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Letter
Racial end-of-life care disparities in paediatric gastrointestinal malignancies in the USA
  1. Amir Humza Sohail1,
  2. Jasmine Brite2,
  3. Abdullah Khan3,
  4. Ivan B Ye1,
  5. Sachal Sohail4,
  6. Yassine Kilani5,
  7. Hassam Ali6 and
  8. Aman Goyal7
  1. 1 NYU Langone Hospital - Long Island, Mineola, New York, USA
  2. 2 NYU Long Island School of Medicine, Mineola, New York, USA
  3. 3 Shifa College of Medicine, Islamabad, Pakistan
  4. 4 King Edward Medical University, Lahore, Pakistan
  5. 5 Weill Cornell Medical College, New York, New York, USA
  6. 6 East Carolina University, Greenville, South Carolina, USA
  7. 7 Seth GS Medical College and KEM Hospital, Mumbai, India
  1. Correspondence to Dr Aman Goyal; amanmgy{at}gmail.com

https://doi.org/10.1136/spcare-2023-004741

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    Introduction

    Paediatric gastrointestinal tumours represent <5% of all paediatric neoplasms. For patients with terminal cancer, dying at home or at hospice provides more comfort and quality of life than dying in the hospital. Data on trends in place of death and risk factors for inpatient death are limited in the paediatric population.

    Methods

    We used the US National Center for Health Statistics WONDER platform to access mortality data based on death certificates of all mortalities in the USA from 2003 to 2020. All patients aged ≤18 years with gastrointestinal cancer as the underlying cause of death were included in analyses. Mann-Kendall trend test was applied to identify temporal trends.

    Results

    There were a total of 1122 deaths with gastrointestinal malignancies as the underlying diagnosis during the study period, with …

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    Footnotes

    • Contributors AHS: Protocol writing, Conception, Writing—Original draft. JB: Software, Writing—Original Draft and Reviewing. AK: Data extraction, Writing—Original Draft. IBY: Data Extraction, Writing—Original Draft. SS: Writing—Original Draft and Reviewing, Illustration/Figure, Manuscript Proofing. YK: Software, Writing—Original Draft and Reviewing. HA: Writing—Original Draft and Reviewing. AG: Conception, Methodology, Supervision, Writing—Reviewing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.