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Article
Racial variation in willingness to trade financial resources for life-prolonging cancer treatment
Quantitative Health Sciences Publications and Presentations
  • Michelle Y. Martin, University of Alabama at Birmingham
  • Maria Pisu, University of Alabama at Birmingham
  • Robert A. Oster, University of Alabama at Birmingham
  • Julie M. Urmie, University of Iowa
  • Deborah Schrag, Dana-Farber Cancer Institute
  • Haiden A. Huskamp, Harvard Medical School
  • Jeannette Lee, University of Arkansas - Little Rock
  • Catarina I. Kiefe, University of Massachusetts Medical School
  • Mona N. Fouad, University of Alabama at Birmingham
UMMS Affiliation
Department of Quantitative Health Services
Date
8-1-2011
Document Type
Article
Medical Subject Headings
Life Support Care; Patient Preference; Attitude to Health; Continental Population Groups; Minority Groups
Abstract
BACKGROUND: Minority patients receive more aggressive care at the end of life, but it is unclear whether this trend is consistent with their preferences. We compared the willingness to use personal financial resources to extend life among white, black, Hispanic, and Asian cancer patients. METHODS: Patients with newly diagnosed lung or colorectal cancer participating in the Cancer Care Outcomes Research and Surveillance observational study were interviewed about myriad aspects of their care, including their willingness to expend personal financial resources to prolong life. We evaluated the association of race/ethnicity with preference for life-extending treatment controlling for clinical, sociodemographic, and psychosocial factors using logistic regression. RESULTS: Among patients (N = 4214), 80% of blacks reported a willingness to spend all resources to extend life, versus 54% of whites, 69% of Hispanics, and 72% of Asians (P CONCLUSIONS: Black cancer patients are more willing to exhaust personal financial resources to extend life. Delivering quality cancer care requires an understanding of how these preferences impact cancer care and outcomes. Cancer 2011;. (c) 2011 American Cancer Society.
Comments

Citation: Cancer 2011 Aug 1;117(15):3476-84. doi: 10.1002/cncr.25839. Epub 2011 Apr 26.

Related Resources
Link to Article in PubMed
Keywords
  • UMCCTS funding
Citation Information
Michelle Y. Martin, Maria Pisu, Robert A. Oster, Julie M. Urmie, et al.. "Racial variation in willingness to trade financial resources for life-prolonging cancer treatment" Vol. 117 Iss. 15 (2011) ISSN: 0008-543X (Linking)
Available at: http://works.bepress.com/catarina_kiefe/190/