How is place of death from cancer changing and what affects it? Analysis of cancer registration and service data

Davies, E.; Linklater, K. M.; Jack, R. H.; Clark, L.; Møller, H.; Møller, H
September 2006
British Journal of Cancer;9/4/2006, Vol. 95 Issue 5, p593
Academic Journal
journal article
We aimed to compare trends in place of cancer death with the growth of palliative care and nursing home services, and investigate demographic, disease-related and area influences on individual place of death, using registration data for 216404 patients with breast, lung, colorectal and prostate cancer and aggregate data on services in South East England. Between 1985 and 1994 there was a trend away from hospital death (67-44%), to home (17-30%) and hospice death (8-20%). After 1995, this partly reversed. By 2002, hospital death rose to 47%, home death dropped to 23%, hospice death remained stable and nursing home death rose from 3 to 8%. Numbers of palliative care services increased, but trends for hospice and nursing home deaths most clearly followed the beds available. Cancer diagnosis and treatment influenced individual place of death, but between 1998 and 2002, age and area of residence were associated with most variation. Older patients and those living in more deprived areas died more often in hospitals and less often at home. Despite more palliative care services the proportion of people dying at home has not increased. Variation by age, deprivation and area of residence is unlikely to reflect patient preference. More active surveillance and planning must support policies for choice in end of life care.


Related Articles

  • Which cancer patients die in nursing homes? Quality of life, medical and sociodemographic characteristics. Jordhøy, Marit S.; Saltvedt, Ingvild; Fayers, Peter // Palliative Medicine;Sep2003, Vol. 17 Issue 5, p433 

    In this study, cancer patients' characteristics associated with death in nursing homes were explored. The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 (66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes....

  • Discussing Choices at End of Life. AHMED, SYED // Connecticut Medicine;Nov/Dec2017, Vol. 81 Issue 10, p597 

    The article discusses the need by patients and their families to prepare for the end of life or death of the patients. Also discussed are the need to know the various available treatment options like hospice and palliative care, the percentage of Americans who prefer to die at home, as well as...

  • Place of death: analysis of cancer deaths in part of North West England. Gatrell, Anthony C.; Harman, Juliet C.; Francis, Brian J.; Thomas, Carol; Morris, Sara M.; McIllmurray, Malcolm // Journal of Public Health Medicine;Mar2003, Vol. 25 Issue 1, p53 

    Background Relatively little work of a detailed geographical nature has been undertaken on the distribution of place of death. In particular, given evidence that most cancer patients would prefer to die at home there is a need to examine the extent to which this preference is met differentially...

  • Introducing an integrated care pathway for the last days of life. Mirando, Sally; Davies, Paul D; Lipp, Allyson // Palliative Medicine;Jan2005, Vol. 19 Issue 1, p33 

    Integrated care pathways (ICPs) are multiprofessional documents designed to enable the implementation of evidence-based care and support the practical delivery of clinical governance. However, the implementation of care pathways is resource intensive and few evaluations have been conducted with...

  • Update in Hospice and Palliative Care 2003. Fischberg, Daniel; Morrison, R. Sean // Journal of Palliative Medicine;Aug2004, Vol. 7 Issue 4, p574 

    Reviews several journal articles which investigated various aspects of hospice and palliative care. "Sedative Use in the Last Week of Life and the Implications for End-of-Life Decision-Making," by N. Sykes and A. Thorns; "Hospice Enrollment and Pain Assessment and Management in Nursing Homes,"...

  • A Quality Improvement Intervention to Increase Palliative Care in Nursing Homes. Hanson, Laura C.; Reynolds, Kimberly S.; Henderson, Martha; Pickard, C. Glenn // Journal of Palliative Medicine;Jun2005, Vol. 8 Issue 3, p576 

    Context: Death is common in nursing homes, but access to palliative care is limited. Objective: To test whether a quality improvement (QI) intervention in nursing homes increases hospice, pain management, and advance care planning. Design and setting: The QI intervention was tested in seven...

  • Using maps and funnel plots to explore variation in place of death from cancer within London, 2002–2007. Madden, P; Coupland, VH; Møller, H; Davies, EA // Palliative Medicine;Jun2011, Vol. 25 Issue 4, p323 

    London has a high proportion of hospital deaths, which health policy seeks to reduce. We explore variation and trends in place of death from cancer within London between 2002 and 2007. Mortality data based on death certificates were used to define deaths from cancer at home, hospice, hospital...

  • Hospice and Palliative Care: Development and Challenges in China. Yijin Wu; Linzi Li; Hang Su; Xueli Yao; Ma Wen // Clinical Journal of Oncology Nursing;Feb2016, Vol. 20 Issue 1, pE16 

    Background: Terminally ill patients can benefit from palliative care, including relief from physical and emotional suffering, improved quality of life, and longer survival rates. However, despite marked development in other countries, palliative care is still in its infancy in China. Objectives:...

  • Lessons learned in the development of process quality indicators for cancer care in Japan. Higashi, Takahiro // BioPsychoSocial Medicine;2010, Vol. 4, p14 

    In Japan, attention has increasingly focused on ensuring the quality of care, particularly in the area of cancer care. The 2006 Basic Cancer Control Act reinforced efforts to ensure the quality of cancer care in a number of sectors, including the role of government in ensuring quality. We...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics