What are the palliative and end-of-life care needs and preferences of people with cancer from culturally and linguistically diverse (CALD) backgrounds?: A systematic review.
Sadhvi S S Naresh, Ashfaq Chauhan, Bronwyn Newman et al.
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In 30 seconds
This systematic review synthesised evidence on palliative and end-of-life care needs and preferences among people with cancer from culturally and linguistically diverse (CALD) backgrounds, and on factors affecting service engagement and goal-concordant care. Searches identified 20 studies: 14 addressing end-of-life care and six palliative care encounters. Reported needs included maintaining positivity and decision-making autonomy, involving family or caregivers, and trusting the provider–patient relationship. Family involvement, faith or spirituality, and understanding of services also influenced engagement and care preferences.
Key findings
- The review included 20 studies: 14 reported end-of-life care and six reported palliative care encounters.
- Reported needs included positivity, decision-making autonomy, family or caregiver involvement, and trust in the provider–patient relationship.
- Family involvement, faith or spirituality, and understanding of services influenced engagement and care preferences.
Why it matters
The findings highlight that palliative and end-of-life care preferences among people from CALD backgrounds are shaped by individual and family priorities, spirituality, and knowledge of available services. Recognising this complexity may help services support goal-concordant care without assuming that cultural identity predicts an individual’s preferences.
What to keep in mind
The review used narrative synthesis led by one reviewer, and the abstract does not report quantitative pooling of findings.