EOL Discussions Positively Impact Care for Latino Patients With Advanced Cancer

Latino patients with advanced cancer who discussed their end-of-life care with their clinicians were more likely to complete a do-not-resuscitate order.
Latino patients with advanced cancer who discussed their end-of-life care with their clinicians were more likely to complete a do-not-resuscitate order.

Latino patients with advanced cancer who discussed their end-of-life (EOL) care with their clinicians were more likely to complete a do-not-resuscitate (DNR) order compared with Latino patients who had not had such a discussion, and equally as likely to complete a DNR order as non-Latino white patients, according to a report published in the journal Cancer.1

DNR orders are part of an advanced care plan that is associated with better quality of life at the end of life; however, Latino patients with advanced cancer are less likely to sign DNR orders compared with their non-Latino white counterparts.

Researchers sought to examine the association between EOL discussions and DNR order completion in Latino and non-Latino white patients with advanced cancer.

The researchers recruited 61 Latino patients with cancer and 56 non-Latino white patients with cancer as part of the Coping with Cancer study, a prospective cohort study designed to examine social and psychological influences on EOL care among patients with advanced cancer.

For the study, structured interviews were conducted to identify which patients had EOL discussions with their clinicians and whether DNR orders were completed.

A significantly greater association was seen between EOL discussions and DNR order completion among Latino patients compared with non-Latino white patients, adjusting for potential confounds (interaction adjusted odds ratio, 6.64; P=.041).

RELATED: Short Androgen Suppression With RT Improves DFS in Localized Prostate Cancer

Latino patients who discussed EOL care with their clinicians were more than 10 times more likely (adjusted odds ratio, 10.91; P=.001) to complete a DNR order than were Latino patients who had not had an EOL discussion. In addition, they were equally as likely to complete a DNR order compared with non-Latino white patients.

“Differences in the impact of EOL discussions on DNR order completion may explain Latino/non-Latino ethnic disparities in DNR order completion in EOL care, and point to a means to eliminate those disparities,” conclude the researchers. 

REFERENCE

1. Shen MJ, Prigerson HG, Paulk E, et al. Impact of end-of-life discussions on the reduction of Latino/non-Latino disparities in do-not-resuscitate order completion [published online ahead of print March 15, 2016). Cancer. doi:10.1002/cncr.29973.

Loading links....
You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs