/15
N2 - There remains a paucity of investigational data about disparities in hospice services in people with non-cancer diagnoses, specifically in heart failure (HF). Black patients with advanced HF have been disproportionally affected by health care services inequities but their outcomes after hospice enrollment are not well studied. We aimed to describe race-specific outcomes in patients with advanced HF who were enrolled in hospice services. We obtained the data from PubMed, Scopus, and Embase for all investigations published until January 11, 2023. All studies that reported race-specific outcomes after hospice enrollment in patients with advanced HF were included. Of the 1,151 articles identified, 5 studies (n = 24,899) were considered for analysis involving a sample size ranging from 179 to 11,754 patients. Black patients had an increased risk of readmission (odds ratio 1.55, 95% confidence interval [CI] 1.34 to 1.79, I2 0%) and discharge (odds ratio 1.75, 95% CI 1.53 to 1.99, I2 0%) compared with White patients. Moreover, Black patients have a nonsignificant lower risk of mortality compared with White patients (relative risk 0.67, 95% CI 0.43 to 1.05, I2 90%). In conclusion, this study showed that Black patients with advanced HF receiving hospice care have a higher risk of readmission and discharge compared with White patients.
AB - There remains a paucity of investigational data about disparities in hospice services in people with non-cancer diagnoses, specifically in heart failure (HF). Black patients with advanced HF have been disproportionally affected by health care services inequities but their outcomes after hospice enrollment are not well studied. We aimed to describe race-specific outcomes in patients with advanced HF who were enrolled in hospice services. We obtained the data from PubMed, Scopus, and Embase for all investigations published until January 11, 2023. All studies that reported race-specific outcomes after hospice enrollment in patients with advanced HF were included. Of the 1,151 articles identified, 5 studies (n = 24,899) were considered for analysis involving a sample size ranging from 179 to 11,754 patients. Black patients had an increased risk of readmission (odds ratio 1.55, 95% confidence interval [CI] 1.34 to 1.79, I2 0%) and discharge (odds ratio 1.75, 95% CI 1.53 to 1.99, I2 0%) compared with White patients. Moreover, Black patients have a nonsignificant lower risk of mortality compared with White patients (relative risk 0.67, 95% CI 0.43 to 1.05, I2 90%). In conclusion, this study showed that Black patients with advanced HF receiving hospice care have a higher risk of readmission and discharge compared with White patients.
KW - ethnicity
KW - heart failure
KW - hospice care
KW - racial groups
KW - terminal care
UR - http://www.scopus.com/inward/record.url?scp=85186692561&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2024.01.025
DO - 10.1016/j.amjcard.2024.01.025
M3 - Artículo
C2 - 38382703
AN - SCOPUS:85186692561
SN - 0002-9149
VL - 217
SP - 5
EP - 9
JO - American Journal of Cardiology
JF - American Journal of Cardiology
ER -