Navigation Links
Blacks more willing to exhaust financial resources for more cancer care
Date:4/25/2011

BIRMINGHAM, Ala. People in minority groups, especially black Americans, are more willing than their white counterparts to exhaust their personal financial resources to prolong life after being diagnosed with lung or colorectal cancer, according to a University of Alabama at Birmingham study published April 26, 2011, online in Cancer, the journal of the American Cancer Society.

This revelation should inform the treatment plans and help physicians design state-of-the-art cancer care that reflects patient wishes, says lead author Michelle Martin, Ph.D., assistant professor in the UAB Division of Preventive Medicine and a scientist with the UAB Comprehensive Cancer Center.

"As new cancer-treatment options emerge, patients are asked to make complex decisions that often involve tradeoffs between quality and quantity of life," Martin says. "A key tenet of delivering high-quality, patient-centered care is understanding and respecting patients' treatment decisions. Our results highlight the fact that personal finances can influence the decisions patients make about their treatment."

Martin and her colleagues compared the willingness of 4,214 participants in the Cancer Care Outcomes Research and Surveillance (CanCORS) study a multi-center observational study of patients with newly diagnosed lung or colorectal cancer to use their personal financial resources to extend their lives.

Among other questions, patients were asked, "If you had to make a choice now, would you prefer treatment that extends life as much as possible, even if it means using all of your financial resources, or would you want treatment that costs you less, even if it means not living as long?"

The researchers found that 80 percent of blacks were willing to spend all of their personal finances to extend life, while 54 percent of whites, 69 percent of Hispanics and 72 percent of Asians were willing to do so.

After accounting for a number of factors, including income, disease stage, quality of life, age, perceived time left to live and other medical illnesses, blacks were 2.4 times more likely to expend all personal financial resources to extend life than whites. Hispanic patients were 1.45 times more likely and Asian patients were 1.59 times more likely to expend all personal financial resources than white patients.

The availability of insurance had no statistical effect on the results, by race.

Several other factors were independently associated with a decreased willingness to exhaust finances to extend life, Martin said, especially age, family size and social support.

Single, divorced or separated people were more willing to spend all their financial resources than people who were married or living with a partner. People who did not know their life expectancy or who believed their life expectancy was in God's hands were more willing to spend than whose life expectancy was considered five years or less.

Martin says the study did not provide concrete reasoning for the differences, but its findings do create a basis for future studies.

"The next step is to obtain an in-depth understanding of the factors that influence treatment preferences," she says. "Future work could broaden the factors that we examine, and time spent with cancer patients in conversation about their experience and treatment preferences will help us better deliver cancer care that reflects those."


'/>"/>

Contact: Jennifer Lollar
jpark@uab.edu
205-934-3888
University of Alabama at Birmingham
Source:Eurekalert

Related medicine news :

1. Pushing Healthy Lifestyle Cuts Risk of Chronic Disease for Blacks: Study
2. Hearing Loss Seems to Affect Fewer Blacks Than Whites
3. Study finds blacks more likely to be readmitted to hospitals after discharge
4. Blacks Readmitted to Hospital More Than Whites: Study
5. Burden of HIV Highest for Blacks, CDC Reports
6. Blacks Still Hit Hardest by Cancer
7. Survival After Stroke Better for Blacks
8. Gene Mutation May Protect Blacks From Heart Disease
9. Blacks with liver cancer more likely to die, study finds
10. Liver Cancer Survival Rates May Be Worse for Blacks
11. Heavy Smoking May Double Rheumatoid Arthritis Risk in Blacks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... Arizona (PRWEB) , ... April 29, 2016 , ... ... Healing and Spiritual Awakening , announces the addition Onnit brand Alpha BRAIN and ... The addition of Onnit brain and mood optimization products to the store is ...
(Date:4/29/2016)... Springs, California (PRWEB) , ... April 29, 2016 ... ... lies at the heart of our nation’s productivity, stability, even security. Most importantly, ... for their organizations. , Then why are American workers so unhappy? , Just ...
(Date:4/29/2016)... ... April 29, 2016 , ... Conditions were ideal for Global Lyme Alliance’s ... Sunday, with sunny skies, a light breeze and temperatures in the 60s. Over 400 ... 5k Run and Walk and 1-mile walk were held to increase awareness about ...
(Date:4/29/2016)... Texas (PRWEB) , ... April 29, 2016 , ... Spine ... neck pain, is proud to announce one of their physicians has been invited to ... Family Physicians (Texas ACOFP) Family Practice Review conference on April 30, 2016. , ...
(Date:4/29/2016)... ... April 29, 2016 , ... World Patent Marketing , ... exercise invention which aids in proper muscle development. , "The Gym & Exercise ... Director of World Patent Marketing. "Globalization has threatened the future growth of the ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... 28, 2016 Research and Markets ... Surgery Products Market 2016-2020" report to their offering. ... The global plastic surgery products market is ... the period 2016-2020. , ,The growing adoption of laser ... growth of the market. Lasers are used to treat ...
(Date:4/28/2016)... 2016 , Net Sales of $1.90 billion ... the prior year period, and an increase of 1.2% on ... EPS for the first quarter were $0.52 reported, a decrease ... an increase of 29.9% over the prior year period ... guidance for 2016 Zimmer Biomet Holdings, Inc. (NYSE ...
(Date:4/28/2016)... , April 28, 2016 TapImmune,Inc. ... of innovative peptide and gene-based immunotherapeutics and vaccines for the ... be presenting at the 3rd Annual Growth Capital Expo ... th , 2016 at Caesars Palace in Las Vegas, Nevada.  ... on Wednesday, May 4 th by Dr. John ...
Breaking Medicine Technology: