Racial Variation in Willingness to Trade Financial Resources for Life-Prolonging Cancer Treatment
Racial Variation in Willingness to Trade Financial Resources for Life-Prolonging Cancer Treatment
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DOI：
10.1002/cncr.25839
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发表时间：
2011-08-01
期刊：
影响因子：
6.2
通讯作者：
Fouad, Mona N.
中科院分区：
文献类型：
--
作者：
Martin, Michelle Y.;Pisu, Maria;Fouad, Mona N.
背景技术背景：少数民族患者在生命结束时接受更积极的护理，但目前还不清楚这种趋势是否与他们的偏好一致。我们比较了白色、黑人、西班牙裔和亚洲癌症患者使用个人经济资源延长生命的意愿。方法：采用正交设计法参与癌症护理结果研究和监测观察性研究的新诊断肺癌或结直肠癌患者接受了关于他们护理的各个方面的采访，包括他们愿意花费个人经济资源来延长生命。我们使用逻辑回归分析评估了种族/民族与延长寿命治疗偏好的相关性，并控制了临床、社会人口统计学和心理社会因素。研究结果：在患者中（N = 4214），80%的黑人表示愿意花费所有资源来延长生命，而白人为54%，西班牙裔为69%，亚洲为72%（P
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