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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Differences in place of death between lung cancer and COPD patients: A 14-country study using death certificate data
Authors: Cohen, Joachim
Beernaert, Kim
van, den Block Lieve
Morin, Lucas
Hunt, Kathryn
Miccinesi, Guido
Cardenas-Turanzas, Marylou
Onwuteaka-Philipsen, Bregje
MacLeod, Rod
Ruiz-Ramos, Miguel
Wilson, Donna
Loucka, Martin
Csikos, Agnes
Rhee, Yong-Joo
Teno, Joan
Keywords: Palliative care
Public health
Issue Date: Mar-2017
Citation: Cohen J, Beernaert K, van den Block L, Morin L, Hunt K, Miccinesi G, Cardenas-Turanzas M, Onwuteaka-Philipsen B, MacLeod R, Ruiz-Ramos M, Wilson D, Loucka M, Csikos A, Rhee Y & Teno J (2017) Differences in place of death between lung cancer and COPD patients: A 14-country study using death certificate data, NPJ Primary Care Respiratory Medicine, 27 (1), Art. No.: 14.
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. © The Author(s) 2017.
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Rights: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit
Notes: Additional co-authors: Winne Ko, Luc Deliens & Dirk Houttekier

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