Evidence map›Paper›PMID 39823183›Full record

ArticleCancer medicine2025

Drivers of Palliative Care and Hospice Use Among Patients With Advanced Lung Cancer.

Megan C Edmonds, Melissa Mazor, Mayuri Jain, Lihua Li, Marsha Augustin, José Morillo, Olivia S Allen, Amina Avril, Juan P Wisnivesky, Cardinale B Smith

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Megan C EdmondsSchool of Public Health, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0002-0928-3858
Melissa MazorDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0003-0966-4578
Mayuri JainDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lihua LiDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Marsha AugustinDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
José MorilloDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Olivia S AllenAlbert Einstein College of Medicine, Bronx, New York, USA.ORCID https://orcid.org/0000-0002-2983-0003
Amina AvrilDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Juan P WisniveskyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Cardinale B SmithPopulation Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Training Program in Cancer Prevention and Control for Priority PopulationsT32CA225617 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Guy H Montgomery, JUAN P WISNIVESKY · 2018 to 2026
$2.6M
American Cancer Society MSRG-13-232-01-PCSMNCATS NIH HHS UL1 TR004419NCATS NIH HHS UL1TR004419NCI NIH HHS P30 CA196521NCI NIH HHS P30CA196521NCI NIH HHS T32 CA225617NCI NIH HHS T32CA225617
6 · The paper itself

Abstract

purposeDespite rigorous evidence of improved quality of life and longer survival, disparities in the utilization of palliative and hospice care persist for racial and ethnic minority patients with cancer. This study evaluated the impact of psychosocial factors on utilization of these services.

methodsPatients with advanced lung cancer were recruited at a large academic urban hospital. Patients were surveyed about their knowledge of palliative care and hospice and their beliefs regarding medical mistrust, lung cancer care, palliative care and hospice. We used univariate and multivariable logistic regression analyses to examine the association between mistrust, knowledge and beliefs among the entire cohort and minority (Black and Hispanic) and non-minority patients on utilization of palliative care consultation and hospice care use.

resultsNinety-nine of the enrolled participants had a mean age of 64 years. Minority patients were more likely to receive a palliative care referral (p < 0.001) and attend a consult (p = 0.003). Similarly, they were more likely to receive a hospice referral (p = 0.04), however there was no difference in hospice care use based on minority status (p = 0.102). In our adjusted model, older patients and those reporting negative lung cancer beliefs were more likely to receive hospice care (OR: 1.06, 95% CI: 1.004-1.138; OR: 1.04, 95% CI: 1.002-1.093, respectively).

conclusionMinority patients with advanced lung cancer were more likely to receive a palliative care referral and specialty level consultation when compared to non-minority patients. Our work highlights the importance of proactive referral processes in facilitating access to palliative and hospice services, particularly among younger patients.

Indexed as

Hospice CareLung NeoplasmsPalliative CareAdultAgedAged, 80 and overFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Acceptance of Health CareQuality of LifeReferral and ConsultationSurveys and Questionnairesethnic and racial minoritieshospice carelung cancer disparitiespalliative care

Identifiers

PMID39823183
PMCPMC11739718

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.