Abstract B011: Trends and racial/ethnic disparities in palliative care use among patients with de novo metastatic breast cancer – National Cancer Database, 2004-2020
Background: Palliative care improves the quality of life of patients with advanced cancers. However, despite current ASCO recommendations for the early integration of palliative care into oncology services, palliative care remains underutilized. Research into the utilization of palliative care among...
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Veröffentlicht in: | Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2023-12, Vol.32 (12_Supplement), p.B011-B011 |
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Sprache: | eng |
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Zusammenfassung: | Background: Palliative care improves the quality of life of patients with advanced cancers. However, despite current ASCO recommendations for the early integration of palliative care into oncology services, palliative care remains underutilized. Research into the utilization of palliative care among de novo metastatic breast cancer (dnMBC) patients is limited, in particular regarding national trends and racial/ethnic disparities. Methods: We analyzed data collected from dnMBC patients in the National Cancer Database (NCDB, 2004-2020). In NCDB, palliative care was defined as surgery, radiotherapy, systemic therapy, or other pain management with the purpose of controlling pain and alleviating symptoms or side effects of cancer treatment. We examined trends in palliative care utilization, overall and across racial/ethnic groups including non-Hispanic (NH) Asian or Pacific Islander (API), NH American Indian, Alaska Native, or other (AIANO), NH Black, Hispanic, and NH White. Multivariable logistic regression was used to assess racial/ethnic differences in palliative care use, adjusting for key demographic and clinical characteristics. Adjusted odds ratios (OR) and 95% confidence intervals (95% CI) were calculated. Results: Of 148,931 dnMBC patients, the mean age was 62.3 years (SD=14.2); most (72.4%) were NH White, followed by 16.9% NH Black, 5.9% Hispanic, 3.0% NH API, and 1.8% NH AIANO. Overall, 20.7% of the patients used palliative care, with a significant increase from 14.9% in 2004 to 27.6% in 2020 (P for trend |
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ISSN: | 1538-7755 1538-7755 |
DOI: | 10.1158/1538-7755.DISP23-B011 |