Disease and Race-Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses.

ABSTRACT:

Background

Guidelines recommend timely palliative care consultation (PCC) for hospitalized patients with serious illness, but adherence to such guidelines and variability in access are not well described.

Methods

Prospective cohort study from March 21, 2016 to August 8, 2018 during the usual care period of a cluster-randomized trial at 11 hospitals in 8 US states. We included adults age 45 and older with cancer, chronic obstructive pulmonary disease (COPD), dementia, heart failure, or kidney failure. Exposures included diagnoses, demographics, and hospital characteristics, and outcomes included predicted probability and timing of PCC.

Results

Among 40,074 inpatient encounters (median age 72 years [IQR 62-82], 46.9% male, 22.7% Black, 4.6% Hispanic), the most common se

SUBMITTER: Moin EE 

PROVIDER: S-EPMC12773665 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature