Final transitions to place of death:Patients and families wishes

Van Den Block, Lieve and Ko, Winne and Miccinesi, Guido and Moreels, Sarah and Donker, Ge A. and Onwuteaka-Philipsen, Bregje and Alonso, Tomas V. and Deliens, Luc and Van Den Block, Lieve and De Groote, Zeger and Brearley, Sarah and Augusto, Caraceni and Joachim, Cohen and Anneke, Francke and Richard, Harding and Irene, Higginson and Stein, Kaasa and Karen, Linden and Guido, Miccinesi and Bregje, Onwuteaka Philipsen and Roeline, Pasman and Sophie, Pautex and Payne, Sheila and Luc, Deliens (2017) Final transitions to place of death:Patients and families wishes. Journal of Public Health (United Kingdom), 39 (4). e302-e311. ISSN 1741-3842

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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.

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Journal Article
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Journal of Public Health (United Kingdom)
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31 Jan 2020 14:35
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23 Sep 2020 05:22