title: Cultural influences in pediatric cancer from diagnosis to cure/end of life.
abstract: OBJECTIVE
  To review the literature on cultural factors influencing clinical care and family management of pediatric cancer.
  
  
  METHODS
  A literature review including 72 articles related to cultural issues in pediatric cancer was conducted. Information was organized around several clinically driven themes.
  
  
  RESULTS
  Cultural factors influenced many aspects of the cancer experience including illness representations, reaction to diagnosis, illness disclosure patterns, complementary and alternative medicine use, management of medical procedures, coping strategies, and end of life issues.
  
  
  CONCLUSIONS
  Increased awareness of cultural factors is needed to improve clinical care and reduce health disparities. Specific strategies to approach cultural differences are provided to enhance patient and family care from diagnosis to cure/end of life.
authors.forename: Wendy N
authors.initials: WN
authors.lastname: Gray
authors.forename: Lauren J
authors.initials: LJ
authors.lastname: Szulczewski
authors.forename: Shilpa M P
authors.initials: SM
authors.lastname: Regan
authors.forename: Jaclyn A
authors.initials: JA
authors.lastname: Williams
authors.forename: Ahna L H
authors.initials: AL
authors.lastname: Pai
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003466:Cultural Characteristics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010361:Patients / Q000523:psychology*; D017741:Survivors / Q000523:psychology*