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Recent Trends
in the Place of Death of Cancer Patients
A Cancer Registry Based Study in the Yorkshire Region (1989-96)

Dr Z Amir, Professor RA Haward, EA Barker, Dr RC Lane (2000) Cancer Strategy 2, 55-60

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Recent Trends in the Place of Death of Cancer Patients (abstract)

Summary - Trends in the place of death of Yorkshire cancer patients between 1989 and 1996, and the relationships of selected socio-demographic and clinical variables to the place of death were examined by using cancer registry data.

The proportion of Yorkshire cancer patients who died in an NHS hospital fell gradually from 46% to 43%. Over the same period the percentage who died at home also declined from 33% to 28%. This decline was most marked during the period of greatest proportional increase in hospice deaths, which rose by 6% over the period.

In all age groups men were more likely than women to die in hospitals or at home, and women were more likely than men to die in hospices or nursing homes. Patients who lived with a partner were more likely to die at home than single patients, who were more likely to finish their life in a nursing home. Whilst the proportion of deaths at home was higher amongst patients from the upper super profile groups, death in hospital was proportionally more frequent amongst patients from lower super profile groups. Hospital was the most common place of death for all cancer types, with the exception of breast cancer patients who were more likely to die in a hospice and colorectal cancer patients who were more likely to die at home.

Key words: Cancer; Place of death; Palliative Care; Patientsí preferences; Patient-centred care.