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Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study
Roydhouse, J and Connolly, A and Daveson, B and de Graaff, B and Blanchard, M and Currow, DC, Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study, BMJ Supportive & Palliative Care pp. 1-10. ISSN 2045-435X (2023) [Refereed Article]
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Objectives:Migrant Australians with cancer have higher unmet needs and poorer health-related quality of life. Less is known about their palliative care experience. We aimed to assess comparative symptom distress and problem severity for culturally and linguistically diverse Australians with cancer in palliative care.
Methods: This was a retrospective, consecutive cohort study using data from the Palliative Care Outcomes Collaboration, which routinely collects standardised symptom assessments nationally at point-of-care. Adults with a cancer diagnosis who died 01/01/2016–31/12/2019 were included. The presence/absence of patient-reported symptom distress and clinician-rated problem severity were compared between people who preferred English and people who preferred another language using logistic regression models. We also compared people who preferred English and the four most common non-English languages in the dataset: Chinese, Greek, Italian and Slavic.
Results: A total of 53 964 people with cancer died within the study period, allowing analysis of 104 064 assessments. People preferring non-English languages were less likely to report symptoms (pain: OR=0.89 (0.84 to 0.94); all other symptoms except fatigue OR<1 and CIs did not contain 1). Except for family/carer problems (OR=1.24 (1.12 to 1.31)), linguistically diverse people were less likely to report problems. Variation was seen between non-English language groups.
Conclusions: We did not find evidence of comparatively worse symptom distress or problem severity for nearly all scores for culturally and linguistically diverse Australians. Better symptom management or differential reporting may explain this. It is important to examine this further, including assessing differences within cultural and linguistic groups to ensure the delivery of high-quality palliative care.
|Item Type:||Refereed Article|
|Keywords:||palliative care, culturally diverse, linguistically diverse, cohort, symptoms|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Palliative care|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health outcomes|
|UTAS Author:||Roydhouse, J (Dr Jessica Roydhouse)|
|UTAS Author:||de Graaff, B (Dr Barbara de Graaff)|
|Deposited By:||Menzies Institute for Medical Research|
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