Dataset Information

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

ABSTRACT:

Background

Factors associated with place of death inform policies with respect to allocating end-of-life care resources and tailoring supportive measures.

Objective

To determine factors associated with non-hospital deaths among cancer patients.

Design

Retrospective cohort study of cancer decedents, examining factors associated with non-hospital deaths using multinomial logistic regression with hospital deaths as the reference category.

Setting/subjects

Cancer patients (n = 15254) in Singapore who died during the study period from January 1, 2012 till December 31, 2105 at home, acute hospital, long-term care (LTC) or hospice were included.

Results

Increasing age (categories ≥65 years: RRR 1.25-2.61), female (RRR 1.40; 95% CI 1.28-1.52), Malays (RRR 1.67; 95% CI 1.47-1.89), Brain malignancy (RRR 1.92; 95% CI 1.15-3.23), metastatic disease (RRR 1.33-2.01) and home palliative care (RRR 2.11; 95% CI 1.95-2.29) were associated with higher risk of home deaths. Patients with low socioeconomic status were more likely to have hospice or LTC deaths: those living in smaller housing types had higher risk of dying in hospice (1-4 rooms apartment: RRR 1.13-3.17) or LTC (1-5 rooms apartment: RRR 1.36-4.11); and those with Medifund usage had higher risk of dying in LTC (RRR 1.74; 95% CI 1.36-2.21). Patients with haematological malignancies had increased risk of dying in hospital (categories of haematological subtypes: RRR 0.06-0.87).

Conclusions

We found key sociodemographic and clinical factors associated with non-hospital deaths in cancer patients. More can be done to enable patients to die in the community and with dignity rather than in a hospital.

SUBMITTER: Zhuang Q

PROVIDER: S-EPMC7179880 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

Zhuang Qingyuan Q Lau Zheng Yi ZY Ong Whee Sze WS Yang Grace Meijuan GM Tan Kelvin Bryan KB Ong Marcus Eng Hock MEH Wong Ting Hway TH

PloS one 20200423 4

<h4>Background</h4>Factors associated with place of death inform policies with respect to allocating end-of-life care resources and tailoring supportive measures.<h4>Objective</h4>To determine factors associated with non-hospital deaths among cancer patients.<h4>Design</h4>Retrospective cohort study of cancer decedents, examining factors associated with non-hospital deaths using multinomial logistic regression with hospital deaths as the reference category.<h4>Setting/subjects</h4>Cancer patient ...[more]

PMID: 32324837

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Dataset Information

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

Background

Objective

Design

Setting/subjects

Results

Conclusions

Publications

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

Similar Datasets

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