Table 2.

Unadjusted patterns of end-of-life care by race and quintile of end-of-life expenditure index

Patterns of End-of-Life CareQuintile of End-of-Life Expenditure Index
All Patients1st (Lowest)2nd3rd4th5th (Highest)P for Trend
White patients, n76,97213,42414,24214,50516,02118,780
 Died in hospital, %58.2 (57.9 to 58.6)51.5 (50.6 to 52.3)55.9 (55.1 to 56.7)57.3 (56.5 to 58.1)58.1 (57.3 to 58.9)65.7 (65.0 to 66.4)<0.001
 Dialysis discontinuation, %a32.1 (31.6 to 32.5)41.5 (40.4 to 42.6)33.9 (32.9 to 35.0)33.2 (32.2 to 34.2)32.7 (31.8 to 33.7)23.1 (22.4 to 23.9)<0.001
 Hospice referral, %28.3 (28.0 to 28.6)33.4 (32.6 to 34.2)29.3 (28.5 to 30.0)29.2 (28.4 to 29.9)29.4 (28.7 to 30.1)22.1 (21.5 to 22.7)<0.001
Black patients, n24,35911113856519658988298
 Died in hospital, %68.4 (67.8 to 69.0)57.6 (54.7 to 60.5)66.4 (64.9 to 67.9)66.9 (65.7 to 68.2)68.6 (67.4 to 69.8)71.6 (70.6 to 72.6)<0.001
 Dialysis discontinuation, %a16.4 (15.9 to 16.9)26.7 (24.1 to 29.3)20.2 (18.9 to 21.5)18.4 (17.3 to 19.4)17.4 (16.4 to 18.4)11.2 (10.6 to 11.9)<0.001
 Hospice referral, %15.5 (15.0 to 16.0)24.1 (21.6 to 26.6)17.7 (16.5 to 18.9)15.6 (14.7 to 16.6)17.0 (16.0 to 17.9)12.2 (11.5 to 12.9)<0.001
  • Parentheses contain 95% confidence intervals.

  • a Denominator excludes patients who received a kidney transplant.