Cancer treatment-related decision-making among culturally and linguistically diverse older adults with cancer: A scoping review by the International Society of Geriatric Oncology Nursing and Allied Health Interest Group

Bonnie Leung; Sophie Pilleron; Esther Bastiaannet; Lorinda A Coombs; Rana Jin; Kavita Kantilal; Kumud Kantilal; Cindy Kenis; Francis Kobekyaa; Ludmila Kosmari; Jessica L Krok-Schoen; Juan Li; Colm Mac Eochagain; Lorelei Newton; Tracy Ruegg; Petra Stolz-Baskett; Yue Zhao; Cara Bradley; Martine Puts; Kristen R Haase

doi:10.1016/j.jgo.2023.101607

Cancer treatment-related decision-making among culturally and linguistically diverse older adults with cancer: A scoping review by the International Society of Geriatric Oncology Nursing and Allied Health Interest Group

J Geriatr Oncol. 2023 Nov;14(8):101607. doi: 10.1016/j.jgo.2023.101607. Epub 2023 Aug 24.

Authors

Bonnie Leung¹, Sophie Pilleron², Esther Bastiaannet³, Lorinda A Coombs⁴, Rana Jin⁵, Kavita Kantilal⁶, Kumud Kantilal⁷, Cindy Kenis⁸, Francis Kobekyaa⁹, Ludmila Kosmari¹⁰, Jessica L Krok-Schoen¹¹, Juan Li¹², Colm Mac Eochagain¹³, Lorelei Newton¹⁴, Tracy Ruegg¹⁵, Petra Stolz-Baskett¹⁶, Yue Zhao¹⁷, Cara Bradley¹⁸, Martine Puts¹⁹, Kristen R Haase⁹

Affiliations

¹ Department of Medical Oncology, BC Cancer, Vancouver, Canada; Faculty of Applied Science, School of Nursing, University of British Columbia, Vancouver, Canada. Electronic address: bonnie.leung@bccancer.bc.ca.
² Ageing, Cancer, and Disparities Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg.
³ Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
⁴ University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, Chapel Hill, USA.
⁵ Princess Margaret Cancer Centre, Toronto, Canada.
⁶ University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
⁷ Research Department of Primary Care and Population Health, University College London, London, UK.
⁸ Department of General Medical Oncology and Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium; Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of Leuven, Leuven, Belgium.
⁹ Faculty of Applied Science, School of Nursing, University of British Columbia, Vancouver, Canada.
¹⁰ JPS Health Network, Fort Worth, USA.
¹¹ Division of Health Sciences, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, USA.
¹² Xiangya School of Nursing, Central South University, Changsha, China.
¹³ Royal Marsden Hospital, London, UK.
¹⁴ School of Nursing, University of Victoria, Victoria, Canada.
¹⁵ Kennesaw State University, Kennesaw, USA.
¹⁶ Institute of Nursing, Zurich University of Applied Sciences SHAW, Winterthur, Switzerland; School of Nursing, Midwifery & Health Practice, Te Herenga Waka/Victoria University of Wellington, Wellington, New Zealand.
¹⁷ Department of General, Visceral, Tumor and Transplantation Surgery, University Hospital of Cologne, Cologne, Germany.
¹⁸ Dr. John Archer Library, University of Regina, Regina, Canada.
¹⁹ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.

PMID: 37633779
DOI: 10.1016/j.jgo.2023.101607

Abstract

Introduction: Countries with large economies are observing a growing number of culturally and linguistically diverse (CALD) older adults, many of whom will be affected by cancer. Little is known about the experiences and factors that influence cancer treatment decision-making in this population. The purposes of this scoping review are: (1) to summarize the published literature on cancer treatment-related decision-making with this population; and (2) to identify potential differences in how cancer treatment decisions are made compared to non-CALD older adults with cancer.

Materials and methods: We conducted a scoping review following Arksey and O'Malley and Levac methods, Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Guidelines. We conducted a comprehensive multidatabase search, screening 1,139 titles/abstracts. Following data abstraction, we analyzed the data using tabular and narrative summary.

Results: We extracted data from six studies that met the inclusion criteria: four quantitative and two qualitative; five from the United States and one from Canada. Three themes were identified: (1) barriers to decision-making, (2) the influence of family and friends on decisionmaking, and (3) differences in uptake and types of treatment received between CALD and non-CALD older adults.

Discussion: This comprehensive review of treatment decision-making among CALD older adults with cancer highlights the paucity of research in this area. The findings are limited to North American populations and may not represent experiences in other regions of the world. Future research should focus on studying their treatment-related decision-making experiences to improve the quality of care for this vulnerable population.

Keywords: Aging; Cancer; Decision-making; Ethnocultural diversity; Geriatrics; Linguistic diversity; Migrants; Older adults; Race; cancer treatment.

Publication types

Systematic Review
Review

MeSH terms

Aged
Canada
Humans
Neoplasms* / therapy
Public Opinion*
United States