Place of death and its determinants for patients with cancer in Singapore: an analysis of data from the Singapore Cancer Registry, 2000-2009.

Abstract:

AIMS:To describe the place of death for patients with cancer in Singapore from 2000 to 2009, and determinants of death at home and in in-patient hospice compared to death in hospital. METHOD:Cross-sectional analysis of all patients registered with the Singapore Cancer Registry who had died in the study period (N=52120). Places of death were grouped as homes, in-patient hospices, hospitals and others. For determinants of death at home and in in-patient hospice, covariates adjusted for in logistic regression analyses were age group, gender, ethnic group, primary tumour site, stage at diagnosis, duration and cause of death. RESULTS:In the 10-year period, 52.9% of patients with cancer had died in the hospital, 30.3% died at home and 10.7% in in-patient hospice. Determinants of death at home were older age, female (odds ratio OR 1.23, 95% confidence interval, CI 1.17-1.29), Malay (OR 2.28, 95% CI 2.13-2.44), cancers of the colo-rectum, liver, stomach, pancreas and nasopharynx (compared to lung cancer), duration of illness of 1-5 years (OR 1.40, 95% CI 1.34-1.48), primary cause of death being 'neoplasms' (OR 2.97, 95% CI 2.79-3.17). Determinants of death in in-patient hospice were older age, distant metastasis (OR 1.35, 95% CI 1.21-1.50) and primary cause of death being 'neoplasms' (OR 20.07, 95% CI 16.05-25.09). CONCLUSION:Knowledge about place of death and its determinants will facilitate the planning of healthcare services to enable patients with terminal cancer to die at home and in in-patient hospices, thereby avoiding inappropriate hospitalization at the end of life.

journal_name

J Palliat Med

authors

Hong CY,Chow KY,Poulose J,Jin AZ,Devi A,Chee EM,Goh C

doi

10.1089/jpm.2011.0092

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1128-34

issue

10

eissn

1096-6218

issn

1557-7740

journal_volume

14

pub_type

杂志文章
  • Statin prescribing patterns in a cohort of cancer patients with poor prognosis.

    abstract:BACKGROUND:There are no evidence-based recommendations for statin continuation or discontinuation near the end of life. However, some expert opinion recommends continuing statins prescribed for secondary versus primary prevention of cardiovascular disease. OBJECTIVES:Our aim was to explore statin prescribing patterns ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0158

    authors: Bayliss EA,Bronsert MR,Reifler LM,Ellis JL,Steiner JF,McQuillen DB,Fairclough DL

    更新日期:2013-04-01 00:00:00

  • Resources for Educating, Training, and Mentoring Nurses and Unregulated Nursing Care Providers in Palliative Care: A Review and Expert Consultation.

    abstract:BACKGROUND:Nurses and nursing care providers provide the most direct care to patients at end of life. Yet, evidence indicates that many feel ill-prepared for the complexity of palliative care. OBJECTIVE:To review the resources required to ensure adequate education, training, and mentorship for nurses and nursing care ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0395

    authors: Pesut B,Greig M

    更新日期:2018-01-01 00:00:00

  • A demographic and prognostic approach to defining the end of life.

    abstract::Studies examining individuals' preferences reflect a broad consensus that the end of life is a period during which medical care should be different from that in other periods in patients' lives. More specifically, patients, families, and health care providers believe that medical care during this unique period should ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2005.8.s-12

    authors: Lamont EB

    更新日期:2005-01-01 00:00:00

  • Switching from methadone to a different opioid: what is the equianalgesic dose ratio?

    abstract:INTRODUCTION:Methadone (ME) is a highly effective opioid agonist used for difficult pain syndromes. However, in the management of cancer pain with strong opioids, rotation to a different opioid (opioid rotation) may be required because of side effects or poor pain control. Rotation from methadone to another opioid has ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2007.0285

    authors: Walker PW,Palla S,Pei BL,Kaur G,Zhang K,Hanohano J,Munsell M,Bruera E

    更新日期:2008-10-01 00:00:00

  • The Palliative Care Quality Network: Improving the Quality of Caring.

    abstract:OBJECTIVE:Describe the establishment of the palliative care quality network (PCQN) with guidance on how teams can develop similar collaborations. BACKGROUND:In the current healthcare environment, palliative care (PC) teams must be able to demonstrate value and provide efficient care while supporting the clinicians who...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2016.0514

    authors: Pantilat SZ,Marks AK,Bischoff KE,Bragg AR,O'Riordan DL

    更新日期:2017-08-01 00:00:00

  • Regional Variation in Palliative Care Receipt in Ontario, Canada.

    abstract:: Background: Delivery of health services in the province of Ontario is organized into 14 Local Health Integration Networks (LHINs), and further into 76 LHIN subregions, making these a natural unit of comparing the regional differences in palliative care receipt among decede...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0573

    authors: Panarella M,Saarela O,Esensoy AV,Jakda A,Liu ZA

    更新日期:2019-11-01 00:00:00

  • Interprofessional Silence at the End of Life: Do Swiss General Practitioners and Hospital Physicians Sufficiently Share Information About Their Patients?

    abstract:BACKGROUND:Empirical research suggests that the quality of patient care at the end of life (EOL) is influenced by the effectiveness of the collaboration between the general practitioners (GPs) and hospital physicians (HPs). AIM:To identify possible difficulties and barriers to effective collaboration at the EOL betwee...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2015.0377

    authors: Otte IC,Jung C,Bally K,Elger BS,Schildmann J

    更新日期:2016-09-01 00:00:00

  • Taking Psychedelics Seriously.

    abstract:BACKGROUND:Psychiatric research in the 1950s and 1960s showed potential for psychedelic medications to markedly alleviate depression and suffering associated with terminal illness. More recent published studies have demonstrated the safety and efficacy of psilocybin, MDMA, and ketamine when administered in a medically ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2017.0684

    authors: Byock I

    更新日期:2018-04-01 00:00:00

  • How Can Activity Monitors Be Used in Palliative Care Patients?

    abstract:: Background: Physical activity in palliative care patients is closely linked to independence, function, carer burden, prognosis, and quality of life. Changes in physical activity can also be related to service provision needs, including requirements for support and prognosi...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0414

    authors: To THM,Currow DC,Swetenham K,Morgan DD,Tieman J

    更新日期:2019-07-01 00:00:00

  • End-of-life care and African Americans: voices from the community.

    abstract:BACKGROUND:In 1997, the Institute of Medicine called for reform, improved quality and expanded research in end-of-life care. Yet little empirical information about preferences of African Americans has been documented. A community-campus partnership was formed to guide a needs assessment related to end-of-life care in a...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.585

    authors: Jenkins C,Lapelle N,Zapka JG,Kurent JE

    更新日期:2005-06-01 00:00:00

  • Epidemiology of renal palliative care.

    abstract::The need for palliative care for patients with end-stage renal disease (ESRD) is increasingly recognized. Patients starting renal replacement therapy are now elderly, with a median age of 65 years, and with multiple comorbid conditions. Quality of life is often poor and with advance care planning, patients can be enab...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2007.0033

    authors: Brown EA

    更新日期:2007-12-01 00:00:00

  • A Canadian experience of integrating complementary therapy in a hospital palliative care unit.

    abstract:BACKGROUND:The provision of complementary therapy in palliative care is rare in Canadian hospitals. An Ontario hospital's palliative care unit developed a complementary therapy pilot project within the interdisciplinary team to explore potential benefits. Massage, aromatherapy, Reiki, and Therapeutic Touch™ were provid...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0295

    authors: Berger L,Tavares M,Berger B

    更新日期:2013-10-01 00:00:00

  • Clinical Indicators That Identify Risk of Deteriorating and Dying in People with a Hematological Malignancy: A Case-Control Study with Multivariable Analysis.

    abstract:BACKGROUND:Identifying people who are at risk of deteriorating and dying is essential to inform goals of care, appropriate treatment decisions, patient autonomy, and effective end-of-life care. Limited literature exists on predicting survival near the end of life for people with a hematological malignancy. OBJECTIVE:T...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0033

    authors: Button E,Gavin NC,Chan RJ,Chambers S,Butler J,Yates P

    更新日期:2018-12-01 00:00:00

  • The Impact of Depression on Health Care Utilization in Patients with Cancer.

    abstract:: Background: Depression is common in the oncology patient population. Little data exist on the impact of depression on health care utilization. Objectives: We evaluated the prevalence of depression and the relationship between d...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0329

    authors: Ye S,Williams CP,Gilbert AD,Huang CH,Salter TL,Rocque GB

    更新日期:2021-01-21 00:00:00

  • Feasibility Testing of an Emergency Department Screening Tool To Identify Older Adults Appropriate for Palliative Care Consultation.

    abstract:BACKGROUND:Seriously ill older adults in the emergency department (ED) may benefit from palliative care referral, yet little is known about how to identify these patients. OBJECTIVES:To assess the performance and determine the acceptability of a content-validated palliative care screening tool. DESIGN:We surveyed Eme...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2016.0213

    authors: Ouchi K,Block SD,Schonberg MA,Jamieson ES,Aaronson EL,Pallin DJ,Tulsky JA,Schuur JD

    更新日期:2017-01-01 00:00:00

  • Clinicians' Perceptions of Futile or Potentially Inappropriate Care and Associations with Avoidant Behaviors and Burnout.

    abstract:: Background: Futile or potentially inappropriate care (futile/PIC) for dying inpatients leads to negative outcomes for patients and clinicians. In the setting of rising end-of-life health care costs and increasing physician burnout, it is important to understand the causes ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0385

    authors: Chamberlin P,Lambden J,Kozlov E,Maciejewski R,Lief L,Berlin DA,Pelissier L,Yushuvayev E,Pan CX,Prigerson HG

    更新日期:2019-09-01 00:00:00

  • The introduction of palliative care in Uganda.

    abstract::Hospice Uganda was established in Kampala, September 27, 1993. Since then the hospice has served over 3,000 patients with cancer, and referrals of patients with HIV/AIDS are increasing steadily. The concepts of hospice and palliative care are well accepted in Uganda, but the delivery of services has been severely cons...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/10966210252785141

    authors: Jagwe JG,Barnard D

    更新日期:2002-02-01 00:00:00

  • Transitioning the Treatment Paradigm: How Early Palliative Care Service Involvement Affects the End-of-Life Course for Critically Ill Patients in the Neuro-Intensive Care Unit.

    abstract:: Background: Involvement of the palliative care service has potential for patient and family benefit in critically ill patients, regardless of etiology. Anecdotally, there is a lack of involvement of the palliative care (PC) service in the neuro-intensive care unit (neuro-I...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0428

    authors: Tabibian BE,Salehani AA,Kuhn EN,Davis MC,Shank CD,Fisher Iii WS

    更新日期:2019-05-01 00:00:00

  • A Comparative Study of Opioid Switching to Methadone for Cancer Pain Control in Successful and Unsuccessful Cases.

    abstract:: Background: Methadone may play a role in the control of refractory cancer pain in opioid switching, although some cases fail to switch to methadone. Objective: To evaluate the differences in the clinical aspects in switching to...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0490

    authors: Okayama S,Matsuda Y,Yoshikawa Y

    更新日期:2019-07-01 00:00:00

  • Opioid Screening Practices in the Cancer Pain Patient.

    abstract:BACKGROUND:Despite the growing use of opioids to treat cancer pain and the probability of opioid aberrancy in the cancer setting, clinical practice guidelines (CPGs) or recommendations for active screening and monitoring of opioid compliance are lacking. OBJECTIVES:To evaluate the current practices and attitudes clini...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0168

    authors: Liebling D,Mehta N,Gulati A

    更新日期:2019-01-01 00:00:00

  • Identifying factors affecting utilization of an inpatient palliative care service: a physician survey.

    abstract:BACKGROUND:Little is currently known about physicians': (1) level of involvement in and comfort delivering palliative care in the inpatient setting, (2) perceived barriers to referring patients to an inpatient Palliative Care Consult Service (PCCS), and (3) attitudes regarding palliative care. METHODS:Eligible partici...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2009.9656

    authors: Snow CE,Varela BR,Pardi DA,Adelman RD,Said S,Reid MC

    更新日期:2009-03-01 00:00:00

  • Outcome evaluation of the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education: nationwide physician education project for primary palliative care in Japan.

    abstract:OBJECTIVE:Palliative care is an essential part of medicine, but most physicians have had no formal opportunity to acquire basic skills in palliative care. In Japan, the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education (PEACE) was launched to provide formal primary p...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2014.0122

    authors: Yamamoto R,Kizawa Y,Nakazawa Y,Ohde S,Tetsumi S,Miyashita M

    更新日期:2015-01-01 00:00:00

  • Palliative care management: a Veterans Administration demonstration project.

    abstract::As part of a Veterans Health Administration (VA) commitment to improve end-of-life care the VA Greater Los Angeles Healthcare System (GLA) implemented Pathways of Caring, a 3-year demonstration project targeting patients with inoperable lung cancer and advanced heart failure and chronic lung disease. The program utili...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662103322515428

    authors: Rosenfeld K,Rasmussen J

    更新日期:2003-10-01 00:00:00

  • A Multicenter, Randomized Controlled Trial of Perioperative Palliative Care Surrounding Cancer Surgery for Patients and Their Family Members (PERIOP-PC).

    abstract:: Background: Despite positive outcomes associated with specialist palliative care (PC) in diverse medical populations, little research has investigated specialist PC in surgical ones. Although cancer surgery is predominantly safe, operations can be extensive and unpredictab...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/jpm.2019.0130

    authors: Aslakson RA,Chandrashekaran SV,Rickerson E,Fahy BN,Johnston FM,Miller JA,Conca-Cheng A,Wang S,Morris AM,Lorenz K,Temel JS,Smith TJ

    更新日期:2019-09-01 00:00:00

  • Strategies for finding and negotiating a first position in hospice and palliative medicine.

    abstract::Securing a first job following training is an exciting and daunting task. Little formal guidance is available and trainees often find themselves confused, uncertain, and overwhelmed. This article is designed to provide a basic framework for fellows and new graduates to search for positions, apply, interview, and negot...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2010.0002

    authors: Weckmann MT,Block S

    更新日期:2010-09-01 00:00:00

  • Exploring Factors Contributing to Medication Errors with Opioids in Australian Specialist Palliative Care Inpatient Services: A Multi-Incident Analysis.

    abstract:BACKGROUND:Opioid errors have the potential to cause significant patient harm. These high-risk medications are used in high volumes in palliative care services to manage pain and other symptoms. Palliative patients are at greater risk of harm from opioid errors, as they are generally older and taking numerous medicatio...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0578

    authors: Heneka N,Shaw T,Rowett D,Lapkin S,Phillips JL

    更新日期:2018-06-01 00:00:00

  • End-of-Life Care in Neonatal Intensive Care Units from an Asian Perspective: An Integrative Review of the Research Literature.

    abstract:: Background: End-of-life (EOL) care in neonatal intensive care units (NICUs) can vary depending on religious beliefs of health care providers and families as well as the sociocultural environment. Although guidelines exist for EOL care in NICUs, most are based on Western st...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2018.0304

    authors: Kim S,Savage TA,Hershberger PE,Kavanaugh K

    更新日期:2019-07-01 00:00:00

  • Death pronouncements: using the teachable moment in end-of-life care residency training.

    abstract:INTRODUCTION:Performing death pronouncement and communicating effectively with gathered family is an important skill relevant to end-of-life care. Often it is a responsibility of first-year residents who lack proper training or emotional preparation for the task. Residents' tension about this task presents an opportuni...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662104322737322

    authors: Marchand L,Kushner K

    更新日期:2004-02-01 00:00:00

  • Interdisciplinary Team Care and Hospice Team Provider Visit Patterns during the Last Week of Life.

    abstract:BACKGROUND:Hospice provides intensive end-of-life care to patients and their families delivered by an interdisciplinary team of nurses, aides, chaplains, social workers, and physicians. Significant gaps remain about how team members respond to diverse needs of patients and families, especially in the last week of life....

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2015.0198

    authors: Ellington L,Clayton MF,Reblin M,Cloyes K,Beck AC,Harrold JK,Harris P,Casarett D

    更新日期:2016-05-01 00:00:00

  • Insights from Bereaved Family Members about End-of-Life Care and Bereavement.

    abstract:: Background: Bereavement programs provide institutions with an avenue for obtaining feedback from family members about their experiences during a patient's illness and end-of-life (EOL) period that can be used to improve both patient care and the care of bereaved individual...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0467

    authors: Morris SE,Nayak MM,Block SD

    更新日期:2020-08-01 00:00:00