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Disparities in Advance Directive Documentation for Rural-Dwelling Persons With Lung Cancer.

Lauren Catlett1, Lee Ann Johnson1

  • 1School of Nursing, University of Virginia, Charlottesville, VA, USA.

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Summary
This summary is machine-generated.

Advance directives and healthcare power of attorney documentation are low for lung cancer patients in rural North Carolina, especially for Black individuals. This highlights a need for better advance care planning outreach.

Keywords:
advance care planningadvance directiveend of lifehealth disparitieshealthcare power of attorneylung cancerrural

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Area of Science:

  • Oncology
  • Public Health
  • Health Disparities

Background:

  • Advance directives (AD) and healthcare power of attorney (HCPOA) are crucial for lung cancer patients.
  • Limited research exists on AD and HCPOA documentation in rural US populations.

Purpose of the Study:

  • To investigate demographic and clinical factors associated with AD and HCPOA documentation.
  • Focus on lung cancer patients in rural eastern North Carolina (ENC).

Main Methods:

  • Cross-sectional retrospective chart review (2017-2021).
  • Data collected from electronic health records at a tertiary cancer center and satellite sites.
  • Descriptive statistics and Chi-Square Tests of Independence used for analysis.

Main Results:

  • Low rates of AD (18.5%) and HCPOA (26%) documented.
  • Black patients showed significantly lower AD and HCPOA documentation than white patients (P < .001).
  • Rural-dwellers had significantly lower HCPOA documentation than urban-dwellers (P = .03).

Conclusions:

  • Significant disparities in advance care planning documentation exist for lung cancer patients in ENC.
  • Black individuals and rural residents are particularly underserved.
  • Enhanced access to and outreach for advance care planning (ACP) is urgently needed in the region.