Table 3.
Summary of findings for studies on End of Life Care (n=4)
| Citation | Study Purpose | Study Design | Setting | Participants | Treatment Decision | Key Findings |
|---|---|---|---|---|---|---|
| Moseley, 2004 | To examine racial differences in parental end-of-life decisions for neonates | Retrospective chart review | Neonatal Intensive Care Unit in Detroit, MI. | 38 infants; 58% Black, 42% White | Withholding or withdrawing life-sustaining medical treatment. * | • White families agreed to limit treatment more often than Black families (80% vs. 62%). |
| Edmonds, 2011 | To determine whether race/ethnicity was associated with differences in periviable infant intubation | Retrospective cohort study | Children hospitals in California, Missouri, and Pennsylvania. | 9632 infants; 19% Black, 33% White, 37% Hispanic, 11% Other. | Intubation | • Intubation was higher among Black infants compared to Whites and Hispanics (OR: 1.25, 95% CI: 1.07–1.46). |
| Thienprayoon, 2013 | To determine association of race/ethnicity with hospice enrollment in children with cancer | Retrospective cohort study | Community hospice facilities in East Texas | 114 children; 37% White, 44% Hispanic, 20% Other. | Hospice enrollment | • Hispanic patients were more likely to enroll in hospice vs Whites (OR 5.961, 95% CI 1.45–31.04). |
| Baker, 2009 | To determine association of race/ethnicity with frequency Do-not-resuscitate orders or end-of-life discussions | Retrospective chart review | St. Jude’s research hospital | 206 children; 28% Black, 72% White. | Do-not-resuscitate order | • No significant racial/ethnic difference in number of DNR orders or hospice enrollment rate. |