Predicting place of death of patients with advanced cancer receiving home-based palliative care services in Iran

Autor: Mohammad-Sajad Zare, Awat Feizi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Palliative Care, Vol 23, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-024-01550-z
Popis: Abstract Background While home is frequently expressed as the favorite place of death (PoD) among terminally ill cancer patients, various factors affect the fulfillment of this wish. The determinants of the PoD of cancer patients in countries without healthcare system-integrated palliative and supportive care have not been studied before. This study aimed at identifying the predictors of the PoD of patients who suffer from advanced cancer by developing a reliable predictive model among who received home-based palliative care in Iran as a representative of the countries with isolated provision of palliative care services. Methods In a cross-sectional study, electronic records of 4083 advanced cancer patients enrolled in the Iranian Cancer Control Center (MACSA) palliative homecare program, who died between February 2018 and February 2020 were retrieved. Multivariable binary logistic regression analysis as well as subgroup analyses (location, sex, marital status, and tumor topography) was performed to identify the predictors of PoD. Results Of the 2398 cases included (mean age (SD) = 64.17 (14.45) year, 1269 (%52.9) male), 1216 (50.7%) patients died at home. Older age, presence and intensity of medical homecare in the last two weeks and registration in the Tehran site of the program were associated with dying at home (P
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