Wealth Disparities in End-of-Life Symptom Burden Among Older Adults
This cohort study found that lower wealth was associated with a higher symptom burden at the end of life, mediated in part by higher rates of multimorbidity, functional impairment, and dementia. These findings highlight the need for policies and programs to support patients with lower financial resources to improve end-of-life experiences and mitigate wealth disparities.
Authors
- Irena Cenzer (ORCID: https://orcid.org/0000-0002-5839-1070)
- Kenneth E. Covinsky
- Krista L. Harrison (ORCID: https://orcid.org/0000-0001-5373-3011)
- Lauren J. Hunt (ORCID: https://orcid.org/0000-0002-2731-2173)
- Melissa D. Aldridge (ORCID: https://orcid.org/0000-0002-3334-4542)
- Sarah H. Cross (ORCID: https://orcid.org/0000-0003-2316-5273)
- Claire K. Ankuda (ORCID: https://orcid.org/0000-0003-1371-8524)
Institutions
- San Francisco VA Medical Center (US)
- Emory University (US)
- University of California, San Francisco (US)
- James J. Peters VA Medical Center (US)
- Global Brain Health Institute (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-03-06
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.0201
- Citations
- 2
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 3.76