Black Patients Get More Unwanted Life-Prolonging Care at the End of Life
Posted Sep 28 2010 3:45am
Jennifer Mack and colleagues just published a study in the Archives of Internal Medicine , showing that despite similar rates of end-of-lifediscussions (black vs white patients),more black patients than white patients received life-prolongingEOL care. Black patients with DNR orders were noless likely than black patients without DNR orders to receivelife-prolonging EOL care. The authors conclude: "End-of-life discussions and communicationgoals seem to assist white patients in receiving less life-prolongingEOL care, but black patients do not experience the same benefits of EOL discussions. Instead, black patients tend to receivelife-prolonging measures at the EOL even when they have DNRorders or state a preference for symptom-directed care."