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Am J Hosp Palliat Care. 2019 Jul 31:1049909119865865. doi: 10.1177/1049909119865865. [Epub ahead of print]

Retrospective Prognostic Study of Death at Home or Hospice Versus at a Hospital Among Patients With Advanced Non-Small Cell Lung Cancer.

Author information

1
1 Department of Pulmonary Medicine, Nishisaitama-Chuo National Hospital, Wakasa, Tokorozawa city, Saitama, Japan.
2
2 Department of Pulmonary Medicine, Saitama Medical University International Medical Center, Yamane, Hidaka-city, Saitama, Japan.
3
3 Division of Respiratory Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Miyamae-ku, Kawasaki city, Japan.

Abstract

BACKGROUND:

Patients with advanced non-small cell lung cancer greatly care about where they will die. Most people in Japan preferred their location of death as their homes. But only 8.2% of patients with cancer spend their last days at home with palliative care in Japan. Many patients with cancer are still going to spend their last days at a hospital (81.7%).

OBJECTIVE:

We examined the survival times of such patients according to their place of death; that is, whether they died at home, at a hospice, or at a hospital, and investigated patient characteristics.

RESULTS:

Among the 313 patients recruited, 214 were analyzed in this study: 90, 49, and 75 received hospital-based, home-based, and hospice-based palliative care, respectively. The patients who died at a hospice exhibited significantly longer survival than those who died at hospital (estimated median survival time, 420 days [95% confidence interval [CI]: 325-612 days] versus 252 days [95% CI: 201-316 days]; P < .0001). The characteristics of patients did not differ significantly according to place of death.

CONCLUSIONS:

Patients who died at a hospice or at home exhibited significantly longer survival than those who died at a hospital for advanced non-small cell lung cancer.

KEYWORDS:

home care services; hospices; inflammation; lung neoplasms; palliative care; place of death

PMID:
31366208
DOI:
10.1177/1049909119865865

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