IPOD%2520COPD_R1_clean_final.doc

IPOD%2520COPD_R1_clean_final.doc - 1Title Differences in...

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Title: Differences in place of death between lung cancer and COPD patients: A 14-country study using death certificate data. Authors: Joachim Cohen 1 , Kim Beernaert 1 Lieve Van den Block 1,2 Lucas Morin 3,4 , Katherine Hunt 5 , Guido Miccinesi 6 , Marylou Cardenas-Turanzas 7 , Bregje Onwuteaka-Philipsen 8 , Rod MacLeod 9 , Miguel Ruiz-Ramos 10 , Donna M Wilson 11 , Martin Loucka 12 , Agnes Csikos 13 , Yong - Joo Rhee 14 , Joan Teno 15 , Winne Ko 1 , Luc Deliens 1,16 , Dirk Houttekier 1 1 Vrije Universiteit Brussel (VUB) and Ghent University, End-of-Life Care Research Group, Brussels, Belgium 2 Vrije Universiteit Brussel (VUB), Department of Family Medicine and Chronic Care, Brussels, Belgium 3 National Observatory of End of Life Care, Paris, France 4 Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden 5 University of Southampton, Health Sciences, Southampton, United Kingdom 6 Cancer Prevention and Research Institute, ISPO, Clinical and Descriptive Epidemiology Unit, Florence, Italy 7 The University of Texas MD Anderson Cancer Center, Houston, TX, United States 8 EMGO Institute for Health and Care Research, Public and Occupational Health, and Palliative Care Expertise Centre, VU Medical Centre, Amsterdam, Netherlands 9 Hammond Care and University of Sydney, Australia 10 Ministry of Health, Government of Andalusia, Seville, Spain 11 University of Alberta, Faculty of Nursing, Edmonton, AB, Canada 12 Center for Palliative Care, Third Faculty of Medicine, Charles University in Prague, Prague, The Czech Republic 13 University of Pécs Medical School, Pécs, Hungary 14 Dongduk Women's University, Health Sciences, Seoul, Republic of Korea 15 Brown University, Community Health, Providence, RI, United States 16 Department of Medical Oncology, Ghent University, Belgium Corresponding author: Joachim Cohen End-of-Life Care Research Group, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium E-mail: [email protected] Tel +32(0)24774714 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 1
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Abstract Background: Chronic obstructive pulmonary disease (COPD) and lung cancer are leading causes of death with comparable symptoms at the end of life. There is little evidence comparing the two diseases in terms of place of death, one outcome of terminal care. Aims: This study compares the place of death of people dying from COPD or lung cancer in 14 countries. Methods: P opulation death certificate data from 2008 were collected from 14 countries covering place of death, underlying cause of death and demographic information. We included patients dying from lung cancer or COPD and used descriptive statistics and m ultivariable logistic regressions to describe patterns in place of death . Results: Of 5,568,827 deaths , 5.8% were from lung cancer and 4.4% from COPD. 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 COPD patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico
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