Peer-Reviewed Journal Details
Mandatory Fields
Sharp L, Foll P, Deady S, Ceilleachair A, Buicke C, Carsin AE.
2010
October
Irish Medical Journal
Where do people with lung cancer die and how is this changing? A population-based study
Published
()
Optional Fields
103
9
262
264
Investigating trends in where cancer patients die may help inform decisions about how healthcare should be organised
to support those in need of end-of-life care. We analysed time trends in place of death for lung cancer during
1994-2005, based on 18,078 death certificates. Time trends were analysed by joinpoint regression. 9,485 (53%) deaths
occurred in an acute hospital, 5,239 (29%) at home, 2,178 (12%) in hospices and 728 (4%) in nursing homes. Hospice
deaths rose from 7% (108/1539) in 1994 to 15% (234/1560) in 2003, falling slightly in 2004-05. Hospital deaths were
unchanged over time, but were more common in areas without hospices. Home deaths decreased significantly (annual
percentage change (APC)=-2.2%, 95%CI -3.0% to -1.3%). Nursing home deaths rose significantly (APC=5.7%, 95%CI 2.5% to
8.9%). These trends were not explained by temporal changes in the age-sex distribution of deaths. Despite evidence
suggesting most cancer patients would prefer to die at home, and developments in palliative care services, home deaths
are declining and most lung cancer deaths occur in hospital.
Grant Details