ArticleCancer2011
Racial variation in willingness to trade financial resources for life-prolonging cancer treatment.
Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed.
- A Research Agenda to Mitigate Racial and Ethnic Disparities in U.S. Critical Care Medicine: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- Cancer patients' willingness to trade time for health: factors that affect their decision.BMC public health · 2025Article
- Racial, Ethnic, and Socioeconomic Differences in Critical Care Near the End of Life: A Narrative Review.Critical care clinics · 2024Review
- Preferences for More Aggressive End-of-life Pharmacologic Care Among Racial Minorities in a Large Population-Based Cohort of Cancer Patients.Journal of pain and symptom management · 2021Article
- Literacy Mediates Racial Differences in Financial and Healthcare Decision Making in Older Adults.Journal of the American Geriatrics Society · 2020Article
- The Association of Dietary Patterns with High-Risk Human Papillomavirus Infection and Cervical Cancer: A Cross-Sectional Study in Italy.Nutrients · 2018Article
- Fatalism and educational disparities in beliefs about the curability of advanced cancer.Patient education and counseling · 2018Article
- Symptom Burden and End-of-Life Treatment Preferences in the Very Old.Journal of pain and symptom management · 2016Article
- Racial/Ethnic and Socioeconomic Differences in Colorectal and Breast Cancer Treatment Quality: The Role of Physician-level Variations in Care.Medical care · 2016Article
- Discrepancies between cognition and decision making in older adults.Aging clinical and experimental research · 2016Article
- Patient preferences for side effects associated with cervical cancer treatment.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2014Article
- Patient preference and contraindications in measuring quality of care: what do administrative data miss?Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013Article
- Potential of the patient protection and affordable care act to reduce cancer care disparities.Journal of oncology practice · 2011Article
- Closing the Gap in Hospice Utilization for the Minority Medicare Population.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundMinority 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.
methodsPatients 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.
resultsAmong 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<.001). In multivariate analyses, blacks were more likely to opt for expending all financial resources to extend life than whites (odds ratio, 2.41; 95% confidence interval, 1.84-3.17; P < .001).
conclusionsBlack cancer patients are more willing to exhaust personal financial resources to extend life. Delivering quality cancer care requires an understanding of how these preferences impact cancer care and outcomes.
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