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International Study Of The Place Of Death Of People With Cancer: A Population-level Comparison Of 14 Countries Across 4 Continents Using Death Certificate Data

J. Cohen, L. Pivodic, G. Miccinesi, B. Onwuteaka-Philipsen, W. Naylor, D. M. Wilson, M. Loučka, Á. Csikós, K. Pardon, L. Van den Block, M. Ruiz-Ramos, M. Cárdenas-Turanzas, Y. Rhee, R. Aubry, K. Hunt, J. Teno, D. Houttekier, L. Deliens
Published 2015 · Medicine

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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.
This paper references
Identifying potential indicators of the quality of end-of-life cancer care from administrative data.
C. Earle (2003)
House of Commons Health Committee (2004) Palliative Care
Palliative Care: the Solid Facts End of Life Care Strategy: Promoting High Quality Care for all Adults at the End of Life London
E Davies (2004)
Mapping levels of palliative care development: a global view.
M. Wright (2008)
Comparison of legislation, regulations and national health strategies for palliative care in seven European countries (Results from the Europall Research Group): a descriptive study
K. Beek (2013)
Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Latin America and the Caribbean: a report from the Global Opioid Policy Initiative (GOPI).
J. Cleary (2013)
Should Cause of Death From the Death Certificate Be Used to Examine Cancer-Specific Survival? A Study of Patients With Distant Stage Disease
J. Lund (2010)
Le dernier mois de l'existence : les lieux de fin de vie et de décès en France
S. Pennec (2013)
Mapping levels of palliative care
M Wright (2008)
House of Commons Health Committee (2004) Palliative Care. Fourth Report of Session
Palliative care in Latin America.
E. Bruera (1993)
Mapping levels of palliative care development: a global update.
T. Lynch (2013)
Using epidemiological surveillance systems and routine data sets to study place of care and place of death: strengths and weaknesses
E. O'Sullivan (2011)
Understanding the Cost of End of Life Care in Different Settings
Marie Curie (2012)
[Palliative and hospice care in the Czech Republic and in Europe].
O. Sláma (2009)
International study of the place of death of people with cancer
Health metrics: Standardize records of place of death
Bárbara Gomes (2013)
Palliative Care: the Solid Facts. World Healh Organization
E Davies (2004)
Understanding the Cost of End of Life Care in Different Settings. Marie Curie Cancer Care
Marie Curie Cancer Care (2012)
Factors influencing death at home in terminally ill patients with cancer: systematic review
B. Gomes (2006)
Palliative care: the solid facts
E. Davies (2004)
Heterogeneity and changes in preferences for dying at home: a systematic review
B. Gomes (2013)
Changing Patterns in Place of Cancer Death in England: A Population-Based Study
W. Gao (2013)
Hospital versus home death: results from the Mexican Health and Aging Study.
M. Cárdenas-Turanzas (2011)
Atlas of Palliative Care in Latin America
T Pastrana (2012)
Patterns of dying: palliative care for non-malignant disease.
F. Murtagh (2004)
Dying Epistemologies: An Analysis of Home Death and its Critique
M. Brown (2001)
Adverse events due to discontinuations in drug use and dose changes in patients transferred between acute and long-term care facilities.
K. Boockvar (2004)
Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Asia: a report from the Global Opioid Policy Initiative (GOPI).
J. Cleary (2013)
End of Life Care Strategy: Promoting High Quality Care for all Adults at the End of Life London
Department (2008)
EAPC Atlas of Palliative Care in Europe 2013 - Cartographic Edition
Carlos Centeno (2013)
International Comparative Research: Theory, Methods and Practice
L. Hantrais (2008)
Vivre la fin de sa vie chez soi. Observatoire National de la Fin de Vie
Intermediate hepatocellular carcinoma: current treatments and future perspectives.
J. Dufour (2013)
Dying at home – is it better: A narrative appraisal of the state of the science
I. Higginson (2013)
Which patients with cancer die at home? A study of six European countries using death certificate data.
J. Cohen (2010)
Federale Evaluatiecel Palliatieve Zorg
American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.
T. Smith (2012)
Using death certificate data to study place of death in 9 European countries: opportunities and weaknesses
J. Cohen (2007)
EAPC Atlas of Palliative Care in Europe
C. Centeno (2007)
Nursing homes and cancer care.
M. Fennell (2009)
Place of Death of Older Persons with Dementia. A Study in Five European Countries
D. Houttekier (2010)
Faculty Opinions recommendation of American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.
F. Strasser (2012)

This paper is referenced by
Estimating the need for palliative care at the population level: A cross-national study in 12 countries
L. Morin (2017)
Older adults with cancer in the city of São Paulo: what factors determine the place of death?
Adna Kelly Ferreira Leite (2018)
Healthcare utilization at the end of life in people dying from amyotrophic lateral sclerosis: A retrospective cohort study using linked administrative data
Arno Maetens (2019)
Dignity of older home-dwelling women nearing end-of-life: Informal caregivers' perception.
Katrine Staats (2020)
Trends in place of death: The role of demographic and epidemiological shifts in end-of-life care policy
J. Kalseth (2017)
Impact of advance care planning on dying in hospital: Evidence from urgent care records
M. Orlovic (2020)
The characteristics of advanced cancer patients followed at home, but admitted to the hospital for the last days of life
S. Mercadante (2016)
Reform influences location of death: Interrupted time-series analysis on older adults and persons with dementia
J. M. MacNeil Vroomen (2020)
Primary care service use by end-of-life cancer patients: a nationwide population-based cohort study in the United Kingdom
W. Gao (2020)
Last months of life of people with intellectual disabilities: A UK population-based study of death and dying in intellectual disability community services.
Stuart Todd (2020)
Supporting choice: an innovative model of integrated palliative care funded by a private health insurer
Jessica Cross (2019)
Place of death and associated factors: a population-based study using death certificate data.
M. J. Cabañero-Martínez (2019)
The Impact of Sociodemographic Factors and Emergency Admissions on the Place of Death of Gynecological Cancer Patients in England: An Analysis of a National Mortality–Hospital Episode Statistics–Linked Data Set
S. Kaushik (2018)
Actividad asistencial y costes en los últimos 3 meses de vida de pacientes fallecidos con cáncer en Euskadi
R. Nuño-Solinís (2017)
Policy Measures to Support Palliative Care at Home: A Cross-Country Case Comparison in Three European Countries.
Arno Maetens (2017)
Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries: a population-level comparison
Sigrid Dierickx (2019)
‘A Friend in the Corner’: supporting people at home in the last year of life via telephone and video consultation—an evaluation
L. Middleton-Green (2016)
Admissions to inpatient care facilities in the last year of life of community-dwelling older people in Europe
A. Overbeek (2017)
Care of cancer patients at the end of life in a German university hospital: A retrospective observational study from 2014
B. Dasch (2017)
Place of death and factors associated with hospital death in patients who have died from liver disease in England: a national population-based study.
Jen-Kuei Peng (2019)
What socio-economic factors determine place of death for people with life-limiting illness? A systematic review and appraisal of methodological rigour
M. A. Neergaard (2019)
Transfer to a Preferred Place of Death
Leeroy William (2018)
Distribución geográfica y evolución de las muertes en hospitales en España, 1996-2015
Alberto Jiménez-Puente (2018)
Exploring dimensions of social support and resilience when providing care at the end of life: a qualitative study
L. Roper (2018)
The contributions of family care-givers at end of life: A national post-bereavement census survey of cancer carers’ hours of care and expenditures
Christine Rowland (2017)
Variation in Hospital Utilization at the end of Life for Patients with Cancer in the Emilia-Romagna Region of Italy
D. Louis (2016)
Themes and variations: An exploratory international investigation into resuscitation decision-making☆
Alexander J.O. Gibbs (2016)
Predictors of emergency department attendance by people with dementia in their last year of life: Retrospective cohort study using linked clinical and administrative data
K. Sleeman (2018)
The Right Place at the Right Time: Medical Oncology Outpatients' Perceptions of Location of End-of-Life Care.
A. Waller (2018)
Is in-hospital mortality higher in patients with metastatic lung cancer who received treatment in the last month of life? A retrospective cohort study.
A. Mieras (2019)
Use of chemotherapy near the end of life: what factors matter?
P. Rochigneux (2017)
Geographical distribution and evolution of deaths in hospitals in Spain, 1996-2015.
Alberto Jiménez-Puente (2018)
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