Popularion-based study of place of death of patients with cancer: Implications for GPs
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Popularion-based study of place of death of patients with cancer : Implications for GPs. / Aabom, Birgit; Kragstrup, Jakob; Vondeling, Hindrik; Bakketeig, Leiv S.; Støvring, Henrik.
I: British Journal of General Practice, Bind 55, Nr. 518, 09.2005, s. 684-689.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Popularion-based study of place of death of patients with cancer
T2 - Implications for GPs
AU - Aabom, Birgit
AU - Kragstrup, Jakob
AU - Vondeling, Hindrik
AU - Bakketeig, Leiv S.
AU - Støvring, Henrik
PY - 2005/9
Y1 - 2005/9
N2 - Background: A majority of patients with cancer who are seriously ill have a preference of dying at home. However, only a minority of patients actually die at home in most Western countries. Aim: To explore factors associated with place of death in an unselected population of patients with cancer. Design of study: Case-control study. Setting: County of Funen, Denmark. Method: Register linkage from six Danish healthcare registers. Results: The GP's home visit during the last 3 months before death was inversely associated with dying in hospital (adjusted odds ratio [OR] = 0.08, 95% confidence interval [CI] = 0.06 to 0.12) and so were community nurses visiting the home (OR = 0.36, 95% CI = 0.26 to 0.48). Furthermore, being married (OR = 0.68, 95% CI = 0.56 to 0.85), and age at death of 40-65 years (OR = 0.70, 95% CI = 0.56 to 0.90) seemed to have an effect. Hospital death was associated with survival time of less than 1 month (OR = 2.27, 95% CI = 1.69 to 3.13). Type of cancer, sex, or residence (urban versus rural) were not associated with a hospital death in this multivariate analysis. Conclusions: Dying at home was, to a higher extent, associated with GP visit and, to a lesser extent, community nurse visit than with clinical and sociodemographic characteristics of patients with cancer. In our view, these findings indicate the importance of the GP in particular. To increase the opportunity to die at home, more research is needed on the role of the GP and the interface between GPs and other providers of health care at home for patients who are terminally ill with cancer.
AB - Background: A majority of patients with cancer who are seriously ill have a preference of dying at home. However, only a minority of patients actually die at home in most Western countries. Aim: To explore factors associated with place of death in an unselected population of patients with cancer. Design of study: Case-control study. Setting: County of Funen, Denmark. Method: Register linkage from six Danish healthcare registers. Results: The GP's home visit during the last 3 months before death was inversely associated with dying in hospital (adjusted odds ratio [OR] = 0.08, 95% confidence interval [CI] = 0.06 to 0.12) and so were community nurses visiting the home (OR = 0.36, 95% CI = 0.26 to 0.48). Furthermore, being married (OR = 0.68, 95% CI = 0.56 to 0.85), and age at death of 40-65 years (OR = 0.70, 95% CI = 0.56 to 0.90) seemed to have an effect. Hospital death was associated with survival time of less than 1 month (OR = 2.27, 95% CI = 1.69 to 3.13). Type of cancer, sex, or residence (urban versus rural) were not associated with a hospital death in this multivariate analysis. Conclusions: Dying at home was, to a higher extent, associated with GP visit and, to a lesser extent, community nurse visit than with clinical and sociodemographic characteristics of patients with cancer. In our view, these findings indicate the importance of the GP in particular. To increase the opportunity to die at home, more research is needed on the role of the GP and the interface between GPs and other providers of health care at home for patients who are terminally ill with cancer.
KW - Family practice
KW - Health services research
KW - Neoplasm
KW - Palliative care
KW - Place of death
UR - http://www.scopus.com/inward/record.url?scp=24344443227&partnerID=8YFLogxK
M3 - Journal article
C2 - 16176735
AN - SCOPUS:24344443227
VL - 55
SP - 684
EP - 689
JO - British Journal of General Practice
JF - British Journal of General Practice
SN - 0960-1643
IS - 518
ER -
ID: 324163922