Persistent racial and ethnic differences in location of death for children with cancer

Pediatric Blood & Cancer
Philip B CawkwellMichael Weitzman

Abstract

Approximately one in 285 children will be diagnosed with cancer before reaching their 20th birthday. While both oncologists and parents report a preference that these children die at home rather than in a hospital, there are limited data exploring this issue in depth. We performed a retrospective analysis of national-level data from 1999 to 2011 from the National Center for Health Statistics "Underlying Cause of Death" database. Characteristics investigated included sex, race, age, ethnicity, cancer type, geographic location, and population density where the child lived. Of the 2,130 children with a death attributable to neoplasm in 2011, 37.6% (95% CI, 35.5-39.6%) died at home compared to 36.9% (95% CI, 35.0-38.8%) in 1999. In 2011, there were statistically significant racial differences between white, black, and Hispanic children across nearly every age group, with white children consistently most likely to die at home. Children of non-Hispanic origin were significantly more likely to die at home than Hispanic children (40.3% vs. 29.3%, P < 0.001). Children with CNS tumors are more likely to die at home than children with neoplasms as a whole, while children with leukemia are less likely. Statistically significant differences...Continue Reading

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Citations

Oct 30, 2015·Pediatric Blood & Cancer·Katharine E BrockClare J Twist
Oct 3, 2015·The American Journal of Hospice & Palliative Care·Lisa C Lindley, Savithri Nageswaran
Feb 27, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Michael RostTenzin Wangmo
Mar 15, 2019·The American Journal of Hospice & Palliative Care·Erica C KayeJustin N Baker
Apr 24, 2019·Journal of Adolescent and Young Adult Oncology·Melissa San Julian MarkRachel Thienprayoon
Jun 22, 2019·British Medical Bulletin·Richard D W Hain
Mar 23, 2017·Journal of Advanced Nursing·Katri EskolaEva Cignacco
Dec 14, 2018·Cancer Medicine·Brian T ChengTenzin Wangmo
Jul 2, 2020·European Journal of Pediatrics·Sanne Lausen WolffMette Asbjoern Neergaard
Dec 12, 2020·Pediatric Blood & Cancer·Stephanie ProzoraAmy J Davidoff
Mar 29, 2021·Journal of Neuro-oncology·Edwin Nieblas-BedollaAnaliz Rodriguez
Apr 13, 2021·Journal of Pain and Symptom Management·Ross W ClevelandDanielle D DeCourcey
Aug 20, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nicholas P DeGrooteKatharine E Brock
Sep 5, 2021·European Journal of Pediatrics·Sanne Lausen WolffMette Asbjoern Neergaard
Feb 3, 2021·Pediatrics International : Official Journal of the Japan Pediatric Society·Shotaro IwamotoMasahiro Hirayama

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Cancer Disparities

Cancer disparities refers to differences in cancer outcomes (e.g., number of cancer cases, related health complications) across population groups.

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