ArticleInternational journal for equity in health2020
Socio-economic inequalities in suffering at the end of life among advanced cancer patients: results from the APPROACH study in five Asian countries.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relevance and consequence of economic and social resources of severely ill persons and their informal caregivers at the end-of-life: a systematic review of qualitative studies.BMC palliative care · 2025Pooled it
- Psychosocial Well-Being and Care Among Advanced Cancer Patients: A Multi-Country Southeast Asia Study.Psycho-oncology · 2026Article
- Social determinants of death anxiety in patients with advanced cancer receiving outpatient palliative care.Palliative medicine · 2026Article
- Influence of socioeconomic status on physical and psychological wellbeing during the cancer care continuum: a longitudinal and logistic regression analysis of cancer patients in New Delhi, India.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Spiritual Care in Serious Illness: A Narrative Review of Low- and Middle-Income Country Evidence.Annals of global health · 2026Review
- Patient experience with cancer care in low- and middle-income Asian countries: a cross-sectional study of patients with advanced cancer.BMJ global health · 2025Article
- Socioeconomic disparities in health-related quality of life and healthcare use in the last year of life of patients with advanced cancer: longitudinal results from the eQuiPe study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
- Chronic illnesses requiring home-based palliative care and their impact on families in an urban resettlement colony of Delhi, India.Palliative care and social practice · 2025Article
- Quality of life and its predictors among patients with metastatic cancer in Bangladesh: the APPROACH survey.BMC palliative care · 2024Article
- Palliative and end-of-life care initiatives for people dying from cancer in India: a narrative review.Ecancermedicalscience · 2024Review
- Article
- The association between socioeconomic position and the symptoms and concerns of hospital inpatients seen by specialist palliative care: Analysis of routinely collected patient data.Palliative medicine · 2023Article
- Integration of primary palliative care into geriatric care from the Indian perspective.Journal of family medicine and primary care · 2022Article
- Health literacy in communication, decision-making and outcomes among cancer patients, their families and clinicians in India: A multicentre cross-sectional qualitative study.Psycho-oncology · 2022Article
- The Contribution of the European School Of Oncology Education to the Central Asian and Caucasian Regions.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Socio-Economic Deprivation and Symptom Burden in UK Hospice Patients with Advanced Cancer-Findings from a Longitudinal Study.Cancers · 2021Article
- Supportive and Palliative Care Needs of the Older Adults with Stroke and Neurological Diseases: An Estimation using data from Longitudinal Ageing Study in India.Indian journal of palliative careArticle
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA systematic understanding of socio-economic inequalities in end-of-life (EOL) suffering among advanced cancer patients is required to inform efforts to reduce these inequalities as part of Universal Health Coverage goals.
aimsTo assess inequalities in multiple domains of EOL suffering among advanced cancer patients - physical, functional, psychological, social, and spiritual -, using two socio-economic status (SES) indicators, education and perceived economic status of the household.
methodsWe used cross-sectional data from surveys of stage IV cancer patients (n = 1378) from seven hospitals across five countries (China, Sri Lanka, India, Vietnam and Myanmar). We conducted separate multivariable linear regression models for each EOL suffering domain. We also tested interactions between the two SES indicators and between each SES indicator and patient age.
resultsPatients living in low economic status households /with fewer years of education reported greater suffering in several domains. We also found significant interaction effects between economic status of the household and years of education for all EOL suffering outcomes. Age significantly moderated the association between economic status of the household and social suffering and between years of education and psychological, social, and spiritual suffering (p < 0.05 for all).
conclusionResults highlight that SES inequalities in EOL suffering vary depending on the suffering domain, the SES indicator assessed, and by patient age. Greater palliative care resources for patients with low SES may help reduce these inequalities.
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