{"id":1862,"date":"2022-10-24T00:00:00","date_gmt":"2022-10-24T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\/"},"modified":"2023-12-21T11:31:50","modified_gmt":"2023-12-21T16:31:50","slug":"describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\/","title":{"rendered":"Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Few studies have described the settings cancer decedents spend their end-of-life stage, with none considering homecare specifically. We describe the different settings of care experienced in the last 100 days of life by individuals with cancer and how settings of care change as they approached death.<\/p>\n<p><strong>Methods<\/strong> &#x2014; A retrospective cohort study from January 2013 to December 2017, of decedents whose primary cause of death was cancer, using linked population-level health administrative datasets in Ontario, Canada.<\/p>\n<p><strong>Results<\/strong> &#x2014; Decedents 125,755 were included in our cohort. The average age at death was 73, 46% were female, and 14% resided in rural regions. And 24% died of lung cancer, 7% breast, 7% colorectal, 7% pancreatic, 5% prostate, and 50% other cancers. In the last 100 days of life, decedents spent 25.9 days in institutions, 25.8 days receiving care in the community, and 48.3 days at home without any care. Individuals who died of lung and pancreatic cancers spent the most days at home without any care (52.1 and 52.6 days), while individuals who died of prostate and breast cancer spent the least days at home without any care (41.6 and 45.1 days). Regardless of cancer type, decedents spent fewer days at home and more days in institutions as they approached death, despite established patient preferences for an end-of-life experience at home.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; In the last 100 days of life, cancer decedents spent most of their time in either institutions or at home without any care. Improving homecare services during the end-of-life may provide people dying of cancer with a preferred dying experience.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Few studies have described the settings cancer decedents spend their end-of-life stage, with none considering homecare specifically. We describe the different settings of care experienced in the last 100 days of life by individuals with cancer and how settings of care change as they approached death. Methods &#x2014; A retrospective cohort study from [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1862","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Hafid A, Howard M, Webber C, Gayowsky A, Scott M, Jones A, Hsu AT, Tanuseputro P, Downar J, Conen K, Manuel D, Isenberg SR. <em>Cancer Med<\/em>. 2023; 12(4):4809-20. Epub 2022 Oct 24.","source_url":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.5291","ices_scientist":[1323,1107,1276,1269,1274],"site":[6737],"research_program":[6747],"news_release":[7411],"journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"8B42D9B6-A0F6-4DE1-B9E5-9A05A2D2BC30","sitecore_item_name":"Describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents","sitecore_field_values":"{\n  \"Title\": \"Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study\",\n  \"Short title\": \"Describing settings of care in the last\",\n  \"Summary\": \"This study found that in the last 100\u2009days of life, cancer decedents spent most of their time in either institutions or at home without any care. \",\n  \"Citation\": \"<p>Hafid A, Howard M, Webber C, Gayowsky A, Scott M, Jones A, Hsu AT, Tanuseputro P, Downar J, Conen K, Manuel D, Isenberg SR. <em>Cancer Med<\/em>. 2022; Oct 24 [Epub ahead of print]. DOI: <a href=\"https:\/\/doi.org\/10.1002\/cam4.5291\" title=\"opens external link\">https:\/\/doi.org\/10.1002\/cam4.5291<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Few studies have described the settings cancer decedents spend their end-of-life stage, with none considering homecare specifically. We describe the different settings of care experienced in the last 100 days of life by individuals with cancer and how settings of care change as they approached death.<\/p>n<p><strong>Methods<\/strong> &mdash; A retrospective cohort study from January 2013 to December 2017, of decedents whose primary cause of death was cancer, using linked population-level health administrative datasets in Ontario, Canada.<\/p>n<p><strong>Results<\/strong> &mdash; Decedents 125,755 were included in our cohort. The average age at death was 73, 46% were female, and 14% resided in rural regions. And 24% died of lung cancer, 7% breast, 7% colorectal, 7% pancreatic, 5% prostate, and 50% other cancers. In the last 100 days of life, decedents spent 25.9 days in institutions, 25.8 days receiving care in the community, and 48.3 days at home without any care. Individuals who died of lung and pancreatic cancers spent the most days at home without any care (52.1 and 52.6 days), while individuals who died of prostate and breast cancer spent the least days at home without any care (41.6 and 45.1 days). Regardless of cancer type, decedents spent fewer days at home and more days in institutions as they approached death, despite established patient preferences for an end-of-life experience at home.<\/p>n<p><strong>Conclusions<\/strong> &mdash; In the last 100 days of life, cancer decedents spent most of their time in either institutions or at home without any care. Improving homecare services during the end-of-life may provide people dying of cancer with a preferred dying experience.<\/p>n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.5291\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{01CEA7E5-3297-4E7A-AFE4-FB1F9AD394CE}\",\n  \"ICES Locations\": \"{D88BC40D-6453-47B1-9A95-3AC57728064D}\",\n  \"ICES Scientists\": \"{3178B170-580F-4CCA-A2D4-687D1150C87C}|{B9979611-1657-47B5-B80F-08815BA48831}|{AA10B57D-AA16-43A9-978D-5622B041D8ED}|{83D4A97D-BA66-4681-90E8-E0570BAFB034}|{64AEBA85-C12B-4061-BF96-44975F977A70}\",\n  \"Posted Date\": \"20221024T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{DC06A6ED-D3C0-4DBA-A2D6-02B40C34536E}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/October\/Describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Few studies have described the settings cancer decedents spend their end-of-life stage, with none considering homecare specifically.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Few studies have described the settings cancer decedents spend their end-of-life stage, with none considering homecare specifically.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-21T16:31:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/describing-settings-of-care-in-the-last-100-days-of-life-for-cancer-decedents-a-population-based-descriptive-study\\\/\",\"name\":\"ICES | Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-10-24T04:00:00+00:00\",\"dateModified\":\"2023-12-21T16:31:50+00:00\",\"description\":\"Background &#x2014; 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