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Increasing our understanding of dying of breast cancer: Comorbidities and care

Background: Screening and treatment for breast cancer have improved. However, attention to palliative support and non-cancer co-morbidities has been limited. This study identified types of care for and co-morbidities of persons dying of breast cancer compared to persons dying from all cancers and fr...

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Autores principales: Johnston, G.M., Urquhart, R., Lethbridge, L., MacIntyre, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917901/
https://www.ncbi.nlm.nih.gov/pubmed/27365898
http://dx.doi.org/10.1080/09699260.2015.1108638
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author Johnston, G.M.
Urquhart, R.
Lethbridge, L.
MacIntyre, M.
author_facet Johnston, G.M.
Urquhart, R.
Lethbridge, L.
MacIntyre, M.
author_sort Johnston, G.M.
collection PubMed
description Background: Screening and treatment for breast cancer have improved. However, attention to palliative support and non-cancer co-morbidities has been limited. This study identified types of care for and co-morbidities of persons dying of breast cancer compared to persons dying from all cancers and from non-cancer causes. Methods: Linked administrative data from population-based registries were used to examine 121,458 deaths in Nova Scotia from 1995 to 2009. Results: Breast cancer decedents' mean age was similar to that of all cancer decedents (72.0 versus 72.1 years), but their age spread was greater (20–59 years: 23.1% versus 16.7%; 90+ years: 11.2% versus 6.5%). Among women dying of breast cancer, 15.6% were enrolled in the diabetes registry and 15.1% in the cardiovascular registry, indicating that they had these non-cancer conditions prior to their death. Compared to all cancer decedents, breast cancer decedents were twice as likely to have dementia as a cause of death, and were less likely to die in hospital but more likely to die in a nursing home. Breast cancer decedents had place of death rates more similar to non-cancer than cancer decedents. Conclusions: Rates of dementia and diabetes among the breast cancer decedents were particularly note-worthy in this novel study given that these comorbidities have not received much attention in the breast cancer research literature. Further collaboration with non-cancer disease programs is advised. The extent of adequate comprehensive palliative support for the 20% of the breast cancer decedents who are nursing home residents requires investigation.
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spelling pubmed-49179012016-06-28 Increasing our understanding of dying of breast cancer: Comorbidities and care Johnston, G.M. Urquhart, R. Lethbridge, L. MacIntyre, M. Prog Palliat Care Articles Background: Screening and treatment for breast cancer have improved. However, attention to palliative support and non-cancer co-morbidities has been limited. This study identified types of care for and co-morbidities of persons dying of breast cancer compared to persons dying from all cancers and from non-cancer causes. Methods: Linked administrative data from population-based registries were used to examine 121,458 deaths in Nova Scotia from 1995 to 2009. Results: Breast cancer decedents' mean age was similar to that of all cancer decedents (72.0 versus 72.1 years), but their age spread was greater (20–59 years: 23.1% versus 16.7%; 90+ years: 11.2% versus 6.5%). Among women dying of breast cancer, 15.6% were enrolled in the diabetes registry and 15.1% in the cardiovascular registry, indicating that they had these non-cancer conditions prior to their death. Compared to all cancer decedents, breast cancer decedents were twice as likely to have dementia as a cause of death, and were less likely to die in hospital but more likely to die in a nursing home. Breast cancer decedents had place of death rates more similar to non-cancer than cancer decedents. Conclusions: Rates of dementia and diabetes among the breast cancer decedents were particularly note-worthy in this novel study given that these comorbidities have not received much attention in the breast cancer research literature. Further collaboration with non-cancer disease programs is advised. The extent of adequate comprehensive palliative support for the 20% of the breast cancer decedents who are nursing home residents requires investigation. Taylor & Francis 2016-05-03 2015-12-26 /pmc/articles/PMC4917901/ /pubmed/27365898 http://dx.doi.org/10.1080/09699260.2015.1108638 Text en © 2016 The authors. Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle Articles
Johnston, G.M.
Urquhart, R.
Lethbridge, L.
MacIntyre, M.
Increasing our understanding of dying of breast cancer: Comorbidities and care
title Increasing our understanding of dying of breast cancer: Comorbidities and care
title_full Increasing our understanding of dying of breast cancer: Comorbidities and care
title_fullStr Increasing our understanding of dying of breast cancer: Comorbidities and care
title_full_unstemmed Increasing our understanding of dying of breast cancer: Comorbidities and care
title_short Increasing our understanding of dying of breast cancer: Comorbidities and care
title_sort increasing our understanding of dying of breast cancer: comorbidities and care
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917901/
https://www.ncbi.nlm.nih.gov/pubmed/27365898
http://dx.doi.org/10.1080/09699260.2015.1108638
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