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Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1786393
Review Article

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

Stacy Ranson
1   Division of Colon and Rectal Surgery, Virginia Commonwealth University, Richmond, Virginia
,
Danielle Noreika
2   Palliative Care Services, Hospice and Palliative Medicine, Richmond, Virginia
3   Division of Hematology, Oncology and Palliative Care, Virginia Commonwealth University/Virginia Commonwealth University Health, Richmond, Virginia
,
Emily B. Rivet
4   Divisions of Colon and Rectal Surgery and Hospice and Palliative Medicine, Virginia Commonwealth University, Richmond, Virginia
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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


Publication History

Article published online:
29 April 2024

© 2024. Thieme. All rights reserved.

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