Factors associated with fulfilling the preference for dying at home among cancer patients: The role of general practitioners

Winne Ko, Guido Miccinesi, Monica Beccaro, Sarah Moreels, Gé A. Donker, Bregje Onwuteaka-Philipsen, Tomás V. Alonso, Luc Deliens, Lieve Van Den Block, Zeger De Groote, Sarah Breariey, Augusto Caraceni, Joachim Cohen, Massimo Costantinl, Anneke Francke, Richard Harding, Irene Higginson, Stein Kaasa, Karen Linden, Koen PardonRoeline Pasman, Sophie Pautex, Sheila Payne

Research output: Contribution to journalArticlepeer-review

Abstract

Results: Among 2,048 deceased patients, preferred and actual place of death was known in 42.6 percent of cases. Home death preference met ranged from 65.5 to 90.9 percent. Country-specific factors included older age in BE, and decisionmaking capacity and being female in the NL. GPs' provision of palliative care was positively associated with meeting home death preference. Odds ratios (ORs) were: BE: 9.9 (95 percent confidence interval [CI] 3.7-26.6); NL: 9.7 (2.4-39.9); and IT: 2.6 (1.2-5.5). ORs for Spain are not shown because a multivariate model was not performed.

Aim: This study aimed to explore clinical and care-related factors associated with fulfilling cancer patients' preference for home death across four countries: Belgium (BE), the Netherlands (NL), Italy (IT), and Spain (ES).

Methods: A mortality follow-back study was undertaken from 2009 to 2011 via representative networks of general practitioners (GPs). The study included all patients aged 18 and over who had died of cancer and whose home death preference and place of death were known by the GP. Factors associated with meeting home death preference were tested using multivariable logistic regressions.

Conclusion: Those who develop policy to facilitate home death need to examine available resources for primary end-of-life care.

Original languageEnglish
Pages (from-to)141-150
Number of pages10
JournalJournal of Palliative Care
Volume30
Issue number3
Publication statusPublished - Sep 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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