Place of death of people living with Parkinson's disease: A population-level study in 11 countries

Katrien Moens, Dirk Houttekier, Lieve Van Den Block, Richard Harding, Lucas Morin, Stefano Marchetti, Agnes Csikos, Martin Loucka, Wayne A. Naylor, Donna M. Wilson, Joan Teno, Marylou Cardenas-Turanzas, Yong Joo Rhee, Francisco Javier Garcia-Leon, Luc Deliens, Joachim Cohen

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson's disease (PD) across 11 European and non-European countries. Methods: Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses. Results: The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea. Hospital was the most prevalent place of death in France (40%), Hungary (60%) and South Korea; nursing home in New Zealand (71%), Belgium (52%), USA (50%), Canada (48%) and Czech Republic (44%); home in Mexico (73%), Italy (51%) and Spain (46%). The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA). Conclusions: In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.

Original languageEnglish (US)
Article number28
JournalBMC Palliative Care
Volume14
Issue number1
DOIs
StatePublished - May 20 2015
Externally publishedYes

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Parkinson Disease
Italy
Belgium
Population
Republic of Korea
France
Mexico
Canada
Terminal Care
Hungary
Czech Republic
International Classification of Diseases
New Zealand
Spain
Death Certificates
Nursing Homes
Logistic Models
Regression Analysis
Demography

Keywords

  • Cross-national comparison
  • Palliative care
  • Parkinson's disease
  • Place of death
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Moens, K., Houttekier, D., Van Den Block, L., Harding, R., Morin, L., Marchetti, S., ... Cohen, J. (2015). Place of death of people living with Parkinson's disease: A population-level study in 11 countries. BMC Palliative Care, 14(1), [28]. https://doi.org/10.1186/s12904-015-0021-3

Place of death of people living with Parkinson's disease : A population-level study in 11 countries. / Moens, Katrien; Houttekier, Dirk; Van Den Block, Lieve; Harding, Richard; Morin, Lucas; Marchetti, Stefano; Csikos, Agnes; Loucka, Martin; Naylor, Wayne A.; Wilson, Donna M.; Teno, Joan; Cardenas-Turanzas, Marylou; Rhee, Yong Joo; Garcia-Leon, Francisco Javier; Deliens, Luc; Cohen, Joachim.

In: BMC Palliative Care, Vol. 14, No. 1, 28, 20.05.2015.

Research output: Contribution to journalArticle

Moens, K, Houttekier, D, Van Den Block, L, Harding, R, Morin, L, Marchetti, S, Csikos, A, Loucka, M, Naylor, WA, Wilson, DM, Teno, J, Cardenas-Turanzas, M, Rhee, YJ, Garcia-Leon, FJ, Deliens, L & Cohen, J 2015, 'Place of death of people living with Parkinson's disease: A population-level study in 11 countries', BMC Palliative Care, vol. 14, no. 1, 28. https://doi.org/10.1186/s12904-015-0021-3
Moens K, Houttekier D, Van Den Block L, Harding R, Morin L, Marchetti S et al. Place of death of people living with Parkinson's disease: A population-level study in 11 countries. BMC Palliative Care. 2015 May 20;14(1). 28. https://doi.org/10.1186/s12904-015-0021-3
Moens, Katrien ; Houttekier, Dirk ; Van Den Block, Lieve ; Harding, Richard ; Morin, Lucas ; Marchetti, Stefano ; Csikos, Agnes ; Loucka, Martin ; Naylor, Wayne A. ; Wilson, Donna M. ; Teno, Joan ; Cardenas-Turanzas, Marylou ; Rhee, Yong Joo ; Garcia-Leon, Francisco Javier ; Deliens, Luc ; Cohen, Joachim. / Place of death of people living with Parkinson's disease : A population-level study in 11 countries. In: BMC Palliative Care. 2015 ; Vol. 14, No. 1.
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abstract = "Background: Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson's disease (PD) across 11 European and non-European countries. Methods: Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses. Results: The proportion of deaths in hospital ranged from 17{\%} in the USA to 75{\%} in South Korea. Hospital was the most prevalent place of death in France (40{\%}), Hungary (60{\%}) and South Korea; nursing home in New Zealand (71{\%}), Belgium (52{\%}), USA (50{\%}), Canada (48{\%}) and Czech Republic (44{\%}); home in Mexico (73{\%}), Italy (51{\%}) and Spain (46{\%}). The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA). Conclusions: In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.",
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AU - Moens, Katrien

AU - Houttekier, Dirk

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AU - Harding, Richard

AU - Morin, Lucas

AU - Marchetti, Stefano

AU - Csikos, Agnes

AU - Loucka, Martin

AU - Naylor, Wayne A.

AU - Wilson, Donna M.

AU - Teno, Joan

AU - Cardenas-Turanzas, Marylou

AU - Rhee, Yong Joo

AU - Garcia-Leon, Francisco Javier

AU - Deliens, Luc

AU - Cohen, Joachim

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N2 - Background: Most people prefer to receive end-of-life care in familiar surroundings rather than in hospital. This study examines variation in place of death for people dying from Parkinson's disease (PD) across 11 European and non-European countries. Methods: Using death certificate data of 2008 for Belgium, France, Italy, Hungary, Czech Republic, New Zealand, USA, Canada, Mexico, South Korea and Spain for all deaths with PD as an underlying cause (ICD-10 code: G20) cross-national differences in place of death were examined. Associations between place of death and patient socio-demographic and regional characteristics were evaluated using multivariable binary logistic regression analyses. Results: The proportion of deaths in hospital ranged from 17% in the USA to 75% in South Korea. Hospital was the most prevalent place of death in France (40%), Hungary (60%) and South Korea; nursing home in New Zealand (71%), Belgium (52%), USA (50%), Canada (48%) and Czech Republic (44%); home in Mexico (73%), Italy (51%) and Spain (46%). The chances of dying in hospital were consistently higher for men (Belgium, France, Italy, USA, Canada), those younger than 80 years (Belgium, France, Italy, USA, Mexico), and those living in areas with a higher provision of hospital beds (Italy, USA). Conclusions: In several countries a substantial proportion of deaths from PD occurs in hospitals, although this may not be the most optimal place of terminal care and death. The wide variation between countries in the proportion of deaths from PD occurring in hospital indicates a potential for many countries to reduce these proportions.

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KW - Palliative care

KW - Parkinson's disease

KW - Place of death

KW - Risk factors

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