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Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data

Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data
Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data
Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease
2055-1010
1-14
Cohen, Joachim
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Beernaert, Kim
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Van den Block, Lieve
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Morin, Lucas
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Hunt, Katherine
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Miccinesi, Guido
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Cardenas-Turanzas, Marylou
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Onwuteaka-Philipsen, Bregje
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MacLeod, Rod
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Ruiz-Ramos, Miguel
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Wilson, Donna M.
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Loucka, Martin
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Csikos, Agnes
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Rhee, Yong-Joo
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Teno, Joan
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Ko, Winne
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Deliens, Luc
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Houttekier, Dirk
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Cohen, Joachim
b58f24af-3c90-432a-b447-b43df71044de
Beernaert, Kim
97e558f3-ad30-43a7-a26d-4d8ccc1e17d4
Van den Block, Lieve
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Morin, Lucas
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Hunt, Katherine
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Miccinesi, Guido
388c0e91-8063-47f2-8392-5fbf87716ca0
Cardenas-Turanzas, Marylou
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Onwuteaka-Philipsen, Bregje
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MacLeod, Rod
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Ruiz-Ramos, Miguel
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Wilson, Donna M.
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Loucka, Martin
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Csikos, Agnes
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Rhee, Yong-Joo
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Teno, Joan
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Ko, Winne
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Deliens, Luc
94dcbddb-c7bc-4a77-a11d-0e8a0b278d62
Houttekier, Dirk
2db2e184-adfa-41e0-b137-e1b58631106f

Cohen, Joachim, Beernaert, Kim, Van den Block, Lieve, Morin, Lucas, Hunt, Katherine, Miccinesi, Guido, Cardenas-Turanzas, Marylou, Onwuteaka-Philipsen, Bregje, MacLeod, Rod, Ruiz-Ramos, Miguel, Wilson, Donna M., Loucka, Martin, Csikos, Agnes, Rhee, Yong-Joo, Teno, Joan, Ko, Winne, Deliens, Luc and Houttekier, Dirk (2017) Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data npj Primary Care Respiratory Medicine, pp. 1-14. (doi:10.1038/s41533-017-0017-y).

Record type: Article

Abstract

Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease

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More information

In preparation date: 31 July 2016
Accepted/In Press date: 1 February 2017
e-pub ahead of print date: 3 March 2017
Published date: 3 March 2017
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 399403
URI: http://eprints.soton.ac.uk/id/eprint/399403
ISSN: 2055-1010
PURE UUID: 119b37c3-a419-4734-99c8-295c17cc7ef5
ORCID for Katherine Hunt: ORCID iD orcid.org/0000-0002-6173-7319

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Date deposited: 15 Aug 2016 14:29
Last modified: 27 Oct 2017 16:34

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Contributors

Author: Joachim Cohen
Author: Kim Beernaert
Author: Lieve Van den Block
Author: Lucas Morin
Author: Katherine Hunt ORCID iD
Author: Guido Miccinesi
Author: Marylou Cardenas-Turanzas
Author: Bregje Onwuteaka-Philipsen
Author: Rod MacLeod
Author: Miguel Ruiz-Ramos
Author: Donna M. Wilson
Author: Martin Loucka
Author: Agnes Csikos
Author: Yong-Joo Rhee
Author: Joan Teno
Author: Winne Ko
Author: Luc Deliens
Author: Dirk Houttekier

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