Racial-Ethnic Disparities in End-of-Life Care Quality among Lung Cancer Patients: A SEER-Medicare-Based Study

Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer
Siddharth KaranthRobert O Morgan

Abstract

Cancer end-of-life care and associated racial-ethnic disparities have been in focus during the last few years due to concerns regarding subjective care variations and poor quality of care. Given the high mortality rate and disease burden of lung cancer, end-of-life care quality is particularly crucial for this disease. This study uses previously validated measures and examines racial-ethnic disparities in lung cancer end-of-life care quality. This study involves retrospective analysis of patients ≥66 years, who were diagnosed with stage I-IV lung cancer, and who died on or before December 31, 2013, using the Surveillance Epidemiology and End Result-Medicare data from 1991-2013. Poor quality of care was measured using three themes: (1) potentially preventable medical encounters, (2) delayed hospice referral, and (3) aggressive chemotherapy provision during end-of-life. The patients were analyzed as two separate cohorts of NSCLC and SCLC patients. Logistic regression analyses were performed to estimate racial-ethnic disparities in the adjusted odds of receiving poor quality end-of-life care. The study found considerable racial-ethnic disparities in end-of-life care quality. The racial-ethnic minorities had higher odds of experien...Continue Reading

Citations

Oct 10, 2018·American Journal of Clinical Oncology·Siddharth KaranthGulshan Sharma
May 1, 2019·International Journal of Environmental Research and Public Health·Shervin AssariMohsen Bazargan
Jan 18, 2019·The American Journal of Hospice & Palliative Care·Lee Ann JohnsonAnn M Schreier
Sep 19, 2020·Journal of Pain and Symptom Management·Laura M PerryMichael Hoerger
Jul 22, 2019·Journal of Geriatric Oncology·Melisa L WongHarvey Jay Cohen
Aug 24, 2020·Journal of Pain and Symptom Management·Gabrielle DresslerGowri Anandarajah
Feb 11, 2021·JCO Oncology Practice·Karen J Ortiz-OrtizMaría R Ramos-Fernández
Mar 31, 2021·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Rachel L BrazeeMargaret Rosenzweig
Jul 23, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Melissa Lopez VaronSanjeev Arora
Sep 4, 2021·The American Journal of Hospice & Palliative Care·Mohsen BazarganShahrzad Bazargan-Hejazi

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