End-of-Life Content in Comprehensive Cancer Control Plans: A Systematic Review
Kristina A. Theis, MPH1*,
Jaya K. Rao, MD1,
Lynda A. Anderson, PhD1,
and
PerStephanie M. Thompson, BA2
1 Division of Adult and Community Health, Centers for Disease Control and Prevention
2 Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
* To whom correspondence should be addressed. E-mail: KTheis{at}cdc.gov.
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Abstract |
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A recent project to define public health priorities for end of life (EOL) recommends incorporating EOL principles in all state/territory/tribe Comprehensive Cancer Control (CCC) Plans. The degree to which EOL content is currently included in CCC Plans was assessed through a systematic review of CCC Plans, examining keywords, definitions, topics, data, goals, and strategies. Forty-five plans (42 state, 3 tribal) were eligible. Forty-one CCC Plans (91%) included the keyword "end-of-life." EOL goals were most often categorized as use of care, access to care, and awareness of EOL issues among patients/public and providers. The top EOL strategies were research, provider education, and patient/public education. The results establish a baseline of EOL content in CCC Plans and should help improve assistance in future CCC planning efforts.