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Final transitions to place of death : patients and families wishes

(2017) JOURNAL OF PUBLIC HEALTH. 39(4). p.e302-e311
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Abstract
Purpose: This four-country study ( Belgium, the Netherlands, Italy and Spain) examines prevalence and types of final transitions between care settings of cancer patients and the extent to which patient/family wishes are cited as a reason for the transition. Methods: Data were collected from the EUROSENTI-MELC study over a 2-year period. General practitioners within existing Sentinel Networks registered weekly all deaths of patients within practices using a standardized questionnaire. This registration included place of care in the final 3 months and wishes for the final transition to place of death. All non-sudden deaths due to cancer (+18 years) were included in the analyses. Results: We included 2048 non-sudden cancer deaths; 63% of patients had at least one transition between care settings in the final 3 months of life. 'Hospital death from home' (25-55%) and 'home death from hospital' (16-30%) were the most frequent types of final transitions in all countries. Patients' or families' wishes were mentioned as a reason for a final transition in 5-27% ( P<0.001) and 10-22% ( P = 0.002) across countries. Conclusions: 'Hospital deaths from home' is the most prevalent final transition in three of four countries studied, in a significant minority of cases because of patient/family wishes.
Keywords
advanced cancer, care settings, general practitioners, place of death, transitions, wishes, DECISION-MAKING, CANCER CARE, LIFE, END, COMMUNICATION, INDICATORS, QUALITY, FAILURE, PEOPLE, TRENDS

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Chicago
Van den Block, Lieve, Winne Ko, Guido Miccinesi, Sarah Moreels, Ge A Donker, Bregje Onwuteaka-Philipsen, Tomas V Alonso, and Luc Deliens. 2017. “Final Transitions to Place of Death : Patients and Families Wishes.” Journal of Public Health 39 (4): e302–e311.
APA
Van den Block, Lieve, Ko, W., Miccinesi, G., Moreels, S., Donker, G. A., Onwuteaka-Philipsen, B., Alonso, T. V., et al. (2017). Final transitions to place of death : patients and families wishes. JOURNAL OF PUBLIC HEALTH, 39(4), e302–e311.
Vancouver
1.
Van den Block L, Ko W, Miccinesi G, Moreels S, Donker GA, Onwuteaka-Philipsen B, et al. Final transitions to place of death : patients and families wishes. JOURNAL OF PUBLIC HEALTH. 2017;39(4):e302–e311.
MLA
Van den Block, Lieve, Winne Ko, Guido Miccinesi, et al. “Final Transitions to Place of Death : Patients and Families Wishes.” JOURNAL OF PUBLIC HEALTH 39.4 (2017): e302–e311. Print.
@article{8513271,
  abstract     = {Purpose: This four-country study ( Belgium, the Netherlands, Italy and Spain) examines prevalence and types of final transitions between care settings of cancer patients and the extent to which patient/family wishes are cited as a reason for the transition. 
Methods: Data were collected from the EUROSENTI-MELC study over a 2-year period. General practitioners within existing Sentinel Networks registered weekly all deaths of patients within practices using a standardized questionnaire. This registration included place of care in the final 3 months and wishes for the final transition to place of death. All non-sudden deaths due to cancer (+18 years) were included in the analyses. 
Results: We included 2048 non-sudden cancer deaths; 63\% of patients had at least one transition between care settings in the final 3 months of life. 'Hospital death from home' (25-55\%) and 'home death from hospital' (16-30\%) were the most frequent types of final transitions in all countries. Patients' or families' wishes were mentioned as a reason for a final transition in 5-27\% ( P{\textlangle}0.001) and 10-22\% ( P = 0.002) across countries. 
Conclusions: 'Hospital deaths from home' is the most prevalent final transition in three of four countries studied, in a significant minority of cases because of patient/family wishes.},
  author       = {Van den Block, Lieve and Ko, Winne and Miccinesi, Guido and Moreels, Sarah and Donker, Ge A and Onwuteaka-Philipsen, Bregje and Alonso, Tomas V and Deliens, Luc},
  issn         = {1741-3842},
  journal      = {JOURNAL OF PUBLIC HEALTH},
  keyword      = {advanced cancer,care settings,general practitioners,place of death,transitions,wishes,DECISION-MAKING,CANCER CARE,LIFE,END,COMMUNICATION,INDICATORS,QUALITY,FAILURE,PEOPLE,TRENDS},
  language     = {eng},
  number       = {4},
  pages        = {e302--e311},
  title        = {Final transitions to place of death : patients and families wishes},
  url          = {http://dx.doi.org/10.1093/pubmed/fdw097},
  volume       = {39},
  year         = {2017},
}

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