PMID- 24653476
OWN - NLM
STAT- MEDLINE
DCOM- 20160229
LR  - 20140321
IS  - 2045-4368 (Electronic)
IS  - 2045-435X (Linking)
VI  - 1
IP  - 3
DP  - 2011 Dec
TI  - Opinions of patients with cancer on the relative importance of place of death in 
      the context of a 'good death'.
PG  - 310-4
LID - 10.1136/bmjspcare-2011-000041 [doi]
AB  - OBJECTIVE: The primary objective of the study was to determine the relative 
      importance of place of death to patients with advanced cancer being treated at a 
      cancer centre in England. METHODS: Demographic data were collected from the 
      electronic patient record system, with additional information obtained from the 
      patients themselves. Patients were questioned about a variety of end of life 
      issues, including preferred place of death (PPD), and 'acceptable' places of 
      death. They were also asked to rank the importance of factors previously linked 
      to a 'good death'. RESULTS: 120 patients participated in the study. 51 (42.5%) 
      patients stated that 'home' was their PPD, while 80 (67%) patients stated that 
      home was an acceptable place of death. Patients from areas with worse deprivation 
      scores were less likely to want to die at home than patients from areas with 
      better deprivation scores (p=0.03). The most important factors associated with a 
      good death were 'to have my pain/symptoms well controlled', 'to not be a burden 
      to my family' and 'to have sorted out my personal affairs' respectively. Place of 
      death was ranked as the seventh most important factor. DISCUSSION: Place of death 
      is undoubtedly an important factor in achieving a good death for some patients 
      and carers. However, for others a home death is either unimportant or to be 
      avoided. The results of this study, and the results of similar studies, suggest 
      that place of death may not be a good marker of the quality of end of life care.
FAU - Waghorn, Melanie
AU  - Waghorn M
AD  - Palliative Care, St Luke's Cancer Centre, Royal Surrey County Hospital, 
      Guildford, UK.
FAU - Young, Holly
AU  - Young H
FAU - Davies, Andrew
AU  - Davies A
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110825
PL  - England
TA  - BMJ Support Palliat Care
JT  - BMJ supportive & palliative care
JID - 101565123
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Attitude to Death
MH  - England
MH  - Female
MH  - Home Care Services
MH  - Hospices
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Neoplasms
MH  - *Patient Preference
MH  - Residence Characteristics
MH  - *Terminal Care
EDAT- 2011/12/01 00:00
MHDA- 2016/03/02 06:00
CRDT- 2014/03/22 06:00
PHST- 2014/03/22 06:00 [entrez]
PHST- 2011/12/01 00:00 [pubmed]
PHST- 2016/03/02 06:00 [medline]
AID - bmjspcare-2011-000041 [pii]
AID - 10.1136/bmjspcare-2011-000041 [doi]
PST - ppublish
SO  - BMJ Support Palliat Care. 2011 Dec;1(3):310-4. doi: 
      10.1136/bmjspcare-2011-000041. Epub 2011 Aug 25.