Table 4.

Adjusted patterns of end-of-life care for patients living in the highest versus lowest quintile of end-of-life expenditure index stratified by race

OR (95% CI) for Patients Living in the Highest Versus Lowest Quintile of EOL-EIWhite PatientsBlack Patients
All Patients6-Mo DecedentsAll Patients6-Mo Decedents
Died in hospital1.75 (1.66 to 1.84)1.85 (1.70 to 2.01)1.82 (1.58 to 2.10)1.51 (1.16 to 1.96)
Dialysis discontinuationa0.45 (0.42 to 0.47)0.43 (0.39 to 0.47)0.33 (0.28 to 0.39)0.33 (0.25 to 0.45)
Hospice referral0.62 (0.58 to 0.65)0.63 (0.57 to 0.69)0.41 (0.34 to 0.48)0.41 (0.30 to 0.57)
  • All analyses adjusted for age, sex, body mass index, estimated GFR, coronary artery disease, peripheral arterial disease, diabetes mellitus, congestive heart failure, stroke, cancer, chronic obstructive pulmonary disease, ability to walk, ability to transfer, treatment modality, prior nephrology care, preemptive transplantation, hemodialysis access, and cause of death. OR, odds ratio; CI, confidence interval; EOL-EI, end-of-life expenditure index.

  • a Denominator excludes patients who received a kidney transplant.