Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.
Identifieur interne : 001010 ( PubMed/Corpus ); précédent : 001009; suivant : 001011Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.
Auteurs : Joachim Cohen ; Kim Beernaert ; Lieve Van Den Block ; Lucas Morin ; Katherine Hunt ; Guido Miccinesi ; Marylou Cardenas-Turanzas ; Bregje Onwuteaka-Philipsen ; Rod Macleod ; Miguel Ruiz-Ramos ; Donna M. Wilson ; Martin Loucka ; Agnes Csikos ; Yong-Joo Rhee ; Joan Teno ; Winne Ko ; Luc Deliens ; Dirk HouttekierSource :
- NPJ primary care respiratory medicine [ 2055-1010 ] ; 2017.
Abstract
Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease.
DOI: 10.1038/s41533-017-0017-y
PubMed: 28258277
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.</title><author><name sortKey="Cohen, Joachim" sort="Cohen, Joachim" uniqKey="Cohen J" first="Joachim" last="Cohen">Joachim Cohen</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium. jcohen@vub.ac.be.</nlm:affiliation></affiliation></author><author><name sortKey="Beernaert, Kim" sort="Beernaert, Kim" uniqKey="Beernaert K" first="Kim" last="Beernaert">Kim Beernaert</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Den Block, Lieve" sort="Van Den Block, Lieve" uniqKey="Van Den Block L" first="Lieve" last="Van Den Block">Lieve Van Den Block</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Morin, Lucas" sort="Morin, Lucas" uniqKey="Morin L" first="Lucas" last="Morin">Lucas Morin</name><affiliation><nlm:affiliation>National Observatory of End of Life Care, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hunt, Katherine" sort="Hunt, Katherine" uniqKey="Hunt K" first="Katherine" last="Hunt">Katherine Hunt</name><affiliation><nlm:affiliation>University of Southampton, Health Sciences, Southampton, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Miccinesi, Guido" sort="Miccinesi, Guido" uniqKey="Miccinesi G" first="Guido" last="Miccinesi">Guido Miccinesi</name><affiliation><nlm:affiliation>Cancer Prevention and Research Institute, ISPO, Clinical and Descriptive Epidemiology Unit, Florence, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cardenas Turanzas, Marylou" sort="Cardenas Turanzas, Marylou" uniqKey="Cardenas Turanzas M" first="Marylou" last="Cardenas-Turanzas">Marylou Cardenas-Turanzas</name><affiliation><nlm:affiliation>The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Onwuteaka Philipsen, Bregje" sort="Onwuteaka Philipsen, Bregje" uniqKey="Onwuteaka Philipsen B" first="Bregje" last="Onwuteaka-Philipsen">Bregje Onwuteaka-Philipsen</name><affiliation><nlm:affiliation>EMGO Institute for Health and Care Research, Public and Occupational Health, and Palliative Care Expertise Centre, VU Medical Centre, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Macleod, Rod" sort="Macleod, Rod" uniqKey="Macleod R" first="Rod" last="Macleod">Rod Macleod</name><affiliation><nlm:affiliation>Hammond Care and University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Ruiz Ramos, Miguel" sort="Ruiz Ramos, Miguel" uniqKey="Ruiz Ramos M" first="Miguel" last="Ruiz-Ramos">Miguel Ruiz-Ramos</name><affiliation><nlm:affiliation>Ministry of Health, Government of Andalusia, Seville, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, Donna M" sort="Wilson, Donna M" uniqKey="Wilson D" first="Donna M" last="Wilson">Donna M. Wilson</name><affiliation><nlm:affiliation>Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Loucka, Martin" sort="Loucka, Martin" uniqKey="Loucka M" first="Martin" last="Loucka">Martin Loucka</name><affiliation><nlm:affiliation>Center for Palliative Care, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.</nlm:affiliation></affiliation></author><author><name sortKey="Csikos, Agnes" sort="Csikos, Agnes" uniqKey="Csikos A" first="Agnes" last="Csikos">Agnes Csikos</name><affiliation><nlm:affiliation>University of Pécs Medical School, Pécs, Hungary.</nlm:affiliation></affiliation></author><author><name sortKey="Rhee, Yong Joo" sort="Rhee, Yong Joo" uniqKey="Rhee Y" first="Yong-Joo" last="Rhee">Yong-Joo Rhee</name><affiliation><nlm:affiliation>Dongduk Women's University, Health Sciences, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Teno, Joan" sort="Teno, Joan" uniqKey="Teno J" first="Joan" last="Teno">Joan Teno</name><affiliation><nlm:affiliation>University of Washington, Cambia Palliative Care Center of Excellence, Division of Gerontology and Geriatrics, Seatle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ko, Winne" sort="Ko, Winne" uniqKey="Ko W" first="Winne" last="Ko">Winne Ko</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Houttekier, Dirk" sort="Houttekier, Dirk" uniqKey="Houttekier D" first="Dirk" last="Houttekier">Dirk Houttekier</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28258277</idno><idno type="pmid">28258277</idno><idno type="doi">10.1038/s41533-017-0017-y</idno><idno type="wicri:Area/PubMed/Corpus">001010</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001010</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.</title><author><name sortKey="Cohen, Joachim" sort="Cohen, Joachim" uniqKey="Cohen J" first="Joachim" last="Cohen">Joachim Cohen</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium. jcohen@vub.ac.be.</nlm:affiliation></affiliation></author><author><name sortKey="Beernaert, Kim" sort="Beernaert, Kim" uniqKey="Beernaert K" first="Kim" last="Beernaert">Kim Beernaert</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Den Block, Lieve" sort="Van Den Block, Lieve" uniqKey="Van Den Block L" first="Lieve" last="Van Den Block">Lieve Van Den Block</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Morin, Lucas" sort="Morin, Lucas" uniqKey="Morin L" first="Lucas" last="Morin">Lucas Morin</name><affiliation><nlm:affiliation>National Observatory of End of Life Care, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hunt, Katherine" sort="Hunt, Katherine" uniqKey="Hunt K" first="Katherine" last="Hunt">Katherine Hunt</name><affiliation><nlm:affiliation>University of Southampton, Health Sciences, Southampton, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Miccinesi, Guido" sort="Miccinesi, Guido" uniqKey="Miccinesi G" first="Guido" last="Miccinesi">Guido Miccinesi</name><affiliation><nlm:affiliation>Cancer Prevention and Research Institute, ISPO, Clinical and Descriptive Epidemiology Unit, Florence, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cardenas Turanzas, Marylou" sort="Cardenas Turanzas, Marylou" uniqKey="Cardenas Turanzas M" first="Marylou" last="Cardenas-Turanzas">Marylou Cardenas-Turanzas</name><affiliation><nlm:affiliation>The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Onwuteaka Philipsen, Bregje" sort="Onwuteaka Philipsen, Bregje" uniqKey="Onwuteaka Philipsen B" first="Bregje" last="Onwuteaka-Philipsen">Bregje Onwuteaka-Philipsen</name><affiliation><nlm:affiliation>EMGO Institute for Health and Care Research, Public and Occupational Health, and Palliative Care Expertise Centre, VU Medical Centre, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Macleod, Rod" sort="Macleod, Rod" uniqKey="Macleod R" first="Rod" last="Macleod">Rod Macleod</name><affiliation><nlm:affiliation>Hammond Care and University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Ruiz Ramos, Miguel" sort="Ruiz Ramos, Miguel" uniqKey="Ruiz Ramos M" first="Miguel" last="Ruiz-Ramos">Miguel Ruiz-Ramos</name><affiliation><nlm:affiliation>Ministry of Health, Government of Andalusia, Seville, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, Donna M" sort="Wilson, Donna M" uniqKey="Wilson D" first="Donna M" last="Wilson">Donna M. Wilson</name><affiliation><nlm:affiliation>Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Loucka, Martin" sort="Loucka, Martin" uniqKey="Loucka M" first="Martin" last="Loucka">Martin Loucka</name><affiliation><nlm:affiliation>Center for Palliative Care, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.</nlm:affiliation></affiliation></author><author><name sortKey="Csikos, Agnes" sort="Csikos, Agnes" uniqKey="Csikos A" first="Agnes" last="Csikos">Agnes Csikos</name><affiliation><nlm:affiliation>University of Pécs Medical School, Pécs, Hungary.</nlm:affiliation></affiliation></author><author><name sortKey="Rhee, Yong Joo" sort="Rhee, Yong Joo" uniqKey="Rhee Y" first="Yong-Joo" last="Rhee">Yong-Joo Rhee</name><affiliation><nlm:affiliation>Dongduk Women's University, Health Sciences, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Teno, Joan" sort="Teno, Joan" uniqKey="Teno J" first="Joan" last="Teno">Joan Teno</name><affiliation><nlm:affiliation>University of Washington, Cambia Palliative Care Center of Excellence, Division of Gerontology and Geriatrics, Seatle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ko, Winne" sort="Ko, Winne" uniqKey="Ko W" first="Winne" last="Ko">Winne Ko</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Deliens, Luc" sort="Deliens, Luc" uniqKey="Deliens L" first="Luc" last="Deliens">Luc Deliens</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Houttekier, Dirk" sort="Houttekier, Dirk" uniqKey="Houttekier D" first="Dirk" last="Houttekier">Dirk Houttekier</name><affiliation><nlm:affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">NPJ primary care respiratory medicine</title><idno type="eISSN">2055-1010</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28258277</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>04</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>04</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2055-1010</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>03</Month><Day>03</Day></PubDate></JournalIssue><Title>NPJ primary care respiratory medicine</Title><ISOAbbreviation>NPJ Prim Care Respir Med</ISOAbbreviation></Journal><ArticleTitle>Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data.</ArticleTitle><Pagination><MedlinePgn>14</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/s41533-017-0017-y</ELocationID><Abstract><AbstractText>Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease.</AbstractText><AbstractText Label="LUNG DISEASE">IMPROVING END-OF-LIFE CARE: Structured palliative care similar to that offered to cancer sufferers should be in place for patients with chronic lung disease. Joachim Cohen at Vrije University in Brussels and co-workers examined international death certificate data collected from 14 countries to determine place of death for patients with lung cancer and chronic obstructive pulmonary disease (COPD). While patients with COPD suffer similar symptoms to lung cancer in their final days, few COPD patients receive palliative care or achieve the common wish of dying at home. This may be partly due to the inherent unpredictability of final-stage COPD compared with lung cancer. Cohen's team found that, with the exception of Italy, Spain, and Mexico, patients with COPD were significantly more likely to die in hospital than at home. They highlight the need for improved COPD palliative care provision.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Joachim</ForeName><Initials>J</Initials><Identifier Source="ORCID">0000-0002-7224-9476</Identifier><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium. jcohen@vub.ac.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beernaert</LastName><ForeName>Kim</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van den Block</LastName><ForeName>Lieve</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morin</LastName><ForeName>Lucas</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>National Observatory of End of Life Care, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hunt</LastName><ForeName>Katherine</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>University of Southampton, Health Sciences, Southampton, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miccinesi</LastName><ForeName>Guido</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Cancer Prevention and Research Institute, ISPO, Clinical and Descriptive Epidemiology Unit, Florence, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cardenas-Turanzas</LastName><ForeName>Marylou</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Onwuteaka-Philipsen</LastName><ForeName>Bregje</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>EMGO Institute for Health and Care Research, Public and Occupational Health, and Palliative Care Expertise Centre, VU Medical Centre, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacLeod</LastName><ForeName>Rod</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hammond Care and University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ruiz-Ramos</LastName><ForeName>Miguel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Ministry of Health, Government of Andalusia, Seville, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilson</LastName><ForeName>Donna M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Loucka</LastName><ForeName>Martin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Center for Palliative Care, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Csikos</LastName><ForeName>Agnes</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University of Pécs Medical School, Pécs, Hungary.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rhee</LastName><ForeName>Yong-Joo</ForeName><Initials>YJ</Initials><AffiliationInfo><Affiliation>Dongduk Women's University, Health Sciences, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teno</LastName><ForeName>Joan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>University of Washington, Cambia Palliative Care Center of Excellence, Division of Gerontology and Geriatrics, Seatle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ko</LastName><ForeName>Winne</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deliens</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medical Oncology, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Houttekier</LastName><ForeName>Dirk</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>NPJ Prim Care Respir Med</MedlineTA><NlmUniqueID>101631999</NlmUniqueID><ISSNLinking>2055-1010</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Br J Gen Pract. 2011 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