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Dublin Core
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Title
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2021 Special Edition 2 - Oncology
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2021 Special Edition - Oncology
URL Address
<a href="http://doi.org/10.1007/s00520-021-06500-6" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1007/s00520-021-06500-6</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Relationship of Race and Ethnicity on Access, Timing, and Disparities in Pediatric Palliative Care for Children with Cancer
Publisher
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Supportive Care in Cancer
Date
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2022
Subject
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Oncology
Creator
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DeGroote NP; Allen KE; Falk EE; Velozzi-Averhoff C; Wasilewski-Masker K; Johnson K; Brock KE
Description
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PURPOSE: Pediatric palliative care (PPC) improves quality of life for children and adolescents with cancer. Little is known about disparities between different racial and ethnic groups in the frequency and timing of PPC referrals. We evaluated the impact of race and ethnicity on the frequency and timing of PPC referral after initiation of an embedded PPO clinic where no formal consultation triggers exist. METHODS: Patients with cancer between 0 and 25 years at diagnosis who experienced a high-risk event between July 2015 and June 2018 were eligible. Demographic, disease, and PPC information were obtained. Descriptive statistics and logistic regression were used to assess likelihood of receiving PPC services by race/ethnicity. RESULTS: Of 426 patients who experienced a high-risk event, 48% were non-Hispanic White, 31% were non-Hispanic Black, 15% were Hispanic of any race, and 4% were non-Hispanic Asian. No significant differences were found between race/ethnicity and age at diagnosis/death, sex, and diagnosis. PPC consultation (p = 0.03) differed by race. Non-Hispanic Black patients were 1.7 times more likely than non-Hispanic White patients to receive PPC after adjustment (p = 0.01). White patients spent less days in the hospital in the last 90 days of life (3.0 days) compared with Black (8.0), Asian (12.5), or Hispanic patients (14.0, p = 0.009) CONCLUSION: Disparities exist in patients receiving pediatric oncology and PPC services. Cultural tendencies as well as unconscious and cultural biases may affect PPC referral by race and ethnicity. Better understanding of cultural tendencies and biases may improve end-of-life outcomes for children and young adults with cancer.
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<a href="http://doi.org/10.1007/s00520-021-06500-6" target="_blank" rel="noreferrer noopener">10.1007/s00520-021-06500-6</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021 Special Edition - Oncology
2022
Allen KE
Brock KE
DeGroote NP
Falk EE
Johnson K
Oncology
Supportive Care In Cancer
Velozzi-Averhoff C
Wasilewski-Masker K