Skip to main content

Table 1 Summary of reported findings and proportion of hospital deaths for all cancers and haematological malignancies.

From: Destined to die in hospital? Systematic review and meta-analysis of place of death in haematological malignancy

Study Country Dates of deaths Total patients (% hospital deaths) Main findings
    All cancers Haematological malignancy  
Aabom, 2005 [12]* Denmark 01/96-12/98 4,092 (70) 129 (84) Compared to all other cancer deaths, patients dying from 'haematological' cancers (coding not specified) were more likely to die in institutions (hospital/nursing home).
Bruera, 2002 [13]* USA 09/97-08/98 1,466 (57) 206 (84) Compared to all other cancer deaths, patients dying from 'hematologic' (coding not specified) were more likely to die in hospital.
Bruera, 2003 [14]* USA 09/96-08/98 13,577 (51) 1,223 (NA) Compared to all other cancer deaths, patients dying from 'haematological' cancers (coding not specified) were more likely to die in hospital.
Cardenas-Turanzas, 2006 [15]* USA 1999-2000 866 (58) 146 (79) Compared to all other cancer deaths, patients dying from 'leukaemia and lymphoma' were more likely to die in hospital than elsewhere (home/nursing home/hospice).
Cohen, 2006 [16]* Belgium 2001 15,0008 (54) 1,109 (75) Compared to all other cancer deaths, patients dying from 'hematologic' cancers were more likely to die in hospital than home/care home/elsewhere.
1 Cohen, 2008 [17] * Belgium
Netherlands
Sweden
Scotland
England
Wales
2003
2003
2002
2003
2003
2003
14,632 (59)
38,181 (31)
21,294 (85)
15,145 (57)
127,346 (49)
8,419 (60)
1,143 (71)
2,981 (47)
1,996 (91)
1,053 (74)
10,107 (70)
575 (78)
Compared to all other cancer deaths, patients dying from 'hematologic malignancies' were more likely to die in hospital/care home than outside hospital. This was consistent across all countries included.
Costantini, 1993 [18]* Italy 01/86-12/90 12,315 (69) 828 (79) Compared to all other cancer deaths, patients dying from 'leukaemia-lymphoma' were more likely to die in an institution (hospital/elderly care home).
Costantini, 2000 [19]* Italy 1991 17,597 (48) 1,192 (64) Compared to all other specified cancer deaths, patients dying from cancers of the 'haemopoietic system' were more likely to die in a hospital/elderly care home.
Davison, 2001 [20]* UK July-Dec 1977/87/97 1,324 (47) 83 (75) Compared to all other cancer deaths, patients dying from cancer of the 'lymphatic' and 'haemopoietic tissue' were more likely to die in hospital and less likely to die in a hospice.
Declich, 1991 [21]* Italy 01/85-12/88 970 (18) 112 (27) Compared to all other cancer deaths, patients dying from 'lymphoma' and 'haematopoietic neoplasms' were more likely to die in hospital (with the exception of colon cancer).
Decker, 2006 [48] UK/USA 1995-1998 UK 59,604 (56) USA 51,668 (74) NA Compared to all other cancer deaths, patients dying from cancer of the 'lymphatic' and 'haematopoietic' tissue aged ≥40 years were less likely to die at home (12% UK; 14% USA).
Gatrell, 2003 [22]* UK 1993-2000 6,900 (35) NA Compared to all other cancer deaths, patients dying from 'lymphatic system' cancer were more likely to die in hospital.
Higginson, 1998 [23] UK 1985-1994 1,344,187 (66) NA Compared to all other cancer deaths, patients dying from cancers of the 'lymphatic' or 'haematological system' were less likely to die at home.
Hunt, 1996 [24]* Australia 1990 2,800 (NA) 260 (NA) Compared to all other cancer deaths, patients dying from 'haematological' cancers (coding not specified) were more likely to die in a Metropolitan Public Hospital.
Hunt, 2001 [25]* Australia 1990-1999 29,230 (55) 3,045 (NA) Compared to all other cancer deaths, patients dying from 'lymphoma', 'multiple myeloma' and 'leukaemias' (coding not specified) were more likely to die in a Metropolitan Public Hospital.
Lock, 2005 [26] UK 1995-1999 315,462 (50) NA (66) Compared to all other cancer deaths, patients dying from 'lymphatic' and 'haematopoietic' cancers aged ≥75 years, were more likely to die in hospital and less likely to die in a hospice.
McCusker, 1983 [27]* USA 1976-1978 2,989 (70) 315 (82) Compared to all other cancer deaths, patients dying from 'leukaemia and lymphoma' (coding not specified) were more likely to die in an acute care hospital.
Polissar, 1987 [28]* USA 1968-1981 22,456 (61) 978 (73) Compared to other common cancers (9 selected cancer sites) patients with 'non-Hodgkin lymphoma' were the most likely to die in hospital.
Roder, 1987 [29] Australia 1981 & 1985 1,582 (37) NA (57) Compared to other common cancers (8 selected sites), patients with 'haematological malignancies' (leukaemia, lymphoma and myeloma) were more likely to die in a Metropolitan Public Hospital.
Ross, 2007 [30]* UK 1995-2000 31,812 (41) 2,638 (62) Compared to all other cancer deaths, patients dying from haematological malignancy (all diagnoses combined) were more likely to die in hospital and less likely to die in a hospice.
Saugo, 2008 [31]* Italy 2004 350 (75) 31 (87) Compared to all other cancer deaths, patients dying from 'haematological' cancers ≥50 years were more likely to die in hospital.
  1. 1 Data on place of death only given for hospital and care home combined with the exception of Sweden, where care home is not a registered category.
  2. NA = not available; *Included in meta-analysis.