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Health Care Access Measures and Palliative Care Use by Race/Ethnicity among Metastatic Gynecological Cancer Patients in the United States
| Content Provider | MDPI |
|---|---|
| Author | Islam, Jessica Saraiya, Veeral Previs, Rebecca Akinyemiju, Tomi |
| Copyright Year | 2021 |
| Description | Palliative care improves quality-of-life and extends survival, however, is underutilized among gynecological cancer patients in the United States (U.S.). Our objective was to evaluate associations between healthcare access (HCA) measures and palliative care utilization among U.S. gynecological cancer patients overall and by race/ethnicity. We used 2004–2016 data from the U.S. National Cancer Database and included patients with metastatic (stage III–IV at-diagnosis) ovarian, cervical, and uterine cancer (n = 176,899). Palliative care was defined as non-curative treatment and could include surgery, radiation, chemotherapy, and pain management, or any combination. HCA measures included insurance type, area-level socioeconomic measures, distance-to-care, and cancer treatment facility type. We evaluated associations of HCA measures with palliative care use overall and by race/ethnicity using multivariable logistic regression. Our population was mostly non-Hispanic White (72%), had ovarian cancer (72%), and 24% survived 45 miles from their provider were less likely to utilize palliative care than those within <2 miles. Ovarian cancer patients treated at academic/research programs were less likely to utilize palliative care compared to those treated at community cancer programs (aOR: 0.70, 95%CI: 0.58–0.84). Associations between HCA measures and palliative care utilization were largely consistent across U.S. racial-ethnic groups. Insurance type, cancer treatment facility type, and distance-to-care may influence palliative care use among metastatic gynecological cancer patients in the U.S. |
| Starting Page | 6040 |
| e-ISSN | 16604601 |
| DOI | 10.3390/ijerph18116040 |
| Journal | International Journal of Environmental Research and Public Health |
| Issue Number | 11 |
| Volume Number | 18 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-06-04 |
| Access Restriction | Open |
| Subject Keyword | International Journal of Environmental Research and Public Health Primary Health Care Racial Disparities Gynecologic Cancers Social Determinants of Health Health Care Access Insurance Type Distance-to-care Gynecological Malignancies |
| Content Type | Text |
| Resource Type | Article |
