Alexander K. Smith|Ellen P. McCarthy|Elizabeth Paulk|Tracy A. Balboni|Paul K. Maciejewski|Susan D. Block|Holly G. Prigerson
Racial and Ethnic Differences in Advance Care Planning Among Patients With Cancer: Impact of Terminal Illness Acknowledgment, Religiousness, and Treatment Preferences
Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University|Brigham and Women's Hospital|Beth Israel Deaconess Medical Center|Dana-Farber Brigham Cancer Center|Dana-Farber Cancer Institute|The University of Texas Southwestern Medical Center|Resonance Research (United States)|Yale University
despite welldocumented racial ethnic differences advance care planning acp know little differences exist study tested proposed mediators racialethnic differences acpwe studied 312 nonhispanic white 83 nonhispanic black 73 hispanic patients advanced cancer coping cancer study federally funded multisite prospective cohort study designed examine racialethnic disparities acp endoflife care assessed impact terminal illness acknowledgment religiousness treatment preferences racialethnic differences acpcompared white patients black hispanic patients less likely acp white patients 80 black patients 47 hispanic patients 47 likely want lifeprolonging care even days left live white patients 14 black patients 45 hispanic patients 34 consider religion important white patients 44 black patients 88 hispanic patients 73 p 001 comparison black hispanic patients white patients hispanic patients less likely black patients marginally less likely acknowledge terminally ill status white patients 39 v hispanic patients 11 p 001 white v black patients 27 p 05 racialethnic differences acp persisted adjustment clinical demographic factors terminal illness acknowledgment religiousness treatment preferences acp black v white patients adjusted relative risk 064 95 ci 049 083 hispanic v white patients 065 95 ci 047 089although black hispanic patients less likely consider terminally ill likely want intensive treatment factors explain observed disparities acp