Article
Oncology
Rodrigo E. Alterio, Michelle R. Ju, Sam C. Wang, John C. Mansour, Adam Yopp, Matthew R. Porembka
Summary: Utilization of palliative care (PC) among patients with metastatic HCC remains low at just 17%. Factors associated with increased likelihood of PC receipt include later year of diagnosis, insured status, higher education level, treatment at academic centers or integrated network cancer programs. Hispanics were significantly less likely to receive PC compared to non-Hispanic Whites. Targeted efforts are needed to increase delivery of PC in this group.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Jessica Y. Islam, April Deveaux, Rebecca A. Previs, Tomi Akinyemiju
Summary: The study reveals that there are racial disparities in palliative care utilization among patients with metastatic gynecological cancer, with NH-Black and Hispanic patients being less likely to utilize palliative care compared to NH-White patients.
GYNECOLOGIC ONCOLOGY
(2021)
Review
Geriatrics & Gerontology
Leah V. Estrada, Mansi Agarwal, Patricia W. Stone
Summary: This systematic review identified disparities in end-of-life care for racial/ethnic minority residents in nursing homes, with minority residents less likely to complete advance care planning, more likely to experience end-of-life hospitalizations, and experiencing worse pain and symptom management. Further research using recent data is needed to address these disparities and improve care for minority residents.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Review
Surgery
Sidra N. Bonner, Chloe A. Powell, James W. Stewart, Lesly A. Dossett
Summary: This review discusses effective interventions at multiple levels to reduce racial and ethnic disparities in surgical care, emphasizing the importance of evidence-based approaches and the need for further research. Implementing these interventions and prioritizing funding for intervention-based research are crucial for achieving surgical equity.
Article
Obstetrics & Gynecology
Megan S. Orlando, Miguel A. Luna Russo, Elliott G. Richards, Cara R. King, Amy J. Park, Linda D. Bradley, Graham C. Chapman
Summary: This study investigated racial and ethnic disparities in surgical interventions and complications among patients undergoing endometriosis surgery in the United States. The study found that Hispanic, Black or African American, Native Hawaiian or Pacific Islander, and American Indian or Alaska Native patients had higher rates of surgical complications.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Medicine, General & Internal
Pei-Jung Lin, Yingying Zhu, Natalia Olchanski, Joshua T. Cohen, Peter J. Neumann, Jessica D. Faul, Howard M. Fillit, Karen M. Freund
Summary: This cohort study explores the differences in end-of-life utilization of hospice and hospital services among patients with dementia by race and ethnicity. The results show unique patterns of end-of-life care utilization and treatment preferences among different racial and ethnic groups. Factors such as race, age, gender, education level, cognitive impairment, and daily living limitations are associated with the use of hospice care. Black and Hispanic beneficiaries with dementia are more likely to use emergency department and inpatient services before death, resulting in higher costs. The study highlights the importance of considering cultural competence in end-of-life care for patients with dementia.
Review
Urology & Nephrology
Yaw A. Nyame, Matthew R. Cooperberg, Marcus G. Cumberbatch, Scott E. Eggener, Ruth Etzioni, Scarlett L. Gomez, Christopher Haiman, Franklin Huang, Cheryl T. Lee, Mark S. Litwin, Georgios Lyratzopoulos, James L. Mohler, Adam B. Murphy, Curtis Pettaway, Isaac J. Powell, Peter Sasieni, Edward M. Schaeffer, Shahrokh F. Shariat, John L. Gore
Summary: Men of African ancestry have higher rates of prostate cancer mortality, driven by social factors. Addressing this inequality requires a research approach that considers structural, social, environmental, and health factors. However, there are limited studies on interventions to reduce this inequality.
Article
Gastroenterology & Hepatology
Nicole J. Kim, Anne Cravero, Trang VoPham, Philip Vutien, Rotonya Carr, Rachel B. Issaka, Janet Johnston, Brian McMahon, Jorge Mera, George N. Ioannou
Summary: HCC is the most common form of primary liver cancer and the fastest rising cause of cancer-related death in the United States. It disproportionately affects racial and ethnic minorities in the country. A practical framework is needed to address the complex factors driving these disparities and guide future research initiatives towards health equity in HCC care.
HEPATOLOGY COMMUNICATIONS
(2023)
Article
Clinical Neurology
Jay B. B. Lusk, Cassie Ford, Amy G. G. Clark, Melissa A. A. Greiner, Kim Johnson, Margarethe Goetz, Brystana G. G. Kaufman, Sneha Mantri, Ying Xian, Richard O'Brien, Emily C. C. O'Brien
Summary: Racial disparities in neurodegenerative disease incidence narrowed between 2014 and 2017. Black patients had a higher risk of hospitalization, more days in skilled nursing facilities, less days in hospice facilities, less likely to receive therapy services or dementia medications, and Parkinson's disease medications compared to White patients. Effective system-level approaches are needed to promote health equity in NDD diagnosis, treatment, and outcomes.
ALZHEIMERS & DEMENTIA
(2022)
Article
Medicine, General & Internal
Edward Salsberg, Chelsea Richwine, Sara Westergaard, Maria Portela Martinez, Toyese Oyeyemi, Anushree Vichare, Candice P. Chen
Summary: The study found that Black, Hispanic, and Native American people were underrepresented in the 10 health care professions analyzed. Although some professions had greater diversity than others, and there appeared to be improvement among graduates in the educational pipeline compared with the current workforce, additional policies are needed to further strengthen and support a workforce that is more representative of the population.
Article
Clinical Neurology
Christina Briscoe Abath, Nishtha Gupta, Aristides Hadjinicolaou, Stephanie Donatelli, Avantika Singh, Sabrina Merchant, Morgan E. Ryan, Meghann Soby, Christopher Ryan, Adrianne Katrina Nelson, John E. Maldonado Pacheco, Bo Zhang, David N. Williams, Christopher J. Yuskaitis, Chellamani Harini
Summary: Non-Hispanic Black children may experience diagnostic delays for infantile epileptic spasms syndrome (IESS), which can lead to adverse developmental and epilepsy outcomes.
Article
Critical Care Medicine
Maya N. McKee, Brett K. Palama, Matt Hall, James L. LaBelle, Nicole L. Bohr, K. Sarah Hoehn
Summary: This study investigates racial/ethnic differences in the utilization of inpatient palliative care consultations for pediatric stem cell transplant patients and finds that Hispanic/Latinx patients are less likely to receive IPCC compared with non-Hispanic White patients.
PEDIATRIC CRITICAL CARE MEDICINE
(2022)
Article
Pediatrics
Donna Luff, Sara W. Buscher, Valerie L. Ward, Sonia A. Ballal, Paul Holden, Rachelle Pierre, Paul Won, Eun Jin Yu, Sara L. Toomey
Summary: This study examined the differences in family experience of care in the pediatric ambulatory setting. It found that insurance status played an important role in perceptions of care, and family-clinician interactions were vital for a positive overall experience.
Article
Medicine, General & Internal
Alexander Pomerantz, Heidi G. De Souza, Matthew Hall, Mark I. Neuman, Monika K. Goyal, Margaret E. Samuels-Kalow, Paul L. Aronson, Elizabeth R. Alpern, Harold K. Simon, Jennifer A. Hoffmann, Jordee M. Wells, Kristen H. Shanahan, Colleen K. Gutman, Alon Peltz
Summary: Government and commercial health insurers have implemented policies to reduce or deny claims for nonemergent emergency department (ED) visits using retrospective claims algorithms. There are concerns about the unequal impact on low-income Black and Hispanic pediatric patients who often have limited access to primary care services.
Article
Health Care Sciences & Services
Lawrence Baker, Brian Phillips, Laura J. Faherty, Jeanne S. Ringel, Ashley M. Kranz
Summary: This study investigated racial and ethnic disparities in COVID-19 vaccine uptake. The findings showed that the uptake rate of the first dose was higher among Hispanic and Asian individuals compared to White and Black individuals, while the uptake rate of the booster dose was higher among Asian and White individuals compared to Black and Hispanic individuals.
