Abstract：
:There is growing evidence that the palliative care needs of certain people, such as those from minority ethnic groups, are not being met. The aim of this study was to investigate whether place of death from cancer differs between ethnic groups. A total of 101,516 patients resident in South East England and who died from lung, colorectal, breast or prostate cancer between 1998 and 2006 were extracted from the Thames Cancer Registry database. Ethnicity data were available for 68,804 patients (68%). The odds ratios (ORs) of death from cancer in a hospice, at home or in hospital were calculated. The results were adjusted for age at death, deprivation, cancer network of residence and time between diagnosis and death. Following adjustment, death in a hospice was significantly less likely for Pakistani patients (OR=0.47 95% CI [0.30-0.74]), Indian patients (0.68 [0.55-0.84]) and Bangladeshi patients (0.33 [0.19-0.56]). Death at home was significantly less likely in Black African patients (0.48 [0.36-0.65]), Black Caribbean patients (0.78 [0.67-0.90]) and Chinese patients (0.46 [0.28-0.76]). Pakistani, Indian, Bangladeshi, Black African, Black Caribbean and Chinese patients were all significantly more likely than White patients to die in hospital. The results were not substantially altered by recoding the unknown ethnicity group to White or using multiple imputation to assign those with a missing ethnicity an ethnic group. Place of death varies between ethnic groups. This may reflect differences in preferences for place of death or barriers to accessing specialist care in different settings. More detailed prospective qualitative studies are urgently required to determine reasons for this variation.
journal_name
Palliat Medjournal_title
Palliative medicineauthors
Coupland VH,Madden P,Jack RH,Møller H,Davies EAdoi
10.1177/0269216310395986subject
Has Abstractpub_date
2011-06-01 00:00:00pages
314-22issue
4eissn
0269-2163issn
1477-030Xpii
0269216310395986journal_volume
25pub_type
杂志文章abstract：BACKGROUND:Telehealth technologies are an emerging resource opening up the possibility of greater support if they have utility for patients, carers and clinicians. They may also help to meet health systems' imperatives for improved service delivery within current budgets. Clinicians' experiences and attitudes play a ke...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216315600113
更新日期：2016-04-01 00:00:00
abstract：:A study of 95 children referred for palliative care was carried out at Queen Elizabeth Central Hospital in southern Malawi, to determine the prevalence of different symptoms and signs. Seventy-seven percent of the children had HIV, 17% had cancer and 6% had a variety of other diagnoses. The commonest symptoms spontane...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216307077689
更新日期：2007-06-01 00:00:00
abstract：:When a person is diagnosed with a severe disease, it seems plausible that existential questions and death anxiety are easily intensified. The aims of this study were to explore whether this is the case, to what extent patients and their next of kin experience death anxiety, and how these experiences are expressed. Fol...
journal_title：Palliative medicine
pub_type： 杂志文章,评审
doi：10.1191/026921600701536426
更新日期：2000-11-01 00:00:00
abstract：:This study reports UK doctors' opinions about legalisation of medically assisted dying (euthanasia and physician-assisted suicide), comparing this with the UK general public. A postal survey of 3733 UK medical practitioners was done. The majority of UK doctors are opposed to legalisation, contrasting with the UK gener...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216308102041
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:Sedatives are frequently used towards the end of life. However, there is scarce information when their use is labelled as 'palliative sedation'. AIM:To assess the use and labelling of 'continuous administration of sedatives within the last 7 days of life', based on objective operational criteria, on a palli...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216318764095
更新日期：2018-07-01 00:00:00
abstract：:This paper presents a qualitative study exploring the meaning of 'dignity' to patients, relatives and professionals. It examines the impact of advanced illness and treatment and the issues pertinent to caring for dignity. Depth interviews were conducted with eight patients, six relatives and seven members of the multi...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/0269216303pm699oa
更新日期：2003-04-01 00:00:00
abstract：:Homeless persons tend to die younger than the housed population and have complex, often unmet, end-of-life care needs. High levels of illicit drug use among this population are a particular challenge for health and social services professionals involved in end-of-life care services delivery. This article explores the ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216311402713
更新日期：2012-06-01 00:00:00
abstract：:Attitudes toward euthanasia differ between individuals and populations, and in many studies the medical profession is more reluctant than the general public. Our goal was to explore medical students' attitude toward euthanasia. A questionnaire containing open-ended questions was answered anonymously by 165 first- and ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216307081940
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:Hospital is the most common place of cancer death but concerns regarding the quality of end-of-life care remain. AIM:Preliminary assessment of the effectiveness of the Liverpool Care Pathway on the quality of end-of-life care provided to adult cancer patients during their last week of life in hospital. DES...
journal_title：Palliative medicine
pub_type： 杂志文章,随机对照试验
doi：10.1177/0269216313487569
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Chronically homeless individuals have high rates of hospitalization and death, and they may benefit from the completion of advance directives. AIM:To determine the rate of advance directive completion using a counselor-guided intervention, identify characteristics associated with advance directive completio...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216315575679
更新日期：2015-09-01 00:00:00
abstract：:This paper is a secondary observation of a larger pilot study. The Assessing Caregivers for Team Intervention via Video Encounters intervention project enabled caregiver participation in hospice interdisciplinary team meetings. This paper used the team observation scale to assess the impact of caregiver involvement on...
journal_title：Palliative medicine
pub_type： 杂志文章,多中心研究
doi：10.1177/0269216309352066
更新日期：2010-03-01 00:00:00
abstract：:The word 'euthanasia' has been used with a variety of meanings, all of which refer to one precise action: the killing of a suffering person. A moral evaluation of such an act can lead us either to condemn it a priori, shutting the door upon any argument, or to allow further discussion. But the issue must be discussed,...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639300700304
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:Clinical pathways aim to ensure that individuals receive appropriate evidence-based care and interventions, with the Liverpool Care Pathway for the Dying Patient focusing on end of life. However, controlled studies of the Liverpool Care Pathway for the Dying Patient, particularly outside of cancer settings, ...
journal_title：Palliative medicine
pub_type： 杂志文章,随机对照试验
doi：10.1177/0269216315588007
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:in community studies the prevalence of depression is higher in women than men; however, in palliative care settings this relationship is usually less strong, absent or reversed. AIM:to identify reasons for excess depression among men receiving palliative care. DESIGN:cross-sectional study. SETTING/PARTICI...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216311416035
更新日期：2012-07-01 00:00:00
abstract：:Parenteral administration of mixtures of morphine with other drugs has become common practice in palliative care. Such mixtures are sometimes found to be incompatible but compatibility data are scarce. An attempt was made to develop a quick and simple investigation strategy to obtain complete information on the compat...
journal_title：Palliative medicine
pub_type： 指南,杂志文章,实务指引
doi：10.1191/0269216302pm542oa
更新日期：2002-09-01 00:00:00
abstract：BACKGROUND:Palliative care requires a multidisciplinary care team. General practitioners often ask specialised palliative home care teams for support. Working with specialised nurses offers learning opportunities, also called workplace learning. This can be enhanced by the presence of a learning facilitator. OBJECTIVE...
journal_title：Palliative medicine
pub_type： 杂志文章,随机对照试验
doi：10.1177/0269216314560391
更新日期：2015-05-01 00:00:00
abstract：:Morphine, the recommended drug for the management of moderate to severe cancer pain, is metabolized predominantly to the glucuronides morphine-6-glucuronide (M6G) and morphine-3-glucuronide (M3G). The quantitative clinical importance of these metabolites following the administration of oral morphine is unclear. This s...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/0269216303pm658oa
更新日期：2003-03-01 00:00:00
abstract：:This study compares terminally ill patients and their family caregivers in terms of the physical and emotional status of the patients, the adequacy of the support provided for the patients and where the patients would be most appropriately placed during the last stage of their lives. Patients and caregivers shared sim...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639300700204
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:There is increasing demand for primary care practitioners to play a key role in palliative care delivery. Given this, it is important to understand their perceptions of the barriers and enablers to optimal palliative care, and how commonly these are experienced. AIM:To explore the type and prevalence of bar...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319865414
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:We developed a new single point of access to integrated palliative care, respiratory medicine and physiotherapy: the breathlessness support service for patients with advanced disease and refractory breathlessness. This study aimed to describe patients' experiences of the service and identify the aspects valu...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216315600103
更新日期：2016-03-01 00:00:00
abstract：:Dysphagia is a common and distressing problem in motor neurone disease. This paper examines some of the strategies available for managing patients with dysphagia, and illustrates these with four contrasting case histories. The factors which influence the decision making process in patients with dysphagia are also disc...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216393007004S08
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:Chronic kidney disease palliative care guidelines would benefit from more diverse and objectively defined health status measures. AIM:The aim is to identify high-risk patients from administrative data and facilitate timely and uniform palliative care involvement. DESIGN:It is a retrospective cohort study. ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319828602
更新日期：2019-04-01 00:00:00
abstract：:The main focus of palliative care services is to improve patients' quality of life (QOL). The potential value of assessment of QOL in palliative care is being increasingly recognized. The McGill Quality of Life questionnaire (MQOL) is designed specifically for palliative care patients, but its cross-cultural validity ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/026921601680419438
更新日期：2001-09-01 00:00:00
abstract：INTRODUCTION:This research examines 2006 population-based data on persons who died in US nursing homes (NHs) and received hospice in the NH. METHODS:We compared dying persons characteristics and lengths of hospice stay in five US states between 1992 and 1996 and in 2006. We also compared characteristics of dying perso...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216310389349
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Constipation affects many patients receiving long-term opioid therapy for cancer pain. Little is known about the nature of psychological distress and the burden associated with this problem. This information may inform the development of effective treatment strategies and ameliorate distress. AIM:The object...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216312450358
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:Care relationships are crucial in tailoring the end-of-life care of a person with intellectual disabilities (ID) to their needs. Yet, almost all studies on end-of-life care for people with ID have been conducted among caregivers. The views of people with ID about care relationships at the end of life have no...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216316640421
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:We have undertaken a systematically searched literature review using a realist logic of analysis to help synthesise the diverse range of literature available on hospice at home services. AIM:To find out in the existing literature what features of hospice at home models work best, for whom and under what cir...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319867424
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Although integrated care for existential suffering is an essential part of palliative care, little is known about its concept and efficacy as perceived by professionals. A questionnaire survey was carried out to 1) explore the underlying structure of psychosocial interventions recommended by specialists, 2) ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/0269216303pm825oa
更新日期：2003-12-01 00:00:00
abstract：BACKGROUND:In clinical practice the major role of opioid drugs is the management of malignant and nonmalignant pain. The primary aim of this study is to evaluate the trend in sales of four opioid analgesic drugs (codeine, tramadol, morphine, fentanyl), from wholesalers to community pharmacies, as an indicator of opioid...
journal_title：Palliative medicine
pub_type： 杂志文章,多中心研究
doi：10.1191/0269216305pm1002oa
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:The Palliative Care Problem Severity Score is a clinician-rated tool to assess problem severity in four palliative care domains (pain, other symptoms, psychological/spiritual, family/carer problems) using a 4-point categorical scale (absent, mild, moderate, severe). AIM:To test the reliability and acceptabi...
journal_title：Palliative medicine
pub_type： 杂志文章,多中心研究
doi：10.1177/0269216315613904
更新日期：2016-05-01 00:00:00
