Access to palliative care in patients with multiple myeloma in the USA: A National Cancer Database (NCDB) analysis of years 2004-2020.

• DOI: 10.1200/jco.2024.42.16_suppl.7563
• Publication Date: 2024-06-10T18:43:50Z
• Authors: Ludovic Saba; Chieh Lin Fu; Kaylee Sarna; Chakra Pani Chaul...
• Keywords: National database

7563 Background: Palliative care (PC) can improve the quality of life for patients with multiple myeloma (MM). Despite its recognized importance, research gaps persist in understanding factors influencing PC accessibility and utilization, particularly diverse MM patient landscape real-world setting. This study explores potential associations between race, ethnicity, socioeconomic factors, access USA. Methods: Utilizing NCDB, we identified 202,949 diagnosed from 2004 to 2020. Multivariate logistic regression analysis was conducted SAS version 9.4, determine independent predicting access. Results: Analysis revealed notable disparities PC. Female exhibited lower odds (OR: 0.94, p < 0.0001) compared male patients, as did Black 0.80, other racial groups 0.84, White patients. Hispanic ethnicity associated utilization non-Hispanics. Earlier years (2004-2007) showed higher 1.12, 0.0001), while subsequent (2008-2011, 2012-2015) 0.93, = 0.0009; OR: 0.87, 0.0001, respectively) most recent (2016-2020). Academic settings had than non-academic facilities 0.78, 0.0001). Insurance status varied, no insurance 1.40, Medicaid 1.17, government 1.38, linked private insurance. Lower annual household incomes (<$38,000, $38,000-$47,999, $48,000-$62,999) increased (>$63,000) (all Areas a percentage individuals without high school degree odds, notably 21% 0.83, 13.0%-20.9% 0.0222) <7.0% degree. Greater distance (>30 miles) reduced shorter (<10 treatment facility A Charlson-Deyo score 1 0 Conclusions: Our reveals substantial patients’ utilization. minority (Blacks Hispanics) face significant challenges. The dynamic trends over time impacts underscore need integrating targeted interventions overall well-being. findings pave grounds future prospective studies.