Observational studyCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2020
Association between Chinese or South Asian ethnicity and end-of-life care in Ontario, Canada.
Observational study in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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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
27 citing papers in PubMed, 50 citations in OpenAlex.
- Large language models perpetuate bias in palliative care: Development and analysis of the Palliative Care Adversarial Dataset (PCAD).PLOS digital health · 2026Article
- Article
- Article
- Palliative Care Delivery in the Last Year of Life among Ethnically South Asian Canadians in Ontario, Canada.Journal of immigrant and minority health · 2026Article
- The centrality of "family first" among Chinese migrants in determining experiences of palliative care: An integrative literature review.Palliative care and social practice · 2026Review
- Developing an evidence base to inform retirement home policy development using an equity and diversity lens: a mixed methods study protocol.BMC geriatrics · 2025Article
- Peaceful dying among Canada's elderly: An analysis of the Canadian Longitudinal Study on Aging.PloS one · 2025Article
- What a Hug Does: A Qualitative Study of Chinese Immigrant Families' Experiences with Inpatient Palliative Care Specialists.Palliative medicine reports · 2025Article
- The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review.Lancet regional health. Americas · 2024Article
- Lived experiences of palliative care physicians on the impacts of language and cultural discordance on end-of-life care across Ontario, Canada: a qualitative study using the intersectionality-based policy framework.International journal for equity in health · 2024Article
- A Comparison of Palliative Care Delivery between Ethnically Chinese and Non-Chinese Canadians in the Last Year of Life.Journal of general internal medicine · 2024Article
- Article
- A call to stop extractive health research on South Asian diaspora communities in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Insurance Type and Withdrawal of Life-Sustaining Therapy in Critically Injured Trauma Patients.JAMA network open · 2024Article
- ACP Conversations with Chinese and South Asian Patients: Physicians' Perspectives of Barriers and Facilitating Factors.Canadian geriatrics journal : CGJ · 2023Article
- Differences in trends in discharge location in a cohort of hospitalized patients with cancer and non-cancer diagnoses receiving specialist palliative care: A retrospective cohort study.Palliative medicine · 2023Article
- From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care.Current oncology (Toronto, Ont.) · 2023Article
- Associations of prognostic-awareness-transition patterns with end-of-life care in cancer patients' last month.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Race and birth country are associated with discharge location from hospital: A retrospective cohort study of demographic differences for patients receiving inpatient palliative care.EClinicalMedicine · 2022Article
- Comparison of End-of-Life Care Between Recent Immigrants and Long-standing Residents in Ontario, Canada.JAMA network open · 2021Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEthnicity may be associated with important aspects of end-of-life care, such as what treatments are received, access to palliative care and where people die. However, most studies have focused on end-of-life care of white, Hispanic and black patients. We sought to compare end-of-life care delivered to people of Chinese and South Asian ethnicity with that delivered to others from the general population, in Ontario, Canada.
methodsIn this population-based cohort study, we included all people who died in Ontario, Canada, between Apr. 1, 2004, and Mar. 31, 2015. People were identified as having Chinese or South Asian ethnicity on the basis of a validated surname algorithm. We used modified Poisson regression analyses to assess location of death and care received in the last 6 months of life.
resultsWe analyzed 967 339 decedents, including 18 959 (2.0%) of Chinese and 11 406 (1.2%) of South Asian ethnicity. Chinese (13.6%) and South Asian (18.5%) decedents were more likely than decedents from the general population (10.1%) to die in the intensive care unit (ICU). The adjusted relative risk of dying in intensive care was 1.21 (95% confidence interval [CI] 1.15 to 1.27) for Chinese and 1.25 (95% CI 1.20 to 1.30) for South Asian decedents. In their last 6 months of life, decedents of Chinese and South Asian ethnicity experienced significantly more ICU admission, hospital admission, mechanical ventilation, dialysis, percutaneous feeding tube placement, tracheostomy and cardiopulmonary resuscitation than the general population.
interpretationDecedents of Chinese and South Asian ethnicity in Ontario were more likely than decedents from the general population to receive aggressive care and to die in an ICU. These findings may be due to communication difficulties between patients and clinicians, differences in preferences about end-of-life care or differences in access to palliative care services.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.