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Barret Rush, MD; Paul Hertz, MD; Alexandra Bond, MD; Robert C. McDermid, MD; Leo Anthony Celi, MD, MPH
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: See earlier cited article for author conflicts of interest.

aDepartment of Critical Care Medicine, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, Canada

bBeth Israel Deaconess Medical Center, Boston, MA

CORRESPONDENCE TO: Barret Rush, MD, St. Paul's Hospital ICU, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada


Copyright 2017, American College of Chest Physicians. All Rights Reserved.


Chest. 2017;151(5):1184. doi:10.1016/j.chest.2017.02.029
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We read the letter by Yaqoob et al with great interest and found their confirmatory analysis to be enlightening. We applaud them for this important confirmatory work demonstrating an increase in hospice deaths for end-stage COPD. The higher rates of hospice use for white patients compared with African Americans also confirms our findings of differential access rates to palliative care (PC) for minorities. Our hope is that this combined work will increase awareness of the benefits that PC can have on this patient population. Future studies need to be undertaken to demonstrate the benefit of PC referral in reducing hospitalizations and improving patient quality of life.

References

Rush B. .Hertz P. .Bond A. .McDermid R.C. .Celi L.A. . Use of palliative care in patients with end-stage COPD and Receiving home oxygen: national trends and barriers to care in the United States. Chest. 2017;151:41-46 [PubMed]journal. [CrossRef] [PubMed]
 

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References

Rush B. .Hertz P. .Bond A. .McDermid R.C. .Celi L.A. . Use of palliative care in patients with end-stage COPD and Receiving home oxygen: national trends and barriers to care in the United States. Chest. 2017;151:41-46 [PubMed]journal. [CrossRef] [PubMed]
 
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