Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers
ABSTRACT Background Cancer is one of the leading causes of death in Latin America. This study aims to compare the percentage of home and hospital deaths among cancer patients in 12 Latin American countries and to examine associated factors. Methods We carried out a population‐level observational stu...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.70996 |
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| author | Alisa Dannenberg Joachim Cohen Luc Deliens Katja Seitz Alicia Krikorian Luis Fernando Rodrigues Verónica Kramer Alejandra Sosa Basaistegui Alberto Alonso Babarro Andrea Cartin Celina Castaneda Lesly Peralta Cesar Villacres Sofía Bunge Tania Pastrana |
| author_facet | Alisa Dannenberg Joachim Cohen Luc Deliens Katja Seitz Alicia Krikorian Luis Fernando Rodrigues Verónica Kramer Alejandra Sosa Basaistegui Alberto Alonso Babarro Andrea Cartin Celina Castaneda Lesly Peralta Cesar Villacres Sofía Bunge Tania Pastrana |
| author_sort | Alisa Dannenberg |
| collection | DOAJ |
| description | ABSTRACT Background Cancer is one of the leading causes of death in Latin America. This study aims to compare the percentage of home and hospital deaths among cancer patients in 12 Latin American countries and to examine associated factors. Methods We carried out a population‐level observational study using death certificate data from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Mexico, Paraguay, Peru and Uruguay. Data from cancer decedents (ICD‐10 C00–C97) for a full year (January 1 to December 31) with available data (2016–2018) were included. We used descriptive statistics and multivariable binary logistic regression analysis in each country and between countries to describe the distribution in place of death and examine associated sociodemographic, clinical and ecological factors. Results Cancer was the underlying cause of 491,929 deaths. An average of 31.1% occurred at home, from a range of 14.9% in Brazil to 81% in Guatemala. The variation remains after controlling for sociodemographic factors and cancer types. Patients who are older, live in rural areas, have lower educational levels, and a solid cancer history are more likely to die at home. Countries with more hospital beds and physicians, better Universal Health Coverage, higher Human Development Index, and higher health expenditure per capita had fewer home deaths. Conclusion Factors affecting place of death patterns in Latin America are country‐specific and the results can only partially be explained by sociodemographic, clinical and ecological factors. Our results may be used to improve palliative care according to the current country‐specific distribution of place of death. |
| format | Article |
| id | doaj-art-e032baf739de47c7b5fca45c5a71ad4f |
| institution | OA Journals |
| issn | 2045-7634 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-e032baf739de47c7b5fca45c5a71ad4f2025-08-20T02:20:52ZengWileyCancer Medicine2045-76342025-06-011412n/an/a10.1002/cam4.70996Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death RegistersAlisa Dannenberg0Joachim Cohen1Luc Deliens2Katja Seitz3Alicia Krikorian4Luis Fernando Rodrigues5Verónica Kramer6Alejandra Sosa Basaistegui7Alberto Alonso Babarro8Andrea Cartin9Celina Castaneda10Lesly Peralta11Cesar Villacres12Sofía Bunge13Tania Pastrana14Department of Palliative Medicine Uniklinik RWTH Aachen Aachen GermanyEnd‐of‐Life Care Research Group Vrije Universiteit Brussel (VUB) and Ghent University Brussels BelgiumEnd‐of‐Life Care Research Group Vrije Universiteit Brussel (VUB) and Ghent University Brussels BelgiumDepartment of Palliative Medicine Uniklinik RWTH Aachen Aachen GermanyGroup of Pain and Palliative Care School of Health Sciences, Universidad Pontificia Bolivariana Medellín ColombiaPalliative Care Unit Barreto's Cancer Hospital Barretos BrazilNational Cancer Institute Santiago de Chile ChileNational Cancer Institute Montevideo UruguayUnidad de Cuidados Paliativos Hospital Universitario La Paz Madrid SpainCentro de Cáncer y Hematología Hospital Metropolitano Universidad de Costa Rica San José Costa RicaFacultad de Medicina Universidad Autonoma del Estado de Mexico Ciudad de México MexicoDepartment of Palliative Care and Pain National Cancer Institute Capiata ParaguayServicio de Geriatría, Hospital Alberto Sabogal Sologuren – Essalud Callao PeruNational Cancer Institute Buenos Aires ArgentinaDepartment of Palliative Medicine Uniklinik RWTH Aachen Aachen GermanyABSTRACT Background Cancer is one of the leading causes of death in Latin America. This study aims to compare the percentage of home and hospital deaths among cancer patients in 12 Latin American countries and to examine associated factors. Methods We carried out a population‐level observational study using death certificate data from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Mexico, Paraguay, Peru and Uruguay. Data from cancer decedents (ICD‐10 C00–C97) for a full year (January 1 to December 31) with available data (2016–2018) were included. We used descriptive statistics and multivariable binary logistic regression analysis in each country and between countries to describe the distribution in place of death and examine associated sociodemographic, clinical and ecological factors. Results Cancer was the underlying cause of 491,929 deaths. An average of 31.1% occurred at home, from a range of 14.9% in Brazil to 81% in Guatemala. The variation remains after controlling for sociodemographic factors and cancer types. Patients who are older, live in rural areas, have lower educational levels, and a solid cancer history are more likely to die at home. Countries with more hospital beds and physicians, better Universal Health Coverage, higher Human Development Index, and higher health expenditure per capita had fewer home deaths. Conclusion Factors affecting place of death patterns in Latin America are country‐specific and the results can only partially be explained by sociodemographic, clinical and ecological factors. Our results may be used to improve palliative care according to the current country‐specific distribution of place of death.https://doi.org/10.1002/cam4.70996administrative datacancerLatin Americaplace of death |
| spellingShingle | Alisa Dannenberg Joachim Cohen Luc Deliens Katja Seitz Alicia Krikorian Luis Fernando Rodrigues Verónica Kramer Alejandra Sosa Basaistegui Alberto Alonso Babarro Andrea Cartin Celina Castaneda Lesly Peralta Cesar Villacres Sofía Bunge Tania Pastrana Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers Cancer Medicine administrative data cancer Latin America place of death |
| title | Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers |
| title_full | Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers |
| title_fullStr | Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers |
| title_full_unstemmed | Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers |
| title_short | Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers |
| title_sort | place of death of people with cancer in 12 latin american countries a population study using national death registers |
| topic | administrative data cancer Latin America place of death |
| url | https://doi.org/10.1002/cam4.70996 |
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