Difficulties and Disparities in Colorectal Cancer End-of-Life Care: A Patient's Story

Stacy Ranson; Danielle Noreika; Emily B. Rivet

doi:10.1055/s-0044-1786393

Clinics in Colon and Rectal Surgery, Inhaltsverzeichnis

Clin Colon Rectal Surg 2025; 38(01): 074-080
DOI: 10.1055/s-0044-1786393

Review Article

Difficulties and Disparities in Colorectal Cancer End-of-Life Care: A Patient's Story

Autor*innen

Stacy Ranson

¹Division of Colon and Rectal Surgery, Virginia Commonwealth University, Richmond, Virginia
Danielle Noreika

²Palliative Care Services, Hospice and Palliative Medicine, Richmond, Virginia

³Division of Hematology, Oncology and Palliative Care, Virginia Commonwealth University/Virginia Commonwealth University Health, Richmond, Virginia
Emily B. Rivet

⁴Divisions of Colon and Rectal Surgery and Hospice and Palliative Medicine, Virginia Commonwealth University, Richmond, Virginia

Abstract

Patients with advanced colorectal cancer nearing the end of life require a multidisciplinary approach to address the unique challenges they face. Using a case vignette, we outline the various stages of a patient's journey with advanced rectal cancer and the common obstacles to their care as they interface with the medical system. We highlight how Black persons might be vulnerable to differences in screening, treatment, procedural interventions, end-of-life care, and health care decision-making. The article also addresses how health inequities and barriers relating to concordant treatment goals can impact the relationship between patient and surgeon. This vignette illustrates the importance of ensuring a team approach to treatment and the value of early involvement of palliative medicine for patients with advanced colorectal cancer.

Keywords

colorectal cancer - end-of-life care - palliative medicine - health disparities

Volltext

Referenzen

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