Disparities in place of death for patients with hematological malignancies, 1999 to 2015.
Journal Article (Journal Article)
Patients with hematologic malignancies (HMs) often receive aggressive end-of-life care and less frequently use hospice. Comprehensive longitudinal reporting on place of death, a key quality indicator, is lacking. Deidentified death certificate data were obtained via the National Center for Health Statistics for all HM deaths from 1999 to 2015. Multivariate regression analysis (MVA) was used to test for disparities in place of death associated with sociodemographic variables. During the study period, there were 951 435 HM deaths. Hospital deaths decreased from 54.6% in 1999 to 38.2% in 2015, whereas home (25.9% to 32.7%) and hospice facility deaths (0% to 12.1%) increased (all P < .001). On MVA of all cancers, HM patients had the lowest odds of home or hospice facility death (odds ratio [OR], 0.55; 95% confidence interval, 0.54-0.55). Older age (40-64 years: OR, 1.34; ≥65 years: OR, 1.89), being married (OR, 1.62), and having myeloma (OR, 1.34) were associated with home or hospice facility death, whereas being black or African American (OR, 0.68), Asian (OR, 0.58), or Hispanic (OR, 0.84) or having chronic leukemia (OR, 0.83) had decreased odds of dying at home or hospice (all P < .001). In conclusion, despite hospital deaths decreasing over time, patients with HMs remained more likely to die in the hospital than at home.
Full Text
Duke Authors
Cited Authors
- Chino, F; Kamal, AH; Chino, J; LeBlanc, TW
Published Date
- February 12, 2019
Published In
- Blood Adv
Volume / Issue
- 3 / 3
Start / End Page
- 333 - 338
PubMed ID
- 30709864
Pubmed Central ID
- PMC6373747
Electronic International Standard Serial Number (EISSN)
- 2473-9537
Digital Object Identifier (DOI)
- 10.1182/bloodadvances.2018023051
Language
- eng
Conference Location
- United States