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Race differences in quality of life following a palliative care intervention in patients with advanced heart failure : insights from the palliative care in heart failure trial
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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.
http://dx.doi.org/10.1089/jpm.2021.0220
Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 25»
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