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Review
. 2021 Mar 14;23(4):39.
doi: 10.1007/s11912-021-01034-w.

Palliative and End-of-Life Care for Sexual and Gender Minority Cancer Survivors: a Review of Current Research and Recommendations

Kristin G Cloyes  1 , Carey Candrian  2
Affiliations
Review

Palliative and End-of-Life Care for Sexual and Gender Minority Cancer Survivors: a Review of Current Research and Recommendations

Kristin G Cloyes et al. Curr Oncol Rep. .

Abstract

Purpose of review: Sexual and gender minority (SGM) cancer survivors (post-diagnosis to end-of-life) can face inadequate services along the cancer care continuum, including palliative and end-of-life (EOL) care. A growing literature base calls for more research on factors influencing palliative and EOL care access, outcomes, and distinct needs of SGM cancer survivors and caregivers. We analyzed peer-reviewed articles published 2015-present to identify trends.

Recent findings: Ten articles were SGM-focused or inclusive, cancer-focused, and included substantive discussion of palliative and/or EOL care. Four were research studies (three case studies and one qualitative interview study) and six were literature reviews. Recurrent topics included disparities in cancer risk, access, and care; essential cultural and clinical competencies; and need for professional and organizational standards and policies addressing interpersonal and institutional discrimination and inclusion. Provision of equitable, competent palliative and EOL care depends on continued advancements in research, translated into person-centered approaches to care. We discuss implications of findings for improving palliative and EOL care for SGM cancer survivors.

Keywords: Cancer survivor; End-of-life; Hospice; LGBTQ; Palliative care; Sexual and gender minorities.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. Cathcart-Rake EJ. Cancer in sexual and gender minority patients: are we addressing their needs? Curr Oncol Rep. 2018:20(11). https://doi.org/10.1007/s11912-018-0737-3 .
    1. Gibson AW, Radix AE, Maingi S, Patel S. Cancer care in lesbian, gay, bisexual, transgender and queer populations. Future Oncol. 2017;13(15):1333–44. https://doi.org/10.2217/fon-2017-0482 . - DOI - PubMed
    1. Hudson J, Schabath MB, Sanchez J, Sutton S, Simmons VN, Vadaparampil ST, et al. Sexual and gender minority issues across NCCN guidelines: results from a national survey. J Natl Compr Cancer Netw. 2017;15(11):1379–82. https://doi.org/10.6004/jnccn.2017.0169 . - DOI
    1. Kano M, Sanchez N, Tami-Maury I, Solder B, Watt G, Chang SN. Addressing cancer disparities in SGM populations: recommendations for a national action plan to increase SGM health equity through researcher and provider training and education. J Cancer Educ. 2020;35(1):44–53. https://doi.org/10.1007/s13187-018-1438-1 . - DOI - PubMed
    1. Boehmer U. LGBT populations’ barriers to cancer care. Semin Oncol Nurs. 2018;34(1):21–9. https://doi.org/10.1016/j.soncn.2017.11.002 . - DOI - PubMed

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