Association of racial differences with end-of-life care quality in the United States

Rashmi K. Sharma; Vicki A. Freedman; Vincent Mor; Judith D. Kasper; Pedro Gozalo; Joan M. Teno

doi:10.1001/jamainternmed.2017.4793

Association of racial differences with end-of-life care quality in the United States

Rashmi K. Sharma
, Vicki A. Freedman
, Vincent Mor
, Judith D. Kasper
, Pedro Gozalo
, Joan M. Teno

Bloomberg School of Public Health

Research output: Contribution to journal › Letter › peer-review

14 Scopus citations

Original language	English (US)
Pages (from-to)	1858-1860
Number of pages	3
Journal	JAMA Internal Medicine
Volume	177
Issue number	12
DOIs	https://doi.org/10.1001/jamainternmed.2017.4793
State	Published - Dec 2017

ASJC Scopus subject areas

Internal Medicine

Access to Document

10.1001/jamainternmed.2017.4793

Cite this

@article{6aaec85833184fae81800a0c0b024d2e,

title = "Association of racial differences with end-of-life care quality in the United States",

author = "Sharma, \{Rashmi K.\} and Freedman, \{Vicki A.\} and Vincent Mor and Kasper, \{Judith D.\} and Pedro Gozalo and Teno, \{Joan M.\}",

note = "Funding Information: Conflict of Interest Disclosures: None reported. Funding/Support: This study was supported by the LIVESTRONG Foundation (Dr Park), National Cancer Institute (U24 CA55727, Dr Armstrong, principal investigator and CA21765, Dr Roberts, principal investigator). Support to St Jude Children{\textquoteright}s Research Hospital is also provided by the American Lebanese-Syrian Associated Charities (ALSAC). Role of the Funder/Sponsor: The funding sources had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Additional Contributions: We thank the following collaborators for their valued contributions to this work: Giselle K. Perez, PhD, and Julia T. Rabin, BA, Mongan Institute for Health Policy Center, Massachusetts General Hospital; Cancer Center Survivorship Program, Massachusetts General Hospital Cancer Center; Joel S. Weissman, PhD, at Brigham and Women{\textquoteright}s Hospital; Ann C. Mertens, PhD, MS, at Department of Pediatrics, Emory University School of Medicine; James D. Reschovsky, PhD, at Mathematica Policy Research; Leslie L. Robison, PhD, at Department of Epidemiology and Cancer Control, St Jude Children's Research Hospital; and Kelly A. Hyland, BA, at Moffitt Cancer Center. They were not compensated beyond their normal salaries. 1. Howlader N, Noone A, Krapcho M, et al. Cancer Statistics Review, 1975-2011. Previous Version. SEER Cancer Statistics Review. https://seer.cancer.gov/archive /csr/1975\_2011/. Accessed May 3, 2017. 2. Park ER, Li FP, Liu Y, et al; Childhood Cancer Survivor Study. Health insurance coverage in survivors of childhood cancer: the Childhood Cancer Survivor Study. J Clin Oncol. 2005;23(36):9187-9197. doi:10.1200/JCO.2005.01.7418 3. Public Law 111-148, Patient Protection and Affordable Care March 23, 2010. https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf. Accessed May 3, 2017. 4. Park ER, Kirchhoff AC, Perez GK, et al. Childhood Cancer Survivor Study participants{\textquoteright} perceptions and understanding of the Affordable Care Act. J Clin Oncol. 2015;33(7):764-772. doi:10.1200/JCO.2014.58.0993 5. Park ER, Kirchhoff AC, Zallen JP, et al. Childhood Cancer Survivor Study participants{\textquoteright} perceptions and knowledge of health insurance coverage: implications for the Affordable Care Act. J Cancer Surviv. 2012;6(3):251-259. doi:10.1007/s11764-012-0225-y 6. Leopold C, Park ER, Nekhlyudov L. The impact of the affordable care act on cancer survivorship. Cancer J. 2017;23(3):181-189. Funding Information: Author Contributions: Drs Sharma and Kasper had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Kasper, Teno. Acquisition, analysis, or interpretation of data: All authors. Drafting of the manuscript: Sharma. Critical revision of the manuscript for important intellectual content: Freedman, Mor, Kasper, Gozalo, Teno. Statistical analysis: Sharma, Kasper, Gozalo, Teno. Obtained funding: Teno. Administrative, technical, or material support: Mor, Gozalo. Study supervision: Mor, Teno. Conflict of Interest Disclosures: None reported. Funding/Support: This research was funded through a cooperative agreement with the National Institute on Aging (grant NIA U01AG032947) and the Retirement Research Foundation. Dr Teno is supported by a Robert Wood Johnson Foundation Health Policy Investigator Award. Dr Sharma is supported by a Mentored Research Scholar grant (MRSG 14-058-01-PCSM) from the American Cancer Society.",

year = "2017",

month = dec,

doi = "10.1001/jamainternmed.2017.4793",

language = "English (US)",

volume = "177",

pages = "1858--1860",

journal = "JAMA Internal Medicine",

issn = "2168-6106",

publisher = "American Medical Association",

number = "12",

}

TY - JOUR

T1 - Association of racial differences with end-of-life care quality in the United States

AU - Sharma, Rashmi K.

AU - Freedman, Vicki A.

AU - Mor, Vincent

AU - Kasper, Judith D.

AU - Gozalo, Pedro

AU - Teno, Joan M.

N1 - Funding Information: Conflict of Interest Disclosures: None reported. Funding/Support: This study was supported by the LIVESTRONG Foundation (Dr Park), National Cancer Institute (U24 CA55727, Dr Armstrong, principal investigator and CA21765, Dr Roberts, principal investigator). Support to St Jude Children’s Research Hospital is also provided by the American Lebanese-Syrian Associated Charities (ALSAC). Role of the Funder/Sponsor: The funding sources had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Additional Contributions: We thank the following collaborators for their valued contributions to this work: Giselle K. Perez, PhD, and Julia T. Rabin, BA, Mongan Institute for Health Policy Center, Massachusetts General Hospital; Cancer Center Survivorship Program, Massachusetts General Hospital Cancer Center; Joel S. Weissman, PhD, at Brigham and Women’s Hospital; Ann C. Mertens, PhD, MS, at Department of Pediatrics, Emory University School of Medicine; James D. Reschovsky, PhD, at Mathematica Policy Research; Leslie L. Robison, PhD, at Department of Epidemiology and Cancer Control, St Jude Children's Research Hospital; and Kelly A. Hyland, BA, at Moffitt Cancer Center. They were not compensated beyond their normal salaries. 1. Howlader N, Noone A, Krapcho M, et al. Cancer Statistics Review, 1975-2011. Previous Version. SEER Cancer Statistics Review. https://seer.cancer.gov/archive /csr/1975_2011/. Accessed May 3, 2017. 2. Park ER, Li FP, Liu Y, et al; Childhood Cancer Survivor Study. Health insurance coverage in survivors of childhood cancer: the Childhood Cancer Survivor Study. J Clin Oncol. 2005;23(36):9187-9197. doi:10.1200/JCO.2005.01.7418 3. Public Law 111-148, Patient Protection and Affordable Care March 23, 2010. https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf. Accessed May 3, 2017. 4. Park ER, Kirchhoff AC, Perez GK, et al. Childhood Cancer Survivor Study participants’ perceptions and understanding of the Affordable Care Act. J Clin Oncol. 2015;33(7):764-772. doi:10.1200/JCO.2014.58.0993 5. Park ER, Kirchhoff AC, Zallen JP, et al. Childhood Cancer Survivor Study participants’ perceptions and knowledge of health insurance coverage: implications for the Affordable Care Act. J Cancer Surviv. 2012;6(3):251-259. doi:10.1007/s11764-012-0225-y 6. Leopold C, Park ER, Nekhlyudov L. The impact of the affordable care act on cancer survivorship. Cancer J. 2017;23(3):181-189. Funding Information: Author Contributions: Drs Sharma and Kasper had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Kasper, Teno. Acquisition, analysis, or interpretation of data: All authors. Drafting of the manuscript: Sharma. Critical revision of the manuscript for important intellectual content: Freedman, Mor, Kasper, Gozalo, Teno. Statistical analysis: Sharma, Kasper, Gozalo, Teno. Obtained funding: Teno. Administrative, technical, or material support: Mor, Gozalo. Study supervision: Mor, Teno. Conflict of Interest Disclosures: None reported. Funding/Support: This research was funded through a cooperative agreement with the National Institute on Aging (grant NIA U01AG032947) and the Retirement Research Foundation. Dr Teno is supported by a Robert Wood Johnson Foundation Health Policy Investigator Award. Dr Sharma is supported by a Mentored Research Scholar grant (MRSG 14-058-01-PCSM) from the American Cancer Society.

PY - 2017/12

Y1 - 2017/12

UR - https://www.scopus.com/pages/publications/85039838258

UR - https://www.scopus.com/pages/publications/85039838258#tab=citedBy

U2 - 10.1001/jamainternmed.2017.4793

DO - 10.1001/jamainternmed.2017.4793

M3 - Letter

C2 - 29052697

AN - SCOPUS:85039838258

SN - 2168-6106

VL - 177

SP - 1858

EP - 1860

JO - JAMA Internal Medicine

JF - JAMA Internal Medicine

IS - 12

ER -

Association of racial differences with end-of-life care quality in the United States

ASJC Scopus subject areas

Access to Document

Other files and links

Cite this