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- Title
Race Differences in Quality of Life following a Palliative Care Intervention in Patients with Advanced Heart Failure: Insights from the Palliative Care in Heart Failure Trial.
- Authors
Tobin, Rachel S.; Samsky, Marc D.; Kuchibhatla, Maragatha; O'Connor, Christopher M.; Fiuzat, Mona; Warraich, Haider J.; Anstrom, Kevin J.; Granger, Bradi B.; Mark, Daniel B.; Tulsky, James A.; Rogers, Joseph G.; Mentz, Robert J.; Johnson, Kimberly S.
- Abstract
Introduction: Black patients have a higher incidence of heart failure (HF) and worse outcomes than white patients. Guidelines recommend palliative care for patients with advanced HF, but no studies have examined outcomes in a black patient cohort. Methods: This is a post hoc analysis of the Palliative Care in Heart Failure trial, which randomized patients to usual care plus a palliative care intervention (UC+PAL) or usual care (UC). Quality of life (QoL) was measured using Kansas City Cardiomyopathy Questionnaire (KCCQ) and Functional Assessment of Chronic Illness Therapy-Palliative Care scale (FACIT-Pal). Results: Black patients represented 41% of the 148 patients. At six months, QoL improved more in UC+PAL than UC for both racial subgroups. The difference was greater for black than white patients (difference: KCCQ 10.8 vs. 2.5; FACIT-Pal: 14.8 vs. 3.9). However, the findings were not statistically significant. Conclusions: Larger studies are needed to assess the benefits of palliative care for black patients with HF. ClinicalTrials.gov Identifier: NCT01589601.
- Subjects
PSYCHOLOGY of Black people; EVALUATION of medical care; STATISTICS; RACE; HEALTH outcome assessment; MANN Whitney U Test; REGRESSION analysis; COMPARATIVE studies; T-test (Statistics); QUALITY of life; QUESTIONNAIRES; DESCRIPTIVE statistics; ETHNIC groups; DATA analysis; DATA analysis software; PALLIATIVE treatment; HEART failure; SECONDARY analysis
- Publication
Journal of Palliative Medicine, 2022, Vol 25, Issue 2, p296
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2021.0220