International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-09-01

AUTHORS

J Cohen, L Pivodic, G Miccinesi, B D Onwuteaka-Philipsen, W A Naylor, D M Wilson, M Loucka, A Csikos, K Pardon, L Van den Block, M Ruiz-Ramos, M Cardenas-Turanzas, Y Rhee, R Aubry, K Hunt, J Teno, D Houttekier, L Deliens

ABSTRACT

Background:Where people die can influence a number of indicators of the quality of dying. We aimed to describe the place of death of people with cancer and its associations with clinical, socio-demographic and healthcare supply characteristics in 14 countries.Methods:Cross-sectional study using death certificate data for all deaths from cancer (ICD-10 codes C00-C97) in 2008 in Belgium, Canada, Czech Republic, England, France, Hungary, Italy, Mexico, the Netherlands, New Zealand, South Korea, Spain (2010), USA (2007) and Wales (N=1 355 910). Multivariable logistic regression analyses evaluated factors associated with home death within countries and differences across countries.Results:Between 12% (South Korea) and 57% (Mexico) of cancer deaths occurred at home; between 26% (Netherlands, New Zealand) and 87% (South Korea) occurred in hospital. The large between-country differences in home or hospital deaths were partly explained by differences in availability of hospital- and long-term care beds and general practitioners. Haematologic rather than solid cancer (odds ratios (ORs) 1.29–3.17) and being married rather than divorced (ORs 1.17–2.54) were most consistently associated with home death across countries.Conclusions:A large country variation in the place of death can partly be explained by countries’ healthcare resources. Country-specific choices regarding the organisation of end-of-life cancer care likely explain an additional part. These findings indicate the further challenge to evaluate how different specific policies can influence place of death patterns. More... »

PAGES

1397-1404

Journal

TITLE

British Journal of Cancer

ISSUE

9

VOLUME

113

Author Affiliations

  • Department of Family Medicine & Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Laarbeeklaan 103, 1090, Brussels, Belgium
  • ISPO Cancer Prevention and Research Institute, Clinical Epidemiology Unit,, Via Oblate 2, Pal 28/A, 50142, Florence, Italy
  • Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
  • Hospice Waikato, 334 Cobham Drive, 3216, Hillcrest, Hamilton, New Zealand
  • Faculty of Nursing, University of Alberta, 11405 87 Avenue, T6G 1C9, Edmonton, Alberta, Canada
  • Center for Palliative Care, Michelska 1/7, 140 00, Prague, Czech Republic
  • University of Pécs Medical School, 48-as tér 1, 7622, Pécs, Hungary
  • Information and Evaluation Service, Regional Ministry of Health in Andalusia, Av. Innovación, s/n - Edificio Arenas 1, 41071, Seville, Spain
  • Department of General Internal Medicine, MD Anderson Cancer Center, The University of Texas, Houston, 515 Holcombe Blvd, 77030, Houston, TX, USA
  • Department of Health Science, Dongduk Women’s University, 23-1 Hawolgok-dong, Seongbuk-gu, Seoul, South Korea
  • French National Observatory on End-of-Life Care, 35 Rue du Plateau, 75952, Paris CEDEX 19, France
  • Faculty of Health Sciences, University of Southampton, 104 Burgess Road, SO17 1BJ, Southampton, Hampshire, UK
  • University of Washington Division of Geriatric Medicine, Cambia Palliative Care Center of Excellence, Box 359765, 401 Broadway, Suite 5123.11 Seattle, 98122, WA, USA
  • Department of Medical Oncology, Ghent University Hospital, De Pintelaan 185, Building 6K12E, 9000, Ghent, Belgium
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/bjc.2015.312

    DOI

    http://dx.doi.org/10.1038/bjc.2015.312

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1027573807

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26325102


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