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Which cancer patients die in nursing homes? Quality of life, medical and sociodemographic characteristics

Jordhoy, MS; Saltvedt, I; Fayers, P; Loge, JH; Ahlner-Elmqvist, Marianne LU and Kaasa, S (2003) In Palliative Medicine 17(5). p.433-444
Abstract
In this study, cancer patients' characteristics associated with death in nursing homes were explored. The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 ( 66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes. Health-related quality of life was prospectively recorded using the EORTC QLQ-C30 questionnaire. Death in nursing home was associated with greater age, not living with spouse and poor performance status. Patients dying in nursing homes reported severe functioning impairments and more fatigue and appetite loss compared with those dying elsewhere. The association between death in nursing homes and poor physical, role, cognitive and social functioning remained... (More)
In this study, cancer patients' characteristics associated with death in nursing homes were explored. The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 ( 66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes. Health-related quality of life was prospectively recorded using the EORTC QLQ-C30 questionnaire. Death in nursing home was associated with greater age, not living with spouse and poor performance status. Patients dying in nursing homes reported severe functioning impairments and more fatigue and appetite loss compared with those dying elsewhere. The association between death in nursing homes and poor physical, role, cognitive and social functioning remained significant when sociodemographic and medical differences were taken into account. Further research on frail elderly cancer patients is warranted to improve their care, to evaluate the appropriateness of nursing home placement and for future planning of palliative care services. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
nursing homes, palliative care, place of death
in
Palliative Medicine
volume
17
issue
5
pages
433 - 444
publisher
SAGE Publications Inc.
external identifiers
  • pmid:12882262
  • wos:000183953800011
  • scopus:0038690109
ISSN
1477-030X
DOI
10.1191/0269216303pm774oa
language
English
LU publication?
yes
id
565ac9e0-21b0-4b21-897a-28b3fd4f413b (old id 900211)
date added to LUP
2008-01-14 15:57:00
date last changed
2018-05-29 09:52:36
@article{565ac9e0-21b0-4b21-897a-28b3fd4f413b,
  abstract     = {In this study, cancer patients' characteristics associated with death in nursing homes were explored. The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 ( 66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes. Health-related quality of life was prospectively recorded using the EORTC QLQ-C30 questionnaire. Death in nursing home was associated with greater age, not living with spouse and poor performance status. Patients dying in nursing homes reported severe functioning impairments and more fatigue and appetite loss compared with those dying elsewhere. The association between death in nursing homes and poor physical, role, cognitive and social functioning remained significant when sociodemographic and medical differences were taken into account. Further research on frail elderly cancer patients is warranted to improve their care, to evaluate the appropriateness of nursing home placement and for future planning of palliative care services.},
  author       = {Jordhoy, MS and Saltvedt, I and Fayers, P and Loge, JH and Ahlner-Elmqvist, Marianne and Kaasa, S},
  issn         = {1477-030X},
  keyword      = {nursing homes,palliative care,place of death},
  language     = {eng},
  number       = {5},
  pages        = {433--444},
  publisher    = {SAGE Publications Inc.},
  series       = {Palliative Medicine},
  title        = {Which cancer patients die in nursing homes? Quality of life, medical and sociodemographic characteristics},
  url          = {http://dx.doi.org/10.1191/0269216303pm774oa},
  volume       = {17},
  year         = {2003},
}