January 02, 2009
Racial disparities in end of life cancer care may be caused by a preference for continuing aggressive treatment - a decision that blocks enrollment in hospice care - according to a study by Jessica Fishman, PhD and David J. Casarett, MD, MA, of the University of Pennsylvania School of Medicine and Veterans Affairs Center for Health Equity Research and Promotion, and colleagues. In this study, African-Americans patients with cancer were less willing to give up treatment, compared with white patients. In addition, African-American patients reported greater needs for hospice services (i.e. counselor, respite care, chaplain, nurse), despite the fact that their cancer treatment preferences would exclude them from most hospice programs. The study, published early online by CANCER, a peer-reviewed journal of the American Cancer Society, indicates that the eligibility criteria for hospice services should be reconsidered.