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Final transitions to place of death: Patients and families wishes

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Final transitions to place of death : Patients and families wishes. / EURO-IMPACT.

In: Journal of Public Health (United Kingdom), Vol. 39, No. 4, 01.12.2017, p. e302-e311.

Research output: Contribution to journalJournal article

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EURO-IMPACT 2017, 'Final transitions to place of death: Patients and families wishes', Journal of Public Health (United Kingdom), vol. 39, no. 4, pp. e302-e311. https://doi.org/10.1093/pubmed/fdw097

APA

EURO-IMPACT (2017). Final transitions to place of death: Patients and families wishes. Journal of Public Health (United Kingdom), 39(4), e302-e311. https://doi.org/10.1093/pubmed/fdw097

Vancouver

EURO-IMPACT. Final transitions to place of death: Patients and families wishes. Journal of Public Health (United Kingdom). 2017 Dec 1;39(4):e302-e311. https://doi.org/10.1093/pubmed/fdw097

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EURO-IMPACT. / Final transitions to place of death : Patients and families wishes. In: Journal of Public Health (United Kingdom). 2017 ; Vol. 39, No. 4. pp. e302-e311.

Bibtex

@article{b8e6fa9dda34475e896bd7c0a73a0621,
title = "Final transitions to place of death: Patients and families wishes",
abstract = "Purpose This four-country study (Belgium, the Netherlands, Italy and Spain) examines prevalence and types of final transitions between care settings of cancer patients and the extent to which patient/family wishes are cited as a reason for the transition. Methods Data were collected from the EUROSENTI- MELC study over a 2-year period. General practitioners within existing Sentinel Networks registered weekly all deaths of patients within practices using a standardized questionnaire. This registration included place of care in the final 3 months and wishes for the final transition to place of death. All non-sudden deaths due to cancer (+18 years) were included in the analyses. Results We included 2048 non-sudden cancer deaths; 63% of patients had at least one transition between care settings in the final 3 months of life. {\textquoteleft}Hospital death from home{\textquoteright} (25–55%) and {\textquoteleft}home death from hospital{\textquoteright} (16–30%) were the most frequent types of final transitions in all countries. Patients{\textquoteright} or families{\textquoteright} wishes were mentioned as a reason for a final transition in 5–27% (P < 0.001) and 10–22% (P = 0.002) across countries. Conclusions {\textquoteleft}Hospital deaths from home{\textquoteright} is the most prevalent final transition in three of four countries studied, in a significant minority of cases because of patient/family wishes.",
keywords = "advanced cancer, Care settings, General practitioners, Place of death, Transitions, Wishes",
author = "EURO-IMPACT and {Van Den Block}, Lieve and Winne Ko and Guido Miccinesi and Sarah Moreels and Donker, {Ge A.} and Bregje Onwuteaka-Philipsen and Alonso, {Tomas V.} and Luc Deliens and {Van Den Block}, Lieve and {De Groote}, Zeger and Sarah Brearley and Caraceni Augusto and Cohen Joachim and Francke Anneke and Harding Richard and Higginson Irene and Kaasa Stein and Linden Karen and Miccinesi Guido and Bregje, {Onwuteaka Philipsen} and Pasman Roeline and Pautex Sophie and Sheila Payne and Deliens Luc",
year = "2017",
month = dec,
day = "1",
doi = "10.1093/pubmed/fdw097",
language = "English",
volume = "39",
pages = "e302--e311",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Oxford University Press",
number = "4",

}

RIS

TY - JOUR

T1 - Final transitions to place of death

T2 - Patients and families wishes

AU - EURO-IMPACT

AU - Van Den Block, Lieve

AU - Ko, Winne

AU - Miccinesi, Guido

AU - Moreels, Sarah

AU - Donker, Ge A.

AU - Onwuteaka-Philipsen, Bregje

AU - Alonso, Tomas V.

AU - Deliens, Luc

AU - Van Den Block, Lieve

AU - De Groote, Zeger

AU - Brearley, Sarah

AU - Augusto, Caraceni

AU - Joachim, Cohen

AU - Anneke, Francke

AU - Richard, Harding

AU - Irene, Higginson

AU - Stein, Kaasa

AU - Karen, Linden

AU - Guido, Miccinesi

AU - Bregje, Onwuteaka Philipsen

AU - Roeline, Pasman

AU - Sophie, Pautex

AU - Payne, Sheila

AU - Luc, Deliens

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Purpose This four-country study (Belgium, the Netherlands, Italy and Spain) examines prevalence and types of final transitions between care settings of cancer patients and the extent to which patient/family wishes are cited as a reason for the transition. Methods Data were collected from the EUROSENTI- MELC study over a 2-year period. General practitioners within existing Sentinel Networks registered weekly all deaths of patients within practices using a standardized questionnaire. This registration included place of care in the final 3 months and wishes for the final transition to place of death. All non-sudden deaths due to cancer (+18 years) were included in the analyses. Results We included 2048 non-sudden cancer deaths; 63% of patients had at least one transition between care settings in the final 3 months of life. ‘Hospital death from home’ (25–55%) and ‘home death from hospital’ (16–30%) were the most frequent types of final transitions in all countries. Patients’ or families’ wishes were mentioned as a reason for a final transition in 5–27% (P < 0.001) and 10–22% (P = 0.002) across countries. Conclusions ‘Hospital deaths from home’ is the most prevalent final transition in three of four countries studied, in a significant minority of cases because of patient/family wishes.

AB - Purpose This four-country study (Belgium, the Netherlands, Italy and Spain) examines prevalence and types of final transitions between care settings of cancer patients and the extent to which patient/family wishes are cited as a reason for the transition. Methods Data were collected from the EUROSENTI- MELC study over a 2-year period. General practitioners within existing Sentinel Networks registered weekly all deaths of patients within practices using a standardized questionnaire. This registration included place of care in the final 3 months and wishes for the final transition to place of death. All non-sudden deaths due to cancer (+18 years) were included in the analyses. Results We included 2048 non-sudden cancer deaths; 63% of patients had at least one transition between care settings in the final 3 months of life. ‘Hospital death from home’ (25–55%) and ‘home death from hospital’ (16–30%) were the most frequent types of final transitions in all countries. Patients’ or families’ wishes were mentioned as a reason for a final transition in 5–27% (P < 0.001) and 10–22% (P = 0.002) across countries. Conclusions ‘Hospital deaths from home’ is the most prevalent final transition in three of four countries studied, in a significant minority of cases because of patient/family wishes.

KW - advanced cancer

KW - Care settings

KW - General practitioners

KW - Place of death

KW - Transitions

KW - Wishes

U2 - 10.1093/pubmed/fdw097

DO - 10.1093/pubmed/fdw097

M3 - Journal article

C2 - 27694347

AN - SCOPUS:85042450610

VL - 39

SP - e302-e311

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 4

ER -