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Article in Japanese
Abstract
Original Article
Predictors of home deaths in patients with terminal lung cancer: A single center retrospective study
Masayoshi Higashiguchia Tomonori Hirashimaa Sho Goyab Hidekazu Suzukia Yukiko Hashiguchic Kaori Iwatac Yukie Nakamurac Yukari Omoric Hitomi Hinoc Ichiro Kawasea
aDepartment of Thoracic Oncology, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
bDepartment of Palliative Care, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
cDepartment of Nursing, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
ABSTRACT
Cancer is the leading cause of death in Japan, with lung cancer being the most common. Many terminal cancer patients hope to die in their homes. However, hospital deaths are now much more common than home deaths, which may be due to inadequate home medical care or anxiety in patients and caregivers. In this study to clarify the predictors of home deaths, we retrospectively analyze lung cancer patients from our facilities who had been introduced to home palliative care. Ninety-one patients undergoing this method of care from January 2009 to March 2010 were identified. Of these patients, 31 died in their homes and 47 in the hospital; the proportion of home deaths was 39.7%. The hopes for a home death by patients and caregivers alike are strong predictors of home death. We suggest that central venous port implantation also promotes home deaths.
KEYWORDS
Lung cancer Home palliative care Home death
Received 12 Dec 2011 ／ Accepted 5 Mar 2012
AJRS, 1(6): 458-463, 2012
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