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40
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Text
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<a href="http://doi.org/10.1089/jpm.2014.0129" target="_blank" rel="noreferrer">http://doi.org/10.1089/jpm.2014.0129</a>
<a href="http://online.liebertpub.com/doi/abs/10.1089/jpm.2014.0129" target="_blank" rel="noreferrer">http://online.liebertpub.com/doi/abs/10.1089/jpm.2014.0129</a>
Dublin Core
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Title
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Assessing Need for Palliative Care Services for Children in Mexico
Publisher
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Journal Of Palliative Medicine
Date
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2014
Creator
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Cardenas-Turanzas M; Tovalin-Ahumada H; Romo CG; Okhuysen-Cawley R
Description
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Background: Pediatric palliative care increasingly became integrated into health care institutions worldwide over the last decade. However, in Mexico and other developing countries with large populations of children, little is known regarding the need for palliative care services. We aimed to assess the need for palliative and end-of-life care for children dying in public hospitals affiliated with Secretaria de Salud in Mexico. Measurement: We conducted a retrospective review of deaths of children (1–17 years old) occurring during 2011 and determined deaths associated with underlying complex chronic conditions by reviewing the four causes of death listed in the death certificate. We collected sociodemographic and clinical data and utilized univariate and multivariate analyses to determine factors associated with complex chronic conditions. Results: A total of 2715 pediatric deaths were studied. We found 41% were associated with a complex chronic condition. The most frequent types of conditions were malignancies (47%), neuromuscular (18%), cardiovascular (12%), and renal (10%). Children with renal and malignant conditions died at an older age than children with other types of complex chronic conditions. Multivariate analysis indicated the independent predictors of death with complex chronic condition were no indigenous ethnicity, lack of admission to the intensive care unit during the final hospital stay, and having affiliation with an institution for health care. Conclusions: A large proportion of pediatric deaths are associated with complex chronic conditions indicating the provision of adequate funding for professional education and palliative care initiatives for children in Mexico, should be a topic of the national health care agenda.
2014-10
Identifier
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<a href="http://doi.org/10.1089/jpm.2014.0129" target="_blank" rel="noreferrer">10.1089/jpm.2014.0129</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2014
Backlog
Cardenas-Turanzas M
Journal Article
Journal of Palliative Medicine
Okhuysen-Cawley R
Romo CG
Tovalin-Ahumada H
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
March 2017 List
Dublin Core
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Title
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Place Of Death Of Children With Complex Chronic Conditions: Cross-national Study Of 11 Countries
Publisher
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European Journal Of Pediatrics
Date
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2017
Subject
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Cause Of Death; Palliative Therapy; Adolescent; Belgium; Cancer Epidemiology; Child; Controlled Study; Cultural Value; Death Certificate; Female; Girl; Human; Logistic Regression Analysis; Major Clinical Study; Male; Malignant Neoplastic Disease; Mexico; Neuromuscular Disease; South Korea; Sweden
Creator
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Hakanson C; Ohlen J; Kreicbergs U; Cardenas-Turanzas M; Wilson DM; Loucka M; Frache S; Giovannetti L; Naylor W; Rhee Y; Ramos MR; Teno J; Beernaert K; Deliens L; Houttekier D; Cohen H
Description
An account of the resource
Cross-national understanding of place of death is crucial for health service systems for their provision of efficient and equal access to paediatric palliative care. The objectives of this population-level study were to examine where children with complex chronic conditions (CCC) die and to investigate associations between places of death and sex, cause of death and country. The study used death certificate data of all deceased 1- to 17-year-old children (n = 40,624) who died in 2008, in 11 European and non-European countries. Multivariable logistic regression was performed to determine associations between place of death and other factors. Between 24.4 and 75.3% of all children 1-17 years in the countries died of CCC. Of these, between 6.7 and 42.4% died at home. In Belgium and the USA, all deaths caused by CCC other than malignancies were less likely to occur at home, whereas in Mexico and South Korea, deaths caused by neuromuscular diseases were more likely to occur at home than malignancies. In Mexico (OR = 0.91, 95% CI: 0.83-1.00) and Sweden (OR = 0.35, 95% CI: 0.15-0.83), girls had a significantly lower chance of dying at home than boys. Conclusion: This study shows large cross-national variations in place of death. These variations may relate to health system-related infrastructures and policies, and differences in cultural values related to place of death, although this needs further investigation. The patterns found in this study can inform the development of paediatric palliative care programs internationally.(Table presented.) Copyright © 2017 Springer-Verlag Berlin Heidelberg
Identifier
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10.1007/s00431-016-2837-0
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Adolescent
Beernaert K
Belgium
Cancer Epidemiology
Cardenas-Turanzas M
Cause Of Death
Child
Cohen H
Controlled Study
Cultural Value
Death Certificate
Deliens L
European Journal of Pediatrics
Female
Frache S
Giovannetti L
Girl
Hakanson C
Houttekier D
Human
Kreicbergs U
Logistic Regression Analysis
Loucka M
Major Clinical Study
Male
Malignant Neoplastic Disease
March 2017 List
Mexico
Naylor W
Neuromuscular Disease
Ohlen J
Palliative Therapy
Ramos MR
Rhee Y
South Korea
Sweden
Teno J
Wilson DM