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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Palliative Care 1/2015

Place of death of people living with Parkinson’s disease: a population-level study in 11 countries

Zeitschrift:
BMC Palliative Care > Ausgabe 1/2015
Autoren:
Katrien Moens, Dirk Houttekier, Lieve Van den Block, Richard Harding, Lucas Morin, Stefano Marchetti, Agnes Csikos, Martin Loucka, Wayne A Naylor, Donna M Wilson, Joan Teno, Marylou Cardenas-Turanzas, YongJoo Rhee, Francisco Javier Garcia-Leon, Luc Deliens, Joachim Cohen
Wichtige Hinweise
Katrien Moens and Dirk Houttekier contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

KM: study concept, statistical analysis, interpretation of the data, drafting and revising the manuscript for content. DH: study concept, statistical analysis, interpretation of the data, revising the manuscript for content, acquisition of data, study supervision, obtaining funding, final approval of the version of the manuscript to be submitted. LVdB: study concept, interpretation of the data, revising of the manuscript for content, study supervision, obtaining funding, final approval of the version of the manuscript to be submitted. RH: study concept, interpretation of the data, revising of the manuscript for content, study supervision, final approval of the version of the manuscript to be submitted. LM: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. SM: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted . AC: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. ML: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. WAN: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. DMW: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. JMT: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. MC-T: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. YJR: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. FJG-L: interpretation of the data, revising of the manuscript for content, acquisition of data, final approval of the version of the manuscript to be submitted. LD: study concept, interpretation of the data, revising the manuscript for content, study supervision, obtaining funding, final approval of the version of the manuscript to be submitted. JC: study concept, interpretation of the data, revising the manuscript for content, acquisition of data, study coordination and supervision, obtaining funding, final approval of the version of the manuscript to be submitted. JC and DH had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. All authors read and approved the final manuscript.

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 variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.
Literatur
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