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Disease and Race‐Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses
Emily E. Moin, Brian A. Bayes, Vanessa L. Madden, Scott D. Halpern, Katherine R. Courtright. Journal of the American Geriatrics Society, 2025-05-07
Topic: Risk, prevention and care in population studies
Among 40,074 inpatient encounters (median age 72 years [IQR 62-82], 46.9% male, 22.7% Black, 4.6% Hispanic), the most common serious illness was heart failure (66.0%), followed by COPD (39.3%), kidney failure (12.4%), cancer (12.3%), and dementia (11.6%). The overall rate of PCC was 11.6% (95% CI 11.3%-11.9%), ranging across hospitals from 4.2% (95% CI 3.3%-5.3%) to 23.3% (95% CI 19.6%-27.4%). Patients with dementia (20.6%, 95% CI 19.4%-21.7%) and cancer (19.5%, 95% CI 18.5%-20.7%) received PCC the most, and those with kidney failure the least (8.2%, 95% CI 7.5%-9.0%). Median time to PCC after admission was 3 days (IQR 1-6); patients with heart failure, COPD, and kidney failure received PCC 1 day later at the median compared to cancer and dementia. Predictors of increased odds of receiving PCC included being Black or Asian (aOR 1.12, 95% CI 1.02-1.23; aOR 1.67, 95% CI 1.31-2.12, respectively) and being admitted to a hospital with a higher overall rate of PCC orders (aOR 1.11, 95% CI 1.08-1.13). PCC was underutilized overall and varied substantially in frequency and timing across hospitals, diseases, and patient race. These findings underscore the need to implement standardized approaches to improve adherence to guideline-recommended PCC.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Moin, E. E., Bayes, B. A., Madden, V. L., Halpern, S. D., & Courtright, K. R. (2025). Disease and Race‐Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.19509
Vancouver
Moin EE, Bayes BA, Madden VL, Halpern SD, Courtright KR. Disease and Race‐Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses. Journal of the American Geriatrics Society. 2025. doi:10.1111/jgs.19509. PMID: 40331620.
BibTeX
@article{moin2025-40331620,
author = {Moin, Emily E. and Bayes, Brian A. and Madden, Vanessa L. and Halpern, Scott D. and Courtright, Katherine R.},
title = {{Disease and Race‐Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses}},
journal = {Journal of the American Geriatrics Society},
year = {2025},
doi = {10.1111/jgs.19509},
pmid = {40331620},
url = {https://doi.org/10.1111/jgs.19509}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Among 40,074 inpatient encounters (median age 72 years [IQR 62-82], 46.9% male, 22.7% Black, 4.6% Hispanic), the most common serious illness was heart failure (66.0%), followed by COPD (39.3%), kidney failure (12.4%), cancer (12.3%), and dementia (11.6%).
- The overall rate of PCC was 11.6% (95% CI 11.3%-11.9%), ranging across hospitals from 4.2% (95% CI 3.3%-5.3%) to 23.3% (95% CI 19.6%-27.4%).
- Patients with dementia (20.6%, 95% CI 19.4%-21.7%) and cancer (19.5%, 95% CI 18.5%-20.7%) received PCC the most, and those with kidney failure the least (8.2%, 95% CI 7.5%-9.0%).
- Median time to PCC after admission was 3 days (IQR 1-6); patients with heart failure, COPD, and kidney failure received PCC 1 day later at the median compared to cancer and dementia.
- Predictors of increased odds of receiving PCC included being Black or Asian (aOR 1.12, 95% CI 1.02-1.23; aOR 1.67, 95% CI 1.31-2.12, respectively) and being admitted to a hospital with a higher overall rate of PCC orders (aOR 1.11, 95% CI 1.08-1.13).
Why it matters
This study of inpatient encounters found that patients with dementia and cancer received palliative care consultation the most, but that consultation was underutilised overall and varied substantially across hospitals, diseases, and patient race. It underscores the need for standardised approaches to improve adherence to guideline-recommended palliative care consultation.
Study details
- Study designrandomized controlled trial
- Effect size46.9%; 22.7%; 4.6%
- Evidence strengthHigh
How this study scored 53/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for sample size and studied in people because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 11 / 12 | A randomised controlled trial |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Katherine R. Courtright: h-index 18 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of Pennsylvania: institution h-index 1,859 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40331620) |
| Free to read | 2 / 2 | Free to read |
| Total | 53 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/jgs.19509
- PubMed: 40331620
- Original source →
- Free full text: Journal of the American Geriatrics Society →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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