Which cancer patients die in nursing homes? Quality of life, medical and sociodemographic characteristics

M. S. Jordhøy, I. Saltvedt, Peter Fayers, J. H. Loge, M. Ahlner-Elmqvist, S. Kaasa

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Abstract

In this study, cancer patients' characteristics associated with death in nursing homes were explored. The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 ( 66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes. Health-related quality of life was prospectively recorded using the EORTC QLQ-C30 questionnaire. Death in nursing home was associated with greater age, not living with spouse and poor performance status. Patients dying in nursing homes reported severe functioning impairments and more fatigue and appetite loss compared with those dying elsewhere. The association between death in nursing homes and poor physical, role, cognitive and social functioning remained significant when sociodemographic and medical differences were taken into account. Further research on frail elderly cancer patients is warranted to improve their care, to evaluate the appropriateness of nursing home placement and for future planning of palliative care services.

Original languageEnglish
Pages (from-to)433-444
Number of pages11
JournalPalliative Medicine
Volume17
DOIs
Publication statusPublished - 2003

Keywords

  • palliative care
  • place of death
  • nursing homes
  • RANDOMIZED TRIAL
  • GERIATRIC EVALUATION
  • SOUTH-AUSTRALIA
  • OLDER PATIENTS
  • DEATH
  • CARE
  • PLACE
  • QLQ-C30
  • UNIT
  • QUESTIONNAIRE

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