期刊
JOURNAL OF PALLIATIVE MEDICINE
卷 25, 期 2, 页码 296-300出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/jpm.2021.0220
关键词
heart failure; palliative care; quality of life; race
资金
- National Institute of Nursing Research (NINR)
This study conducted a post hoc analysis of black patients in the Palliative Care in Heart Failure trial, finding that at six months, QoL improved more in the UC+PAL group compared to the UC group for both racial subgroups, with a greater improvement observed in black patients than white patients, though these findings were not statistically significant.
Introduction: Black patients have a higher incidence of heart failure (HF) and worse outcomes than white patients. Guidelines recommend palliative care for patients with advanced HF, but no studies have examined outcomes in a black patient cohort.Methods: This is a post hoc analysis of the Palliative Care in Heart Failure trial, which randomized patients to usual care plus a palliative care intervention (UC+PAL) or usual care (UC). Quality of life (QoL) was measured using Kansas City Cardiomyopathy Questionnaire (KCCQ) and Functional Assessment of Chronic Illness Therapy-Palliative Care scale (FACIT-Pal).Results: Black patients represented 41% of the 148 patients. At six months, QoL improved more in UC+PAL than UC for both racial subgroups. The difference was greater for black than white patients (difference: KCCQ 10.8 vs. 2.5; FACIT-Pal: 14.8 vs. 3.9). However, the findings were not statistically significant.Conclusions: Larger studies are needed to assess the benefits of palliative care for black patients with HF. ClinicalTrials.gov Identifier: NCT01589601.
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