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BMJ. Sep 1, 1990; 301(6749): 415–417.
PMCID: PMC1663663

Terminal cancer care and patients' preference for place of death: a prospective study.

Abstract

OBJECTIVE--To assess the preference of terminally ill patients with cancer for their place of final care. DESIGN--Prospective study of randomly selected patients with cancer from hospital and the community who were expected to die within a year. Patients expected to live less than two months were interviewed at two week intervals; otherwise patients were interviewed monthly. Their main carer was interviewed three months after the patient's death. SETTING--District general hospital, hospices, and patients' homes. MAIN OUTCOME MEASURE--Stated preferred place of final care; actual place of death; reason for final hospital admission for those in hospital; community care provision required for home care. RESULTS--Of 98 patients approached, 84 (86%) agreed to be interviewed, of whom 70 (83%) died during the study and 59 (84%) stated a preferred place of final care: 34 (58%) wished to die at home given existing circumstances, 12 (20%) in hospital, 12 (20%) in a hospice, and one (2%) elsewhere. Their own home was the preferred place of care for 17 (94%) of the patients who died there, whereas of the 32 patients who died in hospital 22 (69%) had stated a preference to die elsewhere. Had circumstances been more favourable 67% (41) of patients would have preferred to die at home, 16% (10) in hospital, and 15% (9) in hospice. CONCLUSION--With a limited increase in community care 50% more patients with cancer could be supported to die at home, as they and their carers would prefer.

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Selected References

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  • Doyle D. Domiciliary terminal care: demands on statutory services. J R Coll Gen Pract. 1982 May;32(238):285–291. [PMC free article] [PubMed]
  • Allbrook D. Dying of cancer. Home, hospice or hospital? Med J Aust. 1984 Aug 4;141(3):143–144. [PubMed]
  • Spitzer WO, Dobson AJ, Hall J, Chesterman E, Levi J, Shepherd R, Battista RN, Catchlove BR. Measuring the quality of life of cancer patients: a concise QL-index for use by physicians. J Chronic Dis. 1981;34(12):585–597. [PubMed]
  • Morris JN, Suissa S, Sherwood S, Wright SM, Greer D. Last days: a study of the quality of life of terminally ill cancer patients. J Chronic Dis. 1986;39(1):47–62. [PubMed]
  • Hockley JM, Dunlop R, Davies RJ. Survey of distressing symptoms in dying patients and their families in hospital and the response to a symptom control team. Br Med J (Clin Res Ed) 1988 Jun 18;296(6638):1715–1717. [PMC free article] [PubMed]
  • Bates T, Hoy AM, Clarke DG, Laird PP. The St Thomas' Hospital terminal care support team. A new concept of hospice care. Lancet. 1981 May 30;1(8231):1201–1203. [PubMed]
  • Hoskin PJ, Hanks GW. The management of symptoms in advanced cancer: experience in a hospital-based continuing care unit. J R Soc Med. 1988 Jun;81(6):341–344. [PMC free article] [PubMed]
  • Parkes CM. Terminal care: home, hospital, or hospice? Lancet. 1985 Jan 19;1(8421):155–157. [PubMed]
  • Rees WD. Role of the hospice in the care of the dying. Br Med J (Clin Res Ed) 1982 Dec 18;285(6357):1766–1768. [PMC free article] [PubMed]

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