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An administrative cohort in Ontario, Canada was analysed between 2006 and 2018. Aggressive care was defined as two or more emergency\u2010department visits in the last 30\u2009days before death, or at least two new hospitalizations within 30\u2009days of death, or an intensive care unit (ICU) admission within the last 30\u2009days of life. Supportive care was defined as a physician house\u2010call in the last two weeks before death, or a palliative nursing or personal support visit at home in the last 30\u2009days before death. Among 5095 patients, 23.2% of patients received chemotherapy at EOL and 55.6% of patients died as inpatient. A minority received aggressive care at EOL [28.3%: autologous stem cell transplant (ASCT), 20.4%: non\u2010ASCT], and a majority received supportive care at EOL (65.4%: ASCT, 61.5%: non\u2010ASCT). Supportive care was less likely to be received by those aged over 80\u2009years and in lower\u2010income neighbourhoods. Supportive care at EOL increased from 56.0% in 2006 to 70.3% in 2018. Despite improvements, many patients with MM experience aggressive care at EOL. Even in a publicly funded health care system, disparities based on age, income and community size are present.<\/jats:p>","DOI":"10.1111\/bjh.18401","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T05:54:00Z","timestamp":1660197240000},"page":"688-695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Quality of <scp>end\u2010of\u2010life<\/scp> care in multiple myeloma: A <scp>13\u2010year<\/scp> analysis of a population\u2010based cohort in Ontario, Canada"],"prefix":"10.1111","volume":"199","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6464-783X","authenticated-orcid":false,"given":"Ghulam Rehman","family":"Mohyuddin","sequence":"first","affiliation":[{"name":"Department of Hematology Huntsman Cancer Institute  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7967-159X","authenticated-orcid":false,"given":"Aynharan","family":"Sinnarajah","sequence":"additional","affiliation":[{"name":"Department of Medicine Queen's University  Kingston Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Gayowsky","sequence":"additional","affiliation":[{"name":"ICES McMaster McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelvin K. 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