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English-language original research studies reporting any quantitative estimates of measures of care quality or utilization for EOL and palliative care for AIAN individuals with cancer compared to other races were included (2014-2025). Screening and data extraction were conducted by two independent reviewers and discrepancies were resolved through consensus. Findings were synthesized through iterative team discussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1693 unique records, 153 underwent full-text review, and 22 met inclusion criteria. Considerable heterogeneities were observed in EOL care outcomes and covariates included in multivariable regression models assessing disparities: Compared to White individuals, AIAN individuals with cancer had significantly lower in-home or hospice and higher medical facility deaths (9\/11 studies); higher acute care use (3\/4 studies); lower hospice use (2\/4 studies); lower anxiolytic medication use (1\/1 study); and higher receipt of any palliative treatment (3\/6 studies); but no differences in late hospice initiation (0\/3 studies); or aggressive treatment near the EOL period (0\/6 studies).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AIAN individuals with cancer appear more likely to experience a medicalized death. Mechanisms underlying these disparities remain poorly understood. Future studies should provide greater clarity in analytical methods to improve interpretability of disparities measures, use more consistent measures of EOL care quality, explore within-AIAN variation such as regional, tribal, and rural\u2013urban differences, as well as cultural implications for the delivery of appropriate EOL care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091251414863","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T06:49:41Z","timestamp":1767422981000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["End-of-Life and Palliative Care Disparities Among American Indians and Alaska Natives with Cancer: A Scoping Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6193-9578","authenticated-orcid":false,"given":"Soroush","family":"Fariman","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Begay","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Burhansstipanov","sequence":"additional","affiliation":[{"name":"Native American Cancer Initiatives"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Emerson","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie B.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Elston Lafata","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronny A.","family":"Bell","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"},{"name":"University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27491"},{"key":"e_1_3_6_3_2","volume-title":"Approaching Death: Improving Care at the End of Life","author":"Institute of Medicine (US) Committee on Care at the End of Life","year":"1997","unstructured":"Institute of Medicine (US) Committee on Care at the End of Life. 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