Mack and colleagues1 reported racial disparities in the outcomes of communication about end-of-life treatment preferences and medical care in patients with advanced cancer. The authors speculate that racial bias on the part of health care providers could explain this finding. To explore this more fully, it would be useful to know racial or ethnic characteristics of the health care providers who conducted end-of-life care discussions in this prospective cohort investigation. For example, did clinicians of color participate in end-of-life conversations? If yes, was there evidence to suggest that clinician race or ethnicity might be a predictor of outcomes following an end-of-life discussion?
Kuschner WG. Racial Disparities in End-of-Life Care. Arch Intern Med. 2011;171(10):941-954. doi:10.1001/archinternmed.2011.195