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Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer.

Publication ,  Journal Article
Ramos, K; Kaufman, BG; Winger, JG; Boggins, A; Van Houtven, CH; Porter, LS; Hastings, SN
Published in: Palliat Support Care
August 10, 2023

OBJECTIVES: Limited evidence investigates how knowledge, misconceptions, and beliefs about palliative care vary across patients with cancerous versus non-cancerous chronic disease. We examined the knowledge of and misconceptions about palliative care among these groups. METHODS: We used weighted data from the National Cancer Institute Health Information National Trends Survey 5 (Cycle 2) for nationally representative estimates and logistic regression to adjust for respondent characteristics. We identified respondents who reported having (1) cancer ([n = 585]; breast, lung, and colorectal), (2) chronic conditions ([n = 543]; heart failure, lung disease, or chronic obstructive pulmonary disorder), or (3) neither cancer nor other chronic conditions (n = 2,376). RESULTS: Compared to cancer respondents, chronic condition respondents were more likely to report being Black or Hispanic, report a disability, and have lower socioeconomic status. In the sample, 65.6% of cancer respondents and 72.8% chronic conditions respondents reported they had never heard of palliative care. Chronic condition respondents were significantly (p < 0.05) less likely to report high palliative care knowledge than cancer respondents (9.1% vs. 16.6%, respectively). In adjusted analyses, cancer respondents had greater odds of high palliative care knowledge (odd ratio [OR] = 1.70; 95% confidence interval [CI] = 1.01, 2.86) compared to respondents with neither cancer nor chronic disease; chronic condition respondents did not have increased odds (OR = 0.96; CI = 0.59, 1.54). SIGNIFICANCE OF RESULTS: Disparities in palliative care knowledge exist among people with non-cancerous chronic disease compared to cancer. Supportive educational efforts to boost knowledge about palliative care remains urgent and is critical for promoting equity, particularly for underserved people with chronic illnesses.

Duke Scholars

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Published In

Palliat Support Care

DOI

EISSN

1478-9523

Publication Date

August 10, 2023

Start / End Page

1 / 7

Location

England

Related Subject Headings

  • Oncology & Carcinogenesis
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
 

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Ramos, K., Kaufman, B. G., Winger, J. G., Boggins, A., Van Houtven, C. H., Porter, L. S., & Hastings, S. N. (2023). Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer. Palliat Support Care, 1–7. https://doi.org/10.1017/S1478951523001141
Ramos, Katherine, Brystana G. Kaufman, Joseph G. Winger, Abby Boggins, Courtney H. Van Houtven, Laura S. Porter, and S Nicole Hastings. “Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer.Palliat Support Care, August 10, 2023, 1–7. https://doi.org/10.1017/S1478951523001141.
Ramos K, Kaufman BG, Winger JG, Boggins A, Van Houtven CH, Porter LS, et al. Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer. Palliat Support Care. 2023 Aug 10;1–7.
Ramos, Katherine, et al. “Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer.Palliat Support Care, Aug. 2023, pp. 1–7. Pubmed, doi:10.1017/S1478951523001141.
Ramos K, Kaufman BG, Winger JG, Boggins A, Van Houtven CH, Porter LS, Hastings SN. Knowledge, goals, and misperceptions about palliative care in adults with chronic disease or cancer. Palliat Support Care. 2023 Aug 10;1–7.
Journal cover image

Published In

Palliat Support Care

DOI

EISSN

1478-9523

Publication Date

August 10, 2023

Start / End Page

1 / 7

Location

England

Related Subject Headings

  • Oncology & Carcinogenesis
  • 4203 Health services and systems
  • 1117 Public Health and Health Services