Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.
Fiche publication
Date publication
mars 2017
Journal
NPJ primary care respiratory medicine
Auteurs
Membres identifiés du Cancéropôle Est :
Dr MORIN Lucas
Tous les auteurs :
Cohen J, Beernaert K, Van den Block L, Morin L, Hunt K, Miccinesi G, Cardenas-Turanzas M, Onwuteaka-Philipsen B, MacLeod R, Ruiz-Ramos M, Wilson DM, Loucka M, Csikos A, Rhee YJ, Teno J, Ko W, Deliens L, Houttekier D
Lien Pubmed
Résumé
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.
Mots clés
Adolescent, Adult, Aged, Aged, 80 and over, Death, Death Certificates, Europe, Female, Home Care Services, statistics & numerical data, Hospices, Hospitalization, statistics & numerical data, Hospitals, Humans, Logistic Models, Lung Neoplasms, Male, Marital Status, Middle Aged, Multivariate Analysis, New Zealand, North America, Palliative Care, Pulmonary Disease, Chronic Obstructive, Republic of Korea, Terminal Care, statistics & numerical data, Young Adult
Référence
NPJ Prim Care Respir Med. 2017 03 3;27(1):14