Do ethnic patients report longer lung cancer intervals than Anglo‐Australian patients?: Findings from a prospective, observational cohort study

Mazza, Danielle; Lin, Xiaoping; Walter, Fiona M; Young, Jane; Barnes, David; Mitchell, Paul; Brijnath, Bianca; Martin, Andrew; O’Byrne, Kenneth J.; Emery, Jon

doi:10.1111/ecc.13492

Cited by 2 publications

(3 citation statements)

References 31 publications

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“…Findings comparing other aspects of cancer care between culturally and linguistically diverse and non-diverse patients in Australia are inconclusive. A study comparing diagnostic intervals between culturally and linguistically diverse and Anglo-Australian patients found a longer, although likely clinically insignificant, interval for diverse patients 30. However, other analyses have not identified disparities between culturally and linguistically diverse and non-diverse patients for receiving adjuvant chemotherapy 5 31.…”

Section: Discussionmentioning

confidence: 99%

Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study

Roydhouse

Connolly

Daveson

et al. 2023

BMJ Support Palliat Care

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ObjectivesMigrant 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.MethodsThis 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 ofpatient-reported symptom distressandclinician-rated problem severitywere 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.ResultsA 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.ConclusionsWe 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.

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Section: Discussionmentioning

confidence: 99%

Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study

Roydhouse

Connolly

Daveson

et al. 2023

BMJ Support Palliat Care

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“…Other than some evidence to suggest there is equal access to chemotherapy for colorectal cancer LEP patients in Australia, there are no additional data on time delays or outcomes for these patients 14,15 . There is, however, emerging evidence of time delays with other cancer streams in Australia, notably lung, where initial workup appears delayed for LEP patients 26,27 …”

Section: Discussionmentioning

confidence: 99%

“…14,15 There is, however, emerging evidence of time delays with other cancer streams in Australia, notably lung, where initial workup appears delayed for LEP patients. 26,27 There are many requirements for a successful interpreting service. Other than the basic language interpretation where particular dialects may add complexity, CALD patients may experience cultural issues, identity issues, and a lack of basic health literacy which makes comprehension difficult.…”

Section: Discussionmentioning

confidence: 99%

An integrated interpreting service normalizes access to care for culturally and linguistically diverse (CALD) patients with colorectal cancer

Hodgson

Albatat

Tacey

et al. 2022

Asia-Pac J Clncl Oncology

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Aim: To compare access to the initial management and overall survival with colorectal cancer for limited English proficient (LEP) patients compared with patients from an English background.Methods: All newly diagnosed patients from 2017 with colorectal cancer from a single health service with a highly multicultural catchment area and a well-developed and integrated translation and language support (TALS) department were recruited. Time from referral to: biopsy, date seen by a surgeon, oncologist, discussion at a multidisciplinary meeting (MDM), and day of commencement of the first treatment modality, and overall survival were analyzed.Results: One hundred sixty-two patients were analyzed, including 57 LEP patients from 22 countries of birth. Interpreters were present at 687/782 appointments with LEP patients. There were no differences in demographics or cancer staging. There were no differences between English background and LEP patients with regard to times from referral to biopsy (1 vs. 0 days), specialist review (surgical: 4 vs. 6 days, oncological: 45 vs. 57 days), MDM discussion (23 vs. 15 days), or commencement of treatment (32 vs. 28.5 days). There were no differences in treatment for colorectal cancer, although a higher rate of stomas was noted in LEP patients. There was no difference in overall survival between groups. Conclusion:Time to critical initial checkpoints and overall survival were similar in LEP and English background patients with colorectal cancer. An integrated TALS department may abrogate the language and cultural barriers that are known to disadvantage LEP patients and may contribute to normalizing care for the culturally and linguistically diverse community.

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Do ethnic patients report longer lung cancer intervals than Anglo‐Australian patients?: Findings from a prospective, observational cohort study

Cited by 2 publications

References 31 publications

Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study

Palliative care symptoms and problems in a culturally and linguistically diverse population: large retrospective cohort study

An integrated interpreting service normalizes access to care for culturally and linguistically diverse (CALD) patients with colorectal cancer

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