Maya Ilowite|Angel M. Cronin|Tammy I. Kang|Jennifer W. Mack
Disparities in prognosis communication among parents of children with cancer: The impact of race and ethnicity
Dana-Farber Cancer Institute|Boston Children's Hospital|Dana-Farber Cancer Institute|Texas Children's Hospital|Baylor College of Medicine|Dana-Farber Cancer Institute|Boston Children's Hospital
parents children cancer say want detailed information childs prognosis however prior work conducted populations limited diversity authors sought evaluate impact parental raceethnicity prognosis communication experiences among parents children cancerin total 357 parents children cancer childrens physicians surveyed danafarber cancer instituteboston childrens hospital childrens hospital philadelphia outcome measures parental preferences prognostic information physician beliefs parental preferences prognosis communication processes communication outcomes associations assessed logistic regression generalized estimating equations correct physician clusteringtwo hundred eightyone parents 79 white 23 6 black 29 8 hispanic 24 7 asianother eightyseven percent parents wanted much detail possible childs prognosis significant differences raceethnicity p 75 however physician beliefs parental preferences prognosis communication varied based parent raceethnicity physicians considering black hispanic parents less interested details prognosis whites p 003 accurate understanding less favorable prognosis greater among white 49 versus nonwhite parents range 2029 although difference statistically significant p 14most parents regardless racial ethnic background want detailed prognostic information childs cancer however physicians underestimate information needs black hispanic parents meet parents information needs physicians ask parents information preferences prognosis discussions cancer 201712339954003 2017 american cancer society