scholarly journals International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data

2015 ◽  
Vol 113 (9) ◽  
pp. 1397-1404 ◽  
Author(s):  
J Cohen ◽  
L Pivodic ◽  
G Miccinesi ◽  
B D Onwuteaka-Philipsen ◽  
W A Naylor ◽  
...  
Keyword(s):  
Death Certificate ◽  
International Study ◽  
Population Level ◽  
Place Of Death ◽  
Death Certificate Data

scholarly journals Trends in place of death in a small developing country: a population-level study using death certificate data

2020 ◽  
pp. jech-2019-213285
Author(s):  
Nicholas Jennings ◽  
Kenneth Chambaere ◽  
Luc Deliens ◽  
Joachim Cohen
Keyword(s):  
Trinidad And Tobago ◽  
Death Certificate ◽  
Population Level ◽  
Place Of Death ◽  
Death Certificate Data ◽  
Care Facilities ◽  
Government Hospitals ◽  
Hospital Deaths ◽  
Private Homes ◽  
Level Analysis

BackgroundValuable information for planning future end-of-life care (EOLC) services and care facilities can be gained by studying trends in place of death (POD). Scarce data exist on the POD in small developing countries. This study aims to examine shifts in the POD of all persons dying between 1999 and 2010 in Trinidad and Tobago, to draw conclusions about changes in the distribution of POD over time and the possible implications for EOLC practice and policy.MethodsA population-level analysis of routinely collected death certificate data of the most recent available fully coded years at the time of the study—1999 to 2010. Observed proportions for the POD of all deaths were standardised according to the age, sex and cause of death distribution in 1999. Trends for a subgroup of persons who died from causes indicative of a palliative care (PC) need were also examined.ResultsThe proportion of deaths in government hospitals increased from 48.9% to 55.4% and decreased from 38.7% to 29.7% at private homes. There was little variation between observed and standardised rates. The decrease in home deaths was stronger when the PC subcategory was considered, most notably from cancer.ConclusionInternationally, the proportion of deaths at institutions is increasing. A national strategy on palliative and EOLC is needed to facilitate the increasing number of people who seek EOLC at government hospitals in Trinidad and Tobago, including an investigation into the reasons for the trend. Alternatives to accommodate out-of-hospital deaths can be considered.

scholarly journals Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Richard Harding ◽  
Stefano Marchetti ◽  
Bregje D. Onwuteaka-Philipsen ◽  
Donna M. Wilson ◽  
Miguel Ruiz-Ramos ◽  
...  
Keyword(s):  
Death Certificate ◽  
Population Level ◽  
Place Of Death ◽  
Death Certificate Data

Place of death and associated factors: a population-based study using death certificate data

2019 ◽  
Vol 29 (4) ◽  
pp. 608-615 ◽  
Author(s):  
María José Cabañero-Martínez ◽  
Andreu Nolasco ◽  
Inmaculada Melchor ◽  
Manuel Fernández-Alcántara ◽  
Julio Cabrero-García
Keyword(s):  
Marital Status ◽  
Cause Of Death ◽  
Death Certificate ◽  
Population Based ◽  
Place Of Death ◽  
Population Based Study ◽  
Urbanization Level ◽  
Sociodemographic Variables ◽  
Death Certificate Data ◽  
At Home

Abstract Background Although studies suggest that most people prefer to die at home, not enough is known about place of death patterns by cause of death considering sociodemographic factors. The objective of this study was to determine the place of death in the population and to analyze the sociodemographic variables and causes of death associated with home as the place of death. Methods Cross-sectional population-based study. All death certificate data on the residents in Spain aged 15 or over who died in Spain between 2012 and 2015 were included. We employed multinomial logistic regression to explore the relation between place of death, sociodemographic variables and cause of death classified according to the International Classification of Diseases, 10th revision, and to conditions needing palliative care. Results Over half of all deaths occurred in hospital (57.4%), representing double the frequency of deaths that occurred at home. All the sociodemographic variables (sex, educational level, urbanization level, marital status, age and country of birth) were associated with place of death, although age presented the strongest association. Cause of death was the main predictor with heart disease, neurodegenerative disease, Alzheimer’s disease, dementia and senility accounting for the highest percentages of home deaths. Conclusions Most people die in hospital. Cause of death presented a stronger association with place of death than sociodemographic variables; of these latter, age, urbanization level and marital status were the main predictors. These results will prove useful in planning end-of-life care that is more closely tailored to people’s circumstances and needs.

scholarly journals Using death certificate data to study place of death in 9 European countries: opportunities and weaknesses

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Joachim Cohen ◽  
Johan Bilsen ◽  
Guido Miccinesi ◽  
Rurik Löfmark ◽  
Julia Addington-Hall ◽  
...  
Keyword(s):  
Death Certificate ◽  
European Countries ◽  
Place Of Death ◽  
Death Certificate Data

scholarly journals Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data

2017 ◽  
Vol 27 (1) ◽  
Author(s):  
Joachim Cohen ◽  
Kim Beernaert ◽  
Lieve Van den Block ◽  
Lucas Morin ◽  
Katherine Hunt ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Death Certificate ◽  
Place Of Death ◽  
Death Certificate Data ◽  
Copd Patients ◽  
Country Study

scholarly journals Feasibility of using death certificates for studying place of death in Latin America

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Katja Seitz ◽  
Luc Deliens ◽  
Joachim Cohen ◽  
Cardozo Emanuel Adrian ◽  
Vilma A. Tripodoro ◽  
...  
Keyword(s):  
Latin America ◽  
Comparative Study ◽  
Associated Factors ◽  
Death Certificate ◽  
Digital Data ◽  
Place Of Death ◽  
Death Certificates ◽  
Death Certificate Data ◽  
Data Files

Objective. This paper assesses the availability and quality of death certificate data in Latin America and the feasibility of using these data to study place of death and associated factors. Methods. In this comparative study, we collected examples of current official death certificates and digital data files containing information about all deaths that occurred during 1 year in 19 Latin American countries. Data were collected from June 2019 to May 2020. The records for place of death and associated variables were studied. The criteria for data quality were completeness, number of ill-defined causes of death and timeliness. Results. All 19 countries provided copies of current official death certificates and 18 of these registered the place of death. Distinguishing among hospital or other health care institution, home and other was possible for all countries. Digital data files with death certificate data were available from 12 countries and 1 region. Three countries had data considered to be of high quality and seven had data considered to be of medium quality. Categories for place of death and most of the predetermined factors possibly associated with place of death were included in the data files. Conclusions. The quality of data sets was rated medium to high in 10 countries. Hence, death certificate data make it feasible to conduct an international comparative study on place of death and the associated factors in Latin America.

scholarly journals Place of death in a small island state: a death certificate population study

2019 ◽  
Vol 10 (3) ◽  
pp. e30-e30 ◽  
Author(s):  
Nicholas Jennings ◽  
Kenneth Chambaere ◽  
Luc Deliens ◽  
Joachim Cohen
Keyword(s):  
Death Certificate ◽  
Population Level ◽  
Health Data ◽  
Place Of Death ◽  
Small Island ◽  
Data Set ◽  
Middle Income ◽  
Low Middle Income Countries ◽  
International Statistical Classification ◽  
Dying At Home

ObjectivesLow/middle-income countries, particularly Small Island Developing States, face many challenges including providing good palliative care and choice in place of care and death, but evidence of the circumstances of dying to inform policy is often lacking. This study explores where people die in Trinidad and Tobago and examines and describes the factors associated with place of death.MethodsA population-level analysis of routinely collected death certificate and supplementary health data where the unit of analysis was the recorded death. We followed the Reporting of Studies Conducted Using Observational Routinely Collected Health Data reporting guidelines, an extension of Strengthening the Reporting of Observational Studies in Epidemiology, on a deidentified data set on decedents (n=10 221) extracted from International Statistical Classification of Diseases version 10 coded death records for the most recent available year, 2010.ResultsOf all deaths, 55.4% occurred in a government hospital and 29.7% in a private home; 65.3% occurred in people aged 60 years and older. Cardiovascular disease (23.6%), malignancies (15.5%) and diabetes mellitus (14.7%) accounted for over half of all deaths. Dying at home becomes more likely with increasing age (70–89 years (OR 1.91, 95% CI 1.73 to 2.10) and 90–highest (OR 3.63, 95% CI 3.08 to 4.27)), and less likely for people with malignancies (OR 0.85, 95% CI 0.74 to 0.97), cerebrovascular disease (OR 0.61, 95% CI 0.51 to 0.72) and respiratory disease (OR 0.74, 95% CI 0.59 to 0.91).ConclusionPlace of death is influenced by age, sex, race/ethnicity, underlying cause of death and urbanisation. There is inequality between ethnic groups regarding place of care and death; availability, affordability and access to end-of-life care in different settings require attention.

Commercial Fishing as an Occupational Determinant of Opioid Overdoses and Deaths of Despair in Two Massachusetts Fishing Ports, 2000–2014

2021 ◽  
pp. 104829112110234
Author(s):  
Scott Fulmer ◽  
Shruti Jain ◽  
David Kriebel
Keyword(s):  
United States ◽  
Cause Of Death ◽  
Death Certificate ◽  
The United States ◽  
Opioid Overdose ◽  
Commercial Fishing ◽  
Opioid Epidemic ◽  
Death Certificate Data ◽  
Deaths Of Despair

The opioid epidemic has had disproportionate effects across various sectors of the population, differentially impacting various occupations. Commercial fishing has among the highest rates of occupational fatalities in the United States. This study used death certificate data from two Massachusetts fishing ports to calculate proportionate mortality ratios of fatal opioid overdose as a cause of death in commercial fishing. Statistically significant proportionate mortality ratios revealed that commercial fishermen were greater than four times more likely to die from opioid poisoning than nonfishermen living in the same fishing ports. These important quantitative findings suggest opioid overdoses, and deaths to diseases of despair in general, deserve further study in prevention, particularly among those employed in commercial fishing.

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