Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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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 (United Kingdom)
JF - Journal of Public Health (United Kingdom)
SN - 1741-3842
IS - 4
ER -