Racial variation in willingness to trade financial resources for life‐prolonging cancer treatment

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: P...

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Bibliographic Details
Published in:Cancer 2011-08, Vol.117 (15), p.3476-3484
Main Authors: Martin, Michelle Y., Pisu, Maria, Oster, Robert A., Urmie, Julie M., Schrag, Deborah, Huskamp, Haiden A., Lee, Jeannette, Kiefe, Catarina I., Fouad, Mona N.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
cancer
Confounding Factors (Epidemiology)
Decision Making
financial resources
Financing, Personal
Humans
Medical sciences
Middle Aged
Multivariate Analysis
Neoplasms - ethnology
Neoplasms - psychology
Neoplasms - therapy
Population Groups
preferences
race
tradeoffs
treatment
Tumors
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Summary: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
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.25839