1989
DOI: 10.2105/ajph.79.11.1549
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Factors affecting place of death of hospice and non-hospice cancer patients.

Abstract: We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups of patients, such as the extreme elderly and those diagnosed close to death, to die in an institutional setting. These findings are discussed with respect to the problem of selection bias.

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Cited by 85 publications
(71 citation statements)
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“…Previous research has suggested that the involvement of Hospice at Home services promote the likelihood of home death [62,63]. Although a growing number of people with advanced progressive disease prefer to die at home, caring for someone at the end of life in their own home may become a great challenge for their carers.…”
Section: Discussionmentioning
confidence: 99%
“…Previous research has suggested that the involvement of Hospice at Home services promote the likelihood of home death [62,63]. Although a growing number of people with advanced progressive disease prefer to die at home, caring for someone at the end of life in their own home may become a great challenge for their carers.…”
Section: Discussionmentioning
confidence: 99%
“…In previous studies, older age, male gender, higher socioeconomic status, access to a daughter as a caregiver, stable caregiver health, a preference for home death and the number of informal caregivers have been factors associated with home death (Addington-Hall and McCarthy 1995;Axelson and Christensen 1996;Cantwell et al 2000;gomes and Higginson 2006;grand et al 1998;Higginson et al 1999;karlsen and Addington-Hall 1998;Lock and Higginson 2005;Moinpour and Polissar 1989;Roder et al 1997;sims et al 1997;Tang and McCorkle 2001). In contrast, EOL hospitalization is associated with a diagnosis of haematological cancer, extended period of functional decline preceding death, shorter time from diagnosis to death, unrelieved symptoms such as breathlessness, patient confusion, informal caregiver burden and emotional distress (berry et al 1994;brazil et al 2002;bruera et al 1990;Mann et al 1993).…”
Section: Predictors Of Home Deathmentioning
confidence: 93%
“…[5][6][7] For adults, the exponential increase in enrollment into hospice and palliative care has been shown to be a factor that affects place of death. 8,9 No one has explored whether hospice availability impacts the place of death for infants under a year of age.…”
Section: Introductionmentioning
confidence: 99%