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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-life discussions (black vs white patients), more black patients than white patients received life-prolonging EOL care. Black patients with DNR orders were no less likely than black patients without DNR orders to receive life-prolonging EOL care.  The authors conclude:  "End-of-life discussions and communication goals seem to assist white patients in receiving less life-prolonging EOL care, but black patients do not experience the same benefits  of EOL discussions.  Instead, black patients tend to receive life-prolonging measures at the EOL even when they have DNR orders or state a preference for symptom-directed care."

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