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Factors Associated with Place of Death in Korean Patients with Terminal Cancer

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Author(s)
Min Kyung HyunKyung Hae JungYoung Ho YunYoung Ae KimWoo Jin LeeYoung Rok DoKeun Seok LeeDae Seog HeoJong Soo ChoiSam Yong KimHeung Tae KimSeok-Won Hong
Publication Year
2013
Abstract
Aim: To investigate factors that affect the place of death (POD) of terminal cancer patients. Materials and
Methods: We recruited 702 consecutive patients (≥18 years) from 12 centers during July 2005 to October 2006,
and 481 completed the questionnaire. In April 2011, we linked the data for 96.0% (n=462) of the deceased patients
to the POD using the 2005-2009 death certificate data of Korea’s National Statistical Office. The primary outcome
variable was POD, and the predictive value of variables pertaining to patients and caregivers was evaluated
using univariate and multivariate analyses. Results: Most patients died in a hospital (91.5%, n=441) and age,
education, preference for place of terminal care, wish to use hospice/palliative care services, terminal cancer
awareness, time between diagnosis and death, and global quality-of-life subscale of the EORTC QLQ-C30 of
patients, and education and preference for place of terminal care of caregivers were significant predictors in
univariate analyses. On multivariate analysis, patients and caregivers who preferred hospital/palliative care as
the terminal care option over home care [adjusted odds ratio (aOR), 2.68; 95% confidential interval (CI), 1.18-
7.04 and aOR: 2.65; 95%CI: 1.15-6.09 for patient and caregiver preferences, respectively] and caregivers who
were highly educated (aOR, 3.19; 95%CI, 1.44-7.06) were predictors of POD. Conclusions: Most of the terminal
cancer patients died in a hospital. Our findings indicate that major predictors of hospital deaths are preference
of both the patient and caregiver for hospital/palliative care as the terminal care option and higher education
of the caregiver.
Keywords: Neoplasms - terminal care - place of death - influencing factors - Korea
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Asian Pac J Cancer Prev, Vol.14(12) : 7309-7314, 2013
Type
Article
ISSN
1513-7368
DOI
10.7314/APJCP.2013.14.12.7309
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35122
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