ArticlePloS one2015
The association between individual income and aggressive end-of-life treatment in older cancer decedents in Taiwan.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Age- and gender-based social inequalities in palliative care for cancer patients: a systematic literature review.Frontiers in public health · 2024Pooled it
- Willingness to bear adversity and beliefs about the curability of advanced cancer in older adults.Cancer · 2019Trial
- Preferences for life-sustaining treatments in advance decisions: a cross-sectional survey of Taiwanese general public.BMC medical ethics · 2025Article
- Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan.BMC palliative care · 2025Article
- Knowledge, Attitude, and Practice Toward Antitubercular Agents Among Pulmonary Tuberculosis Patients in Southwestern China: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- The impact of socioeconomic inequality on access to health care for patients with advanced cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2024Article
- Sex-Based Analysis of Quality Indicators of End-of-Life Care in Gastrointestinal Malignancies.Current oncology (Toronto, Ont.) · 2024Article
- The end of life experiences of people living with socio-economic deprivation in the developed world: an integrative review.BMC palliative care · 2022Review
- Place of death and phenomenon of going home to die in Chinese adults: A prospective cohort study.The Lancet regional health. Western Pacific · 2022Article
- Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review.Journal of pain and symptom management · 2020Article
- Costs of care at the end of life among elderly patients with chronic kidney disease: patterns and predictors in a nationwide cohort study.BMC nephrology · 2017Article
- Using linked administrative and disease-specific databases to study end-of-life care on a population level.BMC palliative care · 2016Article
- Home-Based Hospice Care Reduces End-of-Life Expenditure in Taiwan: A Population-Based Study.Medicine · 2015Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the association of individual income and end of life (EOL) care in older cancer decedents in Taiwan.
designRetrospective cohort study.
settingNational Health Insurance Research Database (NHIRD) in Taiwan.
participants28,978 decedents >65 years were diagnosed with cancer and died during 2009-2011 in Taiwan. Of these decedents, 10941, 16535, and 1502 were categorized by individual income as having low, moderate, and high SES, respectively.
main outcome measuresIndicators of aggressiveness of EOL care: chemotherapy use before EOL, more than one emergency department (ER) visit, more than one hospital admission, hospital length of stay >14 days, intensive care unit (ICU) admission, and dying in a hospital.
resultsLow individual income was associated with more aggressive EOL treatment (estimate -0.30 for moderate income, -0.27 for high income, both p<0.01). The major source of aggressiveness was the tendency for older decedents with low income to die in the acute care hospital. The indicators had an increasing trend from 2009 to 2011, except for hospital stay >14 days.
conclusionsLow individual income is associated with more aggressive EOL treatment in older cancer decedents. Public health providers should make available appropriate education and hospice resources to these decedents and their families, to reduce the amount of aggressive terminal care such decedents receive.
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