Place of death of people living with Parkinson’s disease: a population-level study in 11 countries
Identifieur interne : 001B72 ( Ncbi/Curation ); précédent : 001B71; suivant : 001B73Place of death of people living with Parkinson’s disease: a population-level study in 11 countries
Auteurs : Katrien Moens ; Dirk Houttekier [Belgique] ; Lieve Van Den Block [Belgique] ; Richard Harding ; Lucas Morin [France] ; Stefano Marchetti [Italie] ; Agnes Csikos [Hongrie] ; Martin Loucka [République tchèque] ; Wayne A. Naylor [Nouvelle-Zélande] ; Donna M. Wilson [Canada] ; Joan Teno [États-Unis] ; Marylou Cardenas-Turanzas [États-Unis] ; Yongjoo Rhee [Corée du Sud] ; Francisco Javier Garcia-Leon [Espagne] ; Luc Deliens [Belgique] ; Joachim Cohen [Belgique]Source :
- BMC Palliative Care [ 1472-684X ] ; 2015.
English descriptors
- KwdEn :
- Age Factors, Aged, Aged, 80 and over, Cause of Death, Cross-Cultural Comparison, Death, Death Certificates, Female, Hospital Bed Capacity, Hospitals (statistics & numerical data), Humans, Male, Middle Aged, Nursing Homes (statistics & numerical data), Parkinson Disease (mortality), Residence Characteristics, Sex Factors, Socioeconomic Factors, Terminal Care (statistics & numerical data).
- MESH :
- mortality : Parkinson Disease.
- statistics & numerical data : Hospitals, Nursing Homes, Terminal Care.
- Age Factors, Aged, Aged, 80 and over, Cause of Death, Cross-Cultural Comparison, Death, Death Certificates, Female, Hospital Bed Capacity, Humans, Male, Middle Aged, Residence Characteristics, Sex Factors, Socioeconomic Factors.
Abstract
Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson’s disease (PD) across 11 European and non-European countries.
Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses.
The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea. Hospital was the most prevalent place of death in France (40%), Hungary (60%) and South Korea; nursing home in New Zealand (71%), Belgium (52%), USA (50%), Canada (48%) and Czech Republic (44%); home in Mexico (73%), Italy (51%) and Spain (46%). The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA).
In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.
Url:
DOI: 10.1186/s12904-015-0021-3
PubMed: 25990567
PubMed Central: 4446023
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Katrien Moens<affiliation><nlm:aff id="Aff1">Department of Palliative Care, King’s College London, Cicely Saunders Institute, Policy & Rehabilitation, Bessemer Road, Denmark Hill, London, SE5 9PJ UK</nlm:aff>
<wicri:noCountry code="subfield">SE5 9PJ UK</wicri:noCountry>
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<affiliation><nlm:aff id="Aff1">Department of Palliative Care, King’s College London, Cicely Saunders Institute, Policy & Rehabilitation, Bessemer Road, Denmark Hill, London, SE5 9PJ UK</nlm:aff>
<wicri:noCountry code="subfield">SE5 9PJ UK</wicri:noCountry>
</affiliation>
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<author><name sortKey="Wilson, Donna M" sort="Wilson, Donna M" uniqKey="Wilson D" first="Donna M" last="Wilson">Donna M. Wilson</name>
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<author><name sortKey="Cardenas Turanzas, Marylou" sort="Cardenas Turanzas, Marylou" uniqKey="Cardenas Turanzas M" first="Marylou" last="Cardenas-Turanzas">Marylou Cardenas-Turanzas</name>
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<author><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cause of Death</term>
<term>Cross-Cultural Comparison</term>
<term>Death</term>
<term>Death Certificates</term>
<term>Female</term>
<term>Hospital Bed Capacity</term>
<term>Hospitals (statistics & numerical data)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nursing Homes (statistics & numerical data)</term>
<term>Parkinson Disease (mortality)</term>
<term>Residence Characteristics</term>
<term>Sex Factors</term>
<term>Socioeconomic Factors</term>
<term>Terminal Care (statistics & numerical data)</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitals</term>
<term>Nursing Homes</term>
<term>Terminal Care</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cause of Death</term>
<term>Cross-Cultural Comparison</term>
<term>Death</term>
<term>Death Certificates</term>
<term>Female</term>
<term>Hospital Bed Capacity</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Residence Characteristics</term>
<term>Sex Factors</term>
<term>Socioeconomic Factors</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson’s disease (PD) across 11 European and non-European countries.</p>
</sec>
<sec><title>Methods</title>
<p>Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses.</p>
</sec>
<sec><title>Results</title>
<p>The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea. Hospital was the most prevalent place of death in France (40%), Hungary (60%) and South Korea; nursing home in New Zealand (71%), Belgium (52%), USA (50%), Canada (48%) and Czech Republic (44%); home in Mexico (73%), Italy (51%) and Spain (46%). The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA).</p>
</sec>
<sec><title>Conclusions</title>
<p>In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.</p>
</sec>
</div>
</front>
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</listBibl>
</div1>
</back>
</TEI>
</record>
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