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Cross-national comparison, Place of death, Palliative care, Risk factors, Parkinson’s disease

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Subject-Keyword: Cross-national comparison Place of death Palliative care Risk factors Parkinson’s disease

Type of item: Research Material

Language: English

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Description: Background Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson’s disease PD across 11 European and non-European countries. Methods Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause ICD-10 code: G20 cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses. Results The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea. Hospital was the most prevalent place of death in France 40%, Hungary 60% and South Korea; nursing home in New Zealand 71%, Belgium 52%, USA 50%, Canada 48% and Czech Republic 44%; home in Mexico 73%, Italy 51% and Spain 46%. The chances of dying in hospital were consistently higher for men Belgium, France, Italy, USA, Canada, those younger than 80 years Belgium, France, Italy, USA, Mexico, and those living in areas with a higher provision of hospital beds Italy, USA. Conclusions In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.

Date created: 2015

DOI: doi:10.7939-R32J6854R

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Rights: © 2015 Moens et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http:-creativecommons.org-licenses-by-4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver http:-creativecommons.org-publicdomain-zero-1.0- applies to the data made available in this article, unless otherwise stated.





Author: Moens, Katrien Houttekier, Dirk Van den Block, Lieve Harding, Richard Morin, Lucas Marchetti, Stefano Csikos, Agnes Loucka, Marti

Source: https://era.library.ualberta.ca/


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Moens et al.
BMC Palliative Care (2015) 14:28 DOI 10.1186-s12904-015-0021-3 RESEARCH ARTICLE Open Access Place of death of people living with Parkinson’s disease: a population-level study in 11 countries Katrien Moens1*†, Dirk Houttekier2†, Lieve Van den Block2, Richard Harding1, Lucas Morin3, Stefano Marchetti4, Agnes Csikos5, Martin Loucka6, Wayne A Naylor7, Donna M Wilson8, Joan Teno9, Marylou Cardenas-Turanzas10, YongJoo Rhee11, Francisco Javier Garcia-Leon12, Luc Deliens2 and Joachim Cohen2 Abstract Background: Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital.
This study examines variation in place of death for people dying from Parkinson’s disease (PD) across 11 European and non-European countries. Methods: Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined.
Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses. Results: The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea.
Hospital was the most prevalent place of death in France (40%), Hungary (60%) and South Korea; nursing home in New Zealand (71%), Belgium (52%), USA (50%), Canada (48%) and Czech Republic (44%); home in Mexico (73%), Italy (51%) and Spain (46%).
The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA). Conclusions: In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death.
The wide va...





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