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EPIDEMIOLOGIE

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Early palliative care services and end-of-life care in medicare beneficiaries with hematologic malignancies - a population-based retrospective cohort study

RAO, Vinay B. ; BELANGER, Emmanuelle ; EGAN, Pamela C. ; LEBLANC, Thomas W. ; OLSZEWSKI, Adam J.
JOURNAL OF PALLIATIVE MEDICINE, 29/06/2020, Pagination inconnue

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How do children die in PICUs nowadays? - a multicenter study from Spain

AGRA-TUNAS, Carme ; RODRIGUEZ-RUIZ, Emilio ; RODRIGUEZ MERINO, Elva ; MODOS DE MORIR EN UCI PEDIÁTRICA-2 (MOMUCI-2) STUDY GROUP OF THE SPANISH SOCIETY OF PAEDIATRIC INTENSIVE CARE (SECIP)
Pediatric critical care medicine, 23/04/2020, Pagination inconnue

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Trends in place of death in a small developing country - a population-level study using death certificate data

JENNINGS, Nicholas ; CHAMBAERE, Kenneth ; DELIENS, Luc ; COHEN, Joachim
Journal of epidemiology and community health, 22/04/2020, Pagination inconnue

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Place of death for individuals with chronic lung disease - trends and associated factors from 2003 to 2017 in the United States

CROSS, Sarah H. ; ELY, E. Wesley ; KAVALIERATOS, Dio ; TULSKY, James A. ; WARRAICH, Haider J.
Chest, 03/2020, Pagination inconnue

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Thème : Santé.

LIEU DECES ; MALADIE RESPIRATOIRE ; MALADIE CHRONIQUE ; ETATS-UNIS ; EPIDEMIOLOGIE

Background: Chronic lung disease is a common cause of mortality, yet little is known about where individuals with chronic lung disease die.
Research Question: What are the trends and factors associated with place of death among individuals with chronic lung disease?
Study Design and Methods: We conducted a cross-sectional analysis of natural deaths using the Centers for Disease Control and Prevention Wide-ranging OnLine Data for Epidemiologic Research from 2003 to 2017 for which chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD), or cystic fibrosis (CF) was the underlying cause. Place of death was categorized as hospital, home, nursing facility, hospice facility, and other.
Results: From 2003 to 2017, more than 2.2. million deaths were primarily attributed to chronic lung disease (51.6% female, 92.4% white). Most were attributed to COPD (88.9%), followed by ILD (10.8.%), and CF (0.3%). Hospital and nursing facility deaths declined from 44.4% (n= 59,470) and 22.6% (n= 30,285) to 28.3% (n= 49,6555) and 19.7% (n= 34,495) while home and hospice facility deaths increased from 23.3% (n=31,296) and 0.1% (n=192) to 34.7% (n=60851) and 9.0% (n=15,861) respectively. Male sex, being married, and having some college education were associated with increased odds of home death while non-white race and Hispanic ethnicity were associated with increased odds of hospital death. Compared to decedents with COPD, individuals with ILD and CF had increased odds of hospital death and reduced odds of home, nursing facility or hospice facility death.
Interpretation: Home deaths are increasing among decedents from chronic lung disease increasing the need for quality end-of-life care in this setting. Further research should explore the end-of-life needs and preferences of these patients and their caregivers with particular attention paid to patients with ILD and CF who continue to have high rates of hospital death.

Origine : DOI.org (Crossref

Comfort and clinical events at the end of life of nursing home residents with and without dementia - the six-country epidemiological PACE study

MIRANDA, Rose ; VAN DER STEEN, Jenny T. ; SMETS, Tinne ; VAN DEN NOORTGATE, Nele ; DELIENS, Luc ; PAYNE, Sheila ; KYLANEN, Marika ; SZCZERBINSKA, Katarzyna ; GAMBASSI, Giovanni ; VAN DEN BLOCK, Lieve ; PACE
International journal of geriatric psychiatry, 03/03/2020, Pagination inconnue

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Population-based palliative care planning in Ireland - how many people will live and die with serious illness to 2046?

MAY, Peter ; JOHNSTON, Bridget M. ; NORMAND, Charles E. ; HIGGINSON, Irene J. ; KENNY, Rose Anne ; RYAN, Karen
HRB open research, 2019, vol.2, p. 1-21

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Thème : Santé. Cote : eD01.05

IRLANDE ; DEMARCHE PALLIATIVE ; EPIDEMIOLOGIE ; BESOIN

Background: All countries face growing demand for palliative care services. Projections of need are essential to plan care in an era of demographic change. We aim to estimate palliative care needs in Ireland from 2016 to 2046.
Methods: Static modelling of secondary data. First, we estimate the numbers of people in Ireland who will die from a disease associated with palliative care need. We combine government statistics on cause of death (2007-2015) and projected mortality (2016-2046). Second, we combine these statistics with survey data to estimate numbers of people aged 50+ living and dying with diseases associated with palliative care need. Third, we use these projections and survey data to estimate disability burden, pain prevalence and health care utilisation among people aged 50+ living and dying with serious medical illness.
Results: In 2016, the number of people dying annually from a disease indicating palliative care need was estimated as 22,806, and the number of people not in the last year of life aged 50+ with a relevant diagnosis was estimated as 290,185. Equivalent estimates for 2046 are 40,355 and 548,105, increases of 84% and 89% respectively. These groups account disproportionately for disability burden, pain prevalence and health care use among older people, meaning that population health burdens and health care use will increase significantly in the next three decades. Conclusion: The global population is ageing, although significant differences in intensity of ageing can be seen between countries. Prevalence of palliative care need in Ireland will nearly double over 30 years, reflecting Ireland's relatively young population. People living with a serious disease outnumber those in the last year of life by approximately 12:1, necessitating implementation of integrated palliative care across the disease trajectory. Urgent steps on funding, workforce development and service provision are required to address these challenges.

Origine : PubMed

Trends in place of death for cardiovascular mortality related to heart failure in the United States from 2003 to 2017

CHUZI, Sarah ; MOLSBERRY, Rebecca ; OGUNSEITAN, Adeboye ; WARRAICH, Haider J. ; WILCOX, Jane E. ; GRADY, Kathleen L. ; YANCY, Clyde W. ; KHAN, Sadiya S.
Circulation. Heart failure, 02/2020, vol.13, n°2, Pagination inconnue

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Trends in place of death in a super-aged society - a population-based study, 1998-2017

KOYAMA, Toshihiro ; HAGIYA, Hideharu ; FUNAHASHI, Tomoko ; ZAMAMI, Yoshito ; YAMAGISHI, Miyu ; ONOUE, Hiroshi ; TERATANI, Yusuke ; MIKAMI, Naoko ; SHINOMIYA, Kazuaki ; KITAMURA, Yoshihisa ; SENDO, Toshiaki ; HINOTSU, Shiro ; KANO, Mitsunobu R.
JOURNAL OF PALLIATIVE MEDICINE, 18/02/2020, Pagination inconnue

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Chronicle of a death foretold - can studying death help us care for the living?

RIFKIN, Dena E.
Clinical journal of the American Society of Nephrology, 05/2020, vol.15, p. 1-3

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Availability of home palliative care services and dying at home in conditions needing palliative care - a population-based death certificate study

NAKANISHI, Miharu ; OGAWA, Asao ; NISHIDA, Atsushi
PALLIATIVE MEDICINE, 23/01/2020, Pagination inconnue

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Nonmedical factors influencing early deaths in burns - a study of the national burn repository

NYGAARD, Rachel M. ; ENDORF, Frederick W.
Journal of burn care and research, 17/08/2019, p. 1-18

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Thème : Santé. Cote : eD01.05

MORTALITE ; EPIDEMIOLOGIE ; ESPERANCE VIE ; FACTEUR

It is well-established that survival in burn injury is primarily dependent on three factors: age, percent total-body surface area burned (%TBSA), and inhalation injury. However, it is clear that in other (non-burn) conditions, nonmedical factors may influence mortality. Even in severe burns, patients undergoing resuscitation may survive for a period of time before succumbing to infection or other complications. In some cases, though, families in conjunction with caregivers may choose to withdraw care and not resuscitate patients with large burns. We wanted to investigate whether any nonmedical socioeconomic factors influenced the rate of early deaths in burn patients. The National Burn Repository (NBR) was used to identify patients that died in the first 72 hours after injury and those that survived more than 72 hours. Both univariate and multivariate regression analyses were used to examine factors including age, gender, race, comorbidities, burn size, inhalation injury, and insurance type, and determine their influence on deaths within 72 hours. A total of 133,889 burn patients were identified, 1362 of which died in the first 72 hours. As expected, the Baux score (age plus burn size), and inhalation injury predicted early deaths. Interestingly, on multivariate analysis, patients with Medicare (p=0.002), self-pay patients (p< 0.001), and those covered by automobile policies (p=0.045) were significantly more likely to die early than those with commercial insurance. Medicaid patients were more likely to die early, but not significantly (p=0.188). Worker's compensation patients were more likely to survive the first 72 hours compared to patients with commercial insurance (p<0.001). Men were more likely to survive the early period than women (p=0.043). On analysis by race, only Hispanic patients significantly differed from white patients, and Hispanics were more likely to survive the first 72 hours (p=0.028). Traditional medical factors are major factors in early burn deaths. However, these results show that nonmedical socioeconomic factors including race, gender, and especially insurance status influence early burn deaths as well.

Origine : PubMed

Research, recruitment and observational data collection in care homes - lessons from the pace study

COLLINGRIDGE MOORE, Danni ; PAYNE, Sheila ; VAN DEN BLOCK, Lieve ; TEN KOPPEL, Maud ; SZCZERBINSKA, Katarzyna ; FROGGATT, Katherine ; PACE (PALLIATIVE CARE FOR OLDER PEOPLE IN CARE AND NURSING HOMES IN EUROPE) CONSORTIUM
BMC research notes, 14/08/2019, vol.12, n°1, p. 1-6

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Epidemiologic trends of adoption of do-not-resuscitate status after pediatric in-hospital cardiac arrest

GUPTA, Punkaj ; RETTIGANTI, Mallikarjuna ; GOSSETT, Jeffrey M. ; NADKARNI, Vinay M. ; BERG, Robert A. ; RAYMOND, Tia T. ; PARSHURAM, Christopher S. ; AMERICAN HEART ASSOCIATION’S GET WITH THE GUIDELINES-RESUSCITATION INVESTIGATORS
Pediatric critical care medicine, 21/06/2019, Pagination inconnue

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Access to palliative care for cancer patients between diagnosis and death - a national cohort study

JANAH, Asmaa ; GAUTHIER, Lynn R. ; MORIN, Lucas ; BOUSQUET, Philippe Jean ; LE BIHAN, Christine ; TUPPIN, Philippe ; PERETTI-WATEL, Patrick ; BENDIANE, Marc-Karim
Clinical epidemiology, 2019, vol.11, p. 443-455

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Characteristics of breakthrough pain and its impact on quality of life in terminally ill cancer patients

GONELLA, Silvia ; SPERLINGA, Riccardo ; SCIANNAMEO, Veronica ; DIMONTE, Valerio ; CAMPAGNA, Sara
Integrative cancer therapies, 12/2019, vol.18, p. 1-7

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Internet search query analysis can be used to demonstrate the rapidly increasing public awareness of palliative care in the USA

MCLEAN, Sarah ; LENNON, Paul ; GLARE, Paul A.
BMJ supportive and palliative care, 03/2019, vol.9, n°1, p. 40-44

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Mort inattendue du nourrisson

NAUD, Julien
REVUE DU PRATICIEN MONOGRAPHIE, 04/2018, vol.68, n°4, p. 419-425

Palliative care as an essential component of the HIV care continuum

HARDING, Richard
The lancet. HIV, 01/09/2018, vol.5, n°9, p. e524-e530

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Prognostic factors in patients with loco-regionally advanced gastric cancer

HULTMAN, Bo ; GUNNARSSON, Ulf ; NYGREN, Peter ; SUNDBOM, Magnus ; GLIMELIUS, Bengt ; MAHTEME, Haile
World journal of surgical oncology, 15/09/2017, vol.15, n°1, p. 1-8

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Thème : Médecine. Cote : eD03.03.00

PRONOSTIC ; CANCER DIGESTIF ; EPIDEMIOLOGIE ; THERAPEUTIQUE ANTI CANCEREUSE

BACKGROUND: The aim of this study was to investigate epidemiologic and prognostic factors relevant to the treatment of loco-regionally advanced gastric cancer (GC).
METHODS: Two hundred and fifty-five patients with GC were identified in Uppsala County between 2000 and 2009. Patient records were analyzed for loco-regionally advanced GC defined as tumor with peritoneal involvement, excluding serosal invasion from the primary tumor only, at primary diagnosis or during follow-up. The presence or not of distant metastasis (DM), including hematogenous metastases (e.g., liver, lung, and bone) and/or distant lymph node metastases, was also analyzed. The Cox proportional hazard model was used for multivariate analysis of factors influencing survival.
RESULTS: One hundred and twenty patients (47% of all patients with GC; median age 70.5 years) had loco-regionally advanced disease, corresponding to an incidence of 3.8 per 100,000 person-years. Forty-one percent of these also had DM. Median overall survival (mOS) from the time of the diagnosis of loco-regionally advanced disease was 4.8 months for the total patient cohort, 5.1 months for the subgroup of patients without DM, and 4.7 months for the subgroup with DM. There was no significant difference in mOS between the subgroups with synchronous versus metachronous loco-regionally advanced GC: 4.8 months (range 0.0-67.4) versus 4.7 months (range 0.0-28.3). Using multivariate Cox analysis, positive prognostic factors for survival were good performance status at diagnosis and treatment with palliative chemotherapy and/or radiotherapy. Synchronous DM was a negative prognostic factor. The mOS did not differ when comparing the time period 2000-2004 (5.1 months, range 0-67.4) with the period 2005-2009 (4.0 months, range 0.0-28.3).
CONCLUSION: Peritoneal involvement occurred in almost half of the patients with GC in this study and was associated with short life expectancy. New treatment strategies are warranted.

Origine : PubMed

Ethnohistory and the dead - cultures of colonial epidemiology

POLEYKETT, Branwyn
Medical anthropology, 12/04/2018, p. 1-14

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