Abstract
e20500 Background: Previous studies found conflicting relationships between low socioeconomic status (SES) and aggressiveness of end-of-life (EOL) care in older cancer decedents. In this study, we proposed to assess the association between EOL care aggressiveness and SES differences in working-age (over 18 years old and less than 65 years old) cancer decedents from Taiwan between 2009 and 2011. Methods: This population-based, retrospective cohort study used administrative data. A total of 32,800 cancer decedents were identified from the Taiwan National Health Insurance Research Database. The aggressiveness of EOL care was examined by a composite measure adapted from Earle et al., with higher scores indicating more aggressive EOL care. Hierarchical linear regression methods and multilevel logistic regression models were used to explore the association between SES and indicators of aggressive EOL care. Results: Up to 81% of the patients presented at least one indicator of aggressive care. Working-age patien...
Published Version
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