{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:40:03Z","timestamp":1760060403605,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T00:00:00Z","timestamp":1756512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT-173337"],"award-info":[{"award-number":["PJT-173337"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Early palliative care improves quality of life for patients with life-limiting illnesses, but access is often inequitable. The goal of this study was to assess disparities in early specialist palliative care (SPC) consultation among newly diagnosed stage IV lung cancer patients. All newly diagnosed stage IV lung cancer patients in southern Alberta, Canada (June 2021\u2013March 2022) were offered SPC consultations from a multidisciplinary team, post-oncology visit. A retrospective chart review analyzed demographic factors and consultation outcomes (accepted, ineligible, declined\/unreachable), using the Pampalon Deprivation Index and NamSor surname analysis as proxies for equity-related variables. Of 113 patients, 76.2% were eligible for consultation, and 67.4% of those accepted consultation. Older age (&gt;65 years), male sex, and high deprivation were linked to declining SPC (p &lt; 0.05\u20130.01). Conversely, living alone or with a non-partner increased acceptance (p &lt; 0.05). Age, sex, deprivation, and living situation influenced SPC acceptance. Identifying disparities can guide interventions to improve equitable access.<\/jats:p>","DOI":"10.3390\/curroncol32090485","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T09:24:41Z","timestamp":1756805081000},"page":"485","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing Disparities in Who Accepts an Early Palliative Care Consultation"],"prefix":"10.3390","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6288-9625","authenticated-orcid":false,"given":"Heather","family":"Halperin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Akude","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Palliative Medicine, University of Calgary, Calgary, AB T2N 5G2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"King","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Palliative Medicine, University of Calgary, Calgary, AB T2N 5G2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Biondo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Palliative Medicine, University of Calgary, Calgary, AB T2N 5G2, Canada"}],"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 Oncology, Division of Palliative Medicine, University of Calgary, Calgary, AB T2N 5G2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1727-1205","authenticated-orcid":false,"given":"Desiree","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Oncology, Section of Medical Oncology, Arthur JE Child Comprehensive Cancer Centre, Calgary, AB T2N 5G2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0865-4231","authenticated-orcid":false,"given":"Jessica","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Oncology, Division of Palliative Medicine, University of Calgary, Calgary, AB T2N 5G2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1001\/jama.2021.25181","article-title":"The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity","volume":"327","author":"Nundy","year":"2022","journal-title":"JAMA"},{"key":"ref_2","unstructured":"World Health Organization (2025, August 21). 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