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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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2018 Oncology List
Text
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Citation List Month
Oncology 2018 List
URL Address
<a href="http://doi.org/10.1002/cncr.30860" target="_blank" rel="noreferrer noopener">http://doi.o
rg/10.1002/cncr.30860</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Disparities in location of death of adolescents and young adults with cancer: A longitudinal, population study in California
Publisher
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Cancer
Date
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2017
Subject
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Neoplasms; Death; Male; Hospital Mortality; Young Adult; Humans; Adult; Adolescent; Female; Retrospective Studies; Attitude to Death; Hospital Mortality/td [Trends]; California; Hospices/sn [Statistics & Numerical Data]; Patient Preference/sn [Statistics & Numerical Data]; Nursing Homes/sn [Statistics & Numerical Data]; Residence Characteristics/sn [Statistics & Numerical Data]
Creator
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Rajeshuni N; Johnston EE; Saynina O; Sanders LM; Chamberlain LJ
Description
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BACKGROUND: Patients with a terminal illness should have access to their chosen location of death. Cancer is the leading cause of non-accidental death among adolescents and young adults (AYAs; those aged 15-39 years). Although surveys have suggested that a majority of these patients prefer a home death, to the authors' knowledge, little is known regarding their barriers to accessing their preferred location of death. As a first step, the authors sought to determine, across a large population, 20-year trends in the location of death among AYA patients with cancer. METHODS: Using the Vital Statistics Death Certificate Database of the California Office of Statewide Health Planning and Development, the authors performed a retrospective, population-based analysis of California patients with cancer aged 15 to 39 years who died between 1989 and 2011. Sociodemographic and clinical factors associated with hospital death were examined using multivariable logistic regression. RESULTS: Of 30,573 AYA oncology decedents, 57% died in a hospital, 33% died at home, and 10% died in other locations (eg, hospice facility or nursing facility). Between 1989 and 1994, hospital death rates decreased from 68.3% to 53.6% and at-home death rates increased from 16.8% to 35.5%. Between 1995 and 2011, these rates were stable. Those individuals who were more likely to die in a hospital were those aged <30 years, of minority race, of Hispanic ethnicity, who lived <=10 miles from a specialty center, and who had a diagnosis of leukemia or lymphoma. CONCLUSIONS: Overall, the majority of AYA cancer deaths occurred in a hospital, with a 5-year shift to more in-home deaths that abated after 1995. In-hospital deaths were more common among younger patients, patients of minority race/ethnicities, and those with a leukemia or lymphoma diagnosis. Further study is needed to determine whether these rates and disparities are consistent with patient preferences. Cancer 2017;123:4178-4184. � 2017 American Cancer Society.
Identifier
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<a href="http://doi.org/%2010.1002/cncr.30860" target="_blank" rel="noreferrer noopener">10.1002/cncr.30860</a>
2017
Adolescent
Adult
Attitude To Death
California
Cancer
Chamberlain LJ
Death
Female
Hospices/sn [statistics & Numerical Data]
Hospital Mortality
Hospital Mortality/td [Trends]
Humans
Johnston EE
Male
Neoplasms
Nursing Homes/sn [Statistics & Numerical Data]
Oncology 2018 List
Patient Preference/sn [Statistics & Numerical Data]
Rajeshuni N
Residence Characteristics/sn [Statistics & Numerical Data]
Retrospective Studies
Sanders LM
Saynina O
Young Adult