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The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012
BACKGROUND: Studies in the United Kingdom and elsewhere have suggested inequality of hospice provision with respect to factors such as age, diagnosis and socio-economic position. How this has changed over time is unknown. AIM: To describe the factors associated with inpatient hospice death in Englan...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681161/ https://www.ncbi.nlm.nih.gov/pubmed/25991729 http://dx.doi.org/10.1177/0269216315585064 |
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author | Sleeman, Katherine E Davies, Joanna M Verne, Julia Gao, Wei Higginson, Irene J |
author_facet | Sleeman, Katherine E Davies, Joanna M Verne, Julia Gao, Wei Higginson, Irene J |
author_sort | Sleeman, Katherine E |
collection | PubMed |
description | BACKGROUND: Studies in the United Kingdom and elsewhere have suggested inequality of hospice provision with respect to factors such as age, diagnosis and socio-economic position. How this has changed over time is unknown. AIM: To describe the factors associated with inpatient hospice death in England and examine how these have changed over time. DESIGN: Population-based study. Multivariable Poisson regression compared 1998–2002, 2003–2007 and 2008–2012, with 1993–1997. Explanatory variables included individual factors (age, gender, marital status, underlying cause of death) and area-based measures of deprivation. SETTING: Adults aged 25 years and over who died in inpatient hospice units in England between 1993 and 2002 (n = 446,615). RESULTS: The annual number of hospice deaths increased from 17,440 in 1993 to 26,032 in 2012, accounting for 3.4% of all deaths in 1993 and 6.0% in 2012. A total of 50.6% of hospice decedents were men; the mean age was 69.9 (standard deviation: 12.4) years. The likelihood of hospice decedents being in the oldest age group (>85 years) increased over time (proportion ratio: 1.43, 95% confidence interval: 1.39 to 1.48 for 2008–2012 compared to 1993–1997). Just 5.2% of all hospice decedents had non-cancer diagnoses, though the likelihood of non-cancer conditions increased over time (proportion ratio: 1.41, 95% confidence interval: 1.37 to 1.46 for 2008–2012 compared to 1993–1997). The likelihood of hospice decedents being resident in the least deprived quintile increased over time (proportion ratio: 1.25, 95% confidence interval: 1.22 to 1.29 for 2008–2012 compared to 1993–1997). CONCLUSION: The increase in non-cancer conditions among hospice decedents is encouraging although absolute numbers remain very small. Deprivation trends are concerning and require further exploration. |
format | Online Article Text |
id | pubmed-4681161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-46811612015-12-31 The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 Sleeman, Katherine E Davies, Joanna M Verne, Julia Gao, Wei Higginson, Irene J Palliat Med Original Articles BACKGROUND: Studies in the United Kingdom and elsewhere have suggested inequality of hospice provision with respect to factors such as age, diagnosis and socio-economic position. How this has changed over time is unknown. AIM: To describe the factors associated with inpatient hospice death in England and examine how these have changed over time. DESIGN: Population-based study. Multivariable Poisson regression compared 1998–2002, 2003–2007 and 2008–2012, with 1993–1997. Explanatory variables included individual factors (age, gender, marital status, underlying cause of death) and area-based measures of deprivation. SETTING: Adults aged 25 years and over who died in inpatient hospice units in England between 1993 and 2002 (n = 446,615). RESULTS: The annual number of hospice deaths increased from 17,440 in 1993 to 26,032 in 2012, accounting for 3.4% of all deaths in 1993 and 6.0% in 2012. A total of 50.6% of hospice decedents were men; the mean age was 69.9 (standard deviation: 12.4) years. The likelihood of hospice decedents being in the oldest age group (>85 years) increased over time (proportion ratio: 1.43, 95% confidence interval: 1.39 to 1.48 for 2008–2012 compared to 1993–1997). Just 5.2% of all hospice decedents had non-cancer diagnoses, though the likelihood of non-cancer conditions increased over time (proportion ratio: 1.41, 95% confidence interval: 1.37 to 1.46 for 2008–2012 compared to 1993–1997). The likelihood of hospice decedents being resident in the least deprived quintile increased over time (proportion ratio: 1.25, 95% confidence interval: 1.22 to 1.29 for 2008–2012 compared to 1993–1997). CONCLUSION: The increase in non-cancer conditions among hospice decedents is encouraging although absolute numbers remain very small. Deprivation trends are concerning and require further exploration. SAGE Publications 2016-01 /pmc/articles/PMC4681161/ /pubmed/25991729 http://dx.doi.org/10.1177/0269216315585064 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | Original Articles Sleeman, Katherine E Davies, Joanna M Verne, Julia Gao, Wei Higginson, Irene J The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title | The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title_full | The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title_fullStr | The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title_full_unstemmed | The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title_short | The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012 |
title_sort | changing demographics of inpatient hospice death: population-based cross-sectional study in england, 1993–2012 |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681161/ https://www.ncbi.nlm.nih.gov/pubmed/25991729 http://dx.doi.org/10.1177/0269216315585064 |
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