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<!DOCTYPE html> <html > <head> <meta charset="utf-8"> <meta rel="search" type="application/opensearchdescription+xml" href="/open_search.xml" title="Academia.edu"> <meta content="width=device-width, initial-scale=1" name="viewport"> <meta name="google-site-verification" content="bKJMBZA7E43xhDOopFZkssMMkBRjvYERV-NaN4R6mrs"> <meta name="csrf-param" content="authenticity_token" /> <meta name="csrf-token" content="58kTuFl0NG52WsiZcBwC3akeyWrNQ6P0S7t_OgQcAYvFkMQoGlKdbAOZRtuxe3qob-7Ee-XmHsSR3njHepxrIQ" /> <meta name="citation_title" content="Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012" /> <meta name="citation_publication_date" content="2018" /> <meta name="citation_journal_title" content="Journal of Palliative Care" /> <meta name="citation_author" content="Roger W. Hunt" /> <meta name="citation_author" content="Katina D’Onise" /> <meta name="citation_author" content="Anh-Minh Thi Nguyen" /> <meta name="citation_author" content="Kamalesh Venugopal" /> <meta name="citation_volume" content="34" /> <meta name="citation_issue" content="4" /> <meta name="citation_firstpage" content="224-231" /> <meta name="citation_issn" content="0825-8597" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:url" content="https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012" /> <meta name="twitter:title" content="Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012" /> <meta name="twitter:description" content="Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the" /> <meta name="twitter:image" content="https://0.academia-photos.com/61654768/148152751/137711019/s200_kamalesh.venugopal.png" /> <meta property="fb:app_id" content="2369844204" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012" /> <meta property="og:title" content="Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012" /> <meta property="og:image" content="http://a.academia-assets.com/images/open-graph-icons/fb-paper.gif" /> <meta property="og:description" content="Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the" /> <meta property="article:author" content="https://independent.academia.edu/KamaleshVenugopal" /> <meta name="description" content="Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the" /> <title>(PDF) Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012</title> <link rel="canonical" href="https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; var $action_name = "show"; var $rails_env = 'production'; var $app_rev = '29cbb9485f79f49ca3eb38b6f0905739256f19a4'; var $domain = 'academia.edu'; var $app_host = "academia.edu"; var $asset_host = "academia-assets.com"; var $start_time = new Date().getTime(); var $recaptcha_key = "6LdxlRMTAAAAADnu_zyLhLg0YF9uACwz78shpjJB"; var $recaptcha_invisible_key = "6Lf3KHUUAAAAACggoMpmGJdQDtiyrjVlvGJ6BbAj"; var $disableClientRecordHit = false; </script> <script> window.require = { config: function() { return function() {} } } </script> <script> window.Aedu = window.Aedu || {}; window.Aedu.hit_data = null; window.Aedu.serverRenderTime = new Date(1740332553000); window.Aedu.timeDifference = new Date().getTime() - 1740332553000; </script> <script type="application/ld+json">{"@context":"https://schema.org","@type":"ScholarlyArticle","abstract":"Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the South Australian Cancer Registry records of 86 257 patients with cancer who died from 1990 to 2012.Results:From 1990 to 2012, the proportion of cancer deaths in hospital decreased from 63.4% to 50.9%, and in nursing homes increased from 8.2% to 22.5%. After the year 2000, the proportions in hospices and at home were both below 15%. Multivariate analyses showed that young patients with cancer were more likely to die in a hospice or at home, compared to elderly patients with cancer who were more likely to die in a nursing home; the likelihood of dying in a hospice increased with socioeconomic status; patients with a short survival time or a hematological malignancy were more likely to die in a metropolitan hospital.Conclusions:Compared to ...","author":[{"@context":"https://schema.org","@type":"Person","name":"Kamalesh Venugopal","url":"https://independent.academia.edu/KamaleshVenugopal"}],"contributor":[],"dateCreated":"2023-01-17","datePublished":"2018-01-01","headline":"Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012","image":"https://attachments.academia-assets.com/97435065/thumbnails/1.jpg","inLanguage":"en","keywords":["Palliative Care","Cancer","Medicine","Population","Socioeconomic Status","Place of death","Public health systems and services research"],"publication":"Journal of Palliative Care","publisher":{"@context":"https://schema.org","@type":"Organization","name":"SAGE Publications"},"sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":null}],"thumbnailUrl":"https://attachments.academia-assets.com/97435065/thumbnails/1.jpg","url":"https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012"}</script><style type="text/css">@media(max-width: 567px){:root{--token-mode: Rebrand;--dropshadow: 0 2px 4px 0 #22223340;--primary-brand: #0645b1;--error-dark: #b60000;--success-dark: #05b01c;--inactive-fill: #ebebee;--hover: #0c3b8d;--pressed: #082f75;--button-primary-fill-inactive: #ebebee;--button-primary-fill: #0645b1;--button-primary-text: #ffffff;--button-primary-fill-hover: #0c3b8d;--button-primary-fill-press: #082f75;--button-primary-icon: #ffffff;--button-primary-fill-inverse: #ffffff;--button-primary-text-inverse: #082f75;--button-primary-icon-inverse: 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{"work":{"id":95183266,"created_at":"2023-01-17T11:58:55.907-08:00","from_world_paper_id":225548422,"updated_at":"2023-01-17T12:22:07.571-08:00","_data":{"abstract":"Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the South Australian Cancer Registry records of 86 257 patients with cancer who died from 1990 to 2012.Results:From 1990 to 2012, the proportion of cancer deaths in hospital decreased from 63.4% to 50.9%, and in nursing homes increased from 8.2% to 22.5%. After the year 2000, the proportions in hospices and at home were both below 15%. Multivariate analyses showed that young patients with cancer were more likely to die in a hospice or at home, compared to elderly patients with cancer who were more likely to die in a nursing home; the likelihood of dying in a hospice increased with socioeconomic status; patients with a short survival time or a hematological malignancy were more likely to die in a metropolitan hospital.Conclusions:Compared to ...","publisher":"SAGE Publications","publication_date":"2018,,","publication_name":"Journal of Palliative Care"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [61654768]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":97435065,"attachmentType":"pdf"}"><img alt="First page of “Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/97435065/mini_magick20230117-1-14dw6uo.png?1673985642" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="61654768" href="https://independent.academia.edu/KamaleshVenugopal"><img alt="Profile image of Kamalesh Venugopal" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/61654768/148152751/137711019/s65_kamalesh.venugopal.png" />Kamalesh Venugopal</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2018, Journal of Palliative Care</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">8 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 95183266; 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if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the South Australian Cancer Registry records of 86 257 patients with cancer who died from 1990 to 2012.Results:From 1990 to 2012, the proportion of cancer deaths in hospital decreased from 63.4% to 50.9%, and in nursing homes increased from 8.2% to 22.5%. After the year 2000, the proportions in hospices and at home were both below 15%. Multivariate analyses showed that young patients with cancer were more likely to die in a hospice or at home, compared to elderly patients with cancer who were more likely to die in a nursing home; the likelihood of dying in a hospice increased with socioeconomic status; patients with a short survival time or a hematological malignancy were more likely to die in a metropolitan hospital.Conclusions:Compared to ...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":97435065,"attachmentType":"pdf","workUrl":"https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":97435065,"attachmentType":"pdf","workUrl":"https://www.academia.edu/95183266/Where_Patients_With_Cancer_Die_A_Population_Based_Study_1990_to_2012"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{"location":"signup-banner"}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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Analysis of cancer registration and service data</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43456902" href="https://kcl.academia.edu/RuthJack">Ruth Jack</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42777489" href="https://kingscollegelondon.academia.edu/ElizabethDavies">Elizabeth Davies</a></div><p class="ds-related-work--metadata ds2-5-body-xs">British Journal of Cancer, 2006</p><p class="ds-related-work--abstract ds2-5-body-sm">We aimed to compare trends in place of cancer death with the growth of palliative care and nursing home services, and investigate demographic, disease-related and area influences on individual place of death, using registration data for 216404 patients with breast, lung, colorectal and prostate cancer and aggregate data on services in South East England. Between 1985 and 1994 there was a trend away from hospital death (67 -44%), to home (17 -30%) and hospice death (8 -20%). After 1995, this partly reversed. By 2002, hospital death rose to 47%, home death dropped to 23%, hospice death remained stable and nursing home death rose from 3 to 8%. Numbers of palliative care services increased, but trends for hospice and nursing home deaths most clearly followed the beds available. Cancer diagnosis and treatment influenced individual place of death, but between 1998 and 2002, age and area of residence were associated with most variation. Older patients and those living in more deprived areas died more often in hospitals and less often at home. Despite more palliative care services the proportion of people dying at home has not increased. Variation by age, deprivation and area of residence is unlikely to reflect patient preference. More active surveillance and planning must support policies for choice in end of life care.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"How is place of death from cancer changing and what affects it? Analysis of cancer registration and service data","attachmentId":42612358,"attachmentType":"pdf","work_url":"https://www.academia.edu/21872103/How_is_place_of_death_from_cancer_changing_and_what_affects_it_Analysis_of_cancer_registration_and_service_data","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/21872103/How_is_place_of_death_from_cancer_changing_and_what_affects_it_Analysis_of_cancer_registration_and_service_data"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="77850506" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/77850506/Place_of_Death_and_Its_Determinants_for_Patients_with_Cancer_in_Singapore_An_Analysis_of_Data_from_the_Singapore_Cancer_Registry_2000_2009">Place of Death and Its Determinants for Patients with Cancer in Singapore: An Analysis of Data from the Singapore Cancer Registry, 2000–2009</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="95378496" href="https://independent.academia.edu/JissyPoulose">Jissy Poulose</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Palliative Medicine, 2011</p><p class="ds-related-work--abstract ds2-5-body-sm">Aims: To describe the place of death for patients with cancer in Singapore from 2000 to 2009, and determinants of death at home and in in-patient hospice compared to death in hospital. Method: Cross-sectional analysis of all patients registered with the Singapore Cancer Registry who had died in the study period (N=52120). Places of death were grouped as homes, in-patient hospices, hospitals and others. For determinants of death at home and in in-patient hospice, covariates adjusted for in logistic regression analyses were age group, gender, ethnic group, primary tumour site, stage at diagnosis, duration and cause of death. Results: In the 10-year period, 52.9% of patients with cancer had died in the hospital, 30.3% died at home and 10.7% in in-patient hospice. Determinants of death at home were older age, female (odds ratio OR 1.23, 95% confidence interval, CI 1.17-1.29), Malay (OR 2.28, 95% CI 2.13-2.44), cancers of the colo-rectum, liver, stomach, pancreas and nasopharynx (compared to lung cancer), duration of illness of 1-5 years (OR 1.40, 95% CI 1.34-1.48), primary cause of death being 'neoplasms' (OR 2.97, 95% CI 2.79-3.17). Determinants of death in in-patient hospice were older age, distant metastasis (OR 1.35, 95% CI 1.21-1.50) and primary cause of death being 'neoplasms' (OR 20.07, 95% CI 16.05-25.09). Conclusion: Knowledge about place of death and its determinants will facilitate the planning of healthcare services to enable patients with terminal cancer to die at home and in in-patient hospices, thereby avoiding inappropriate hospitalization at the end of life.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Place of Death and Its Determinants for Patients with Cancer in Singapore: An Analysis of Data from the Singapore Cancer Registry, 2000–2009","attachmentId":85100907,"attachmentType":"pdf","work_url":"https://www.academia.edu/77850506/Place_of_Death_and_Its_Determinants_for_Patients_with_Cancer_in_Singapore_An_Analysis_of_Data_from_the_Singapore_Cancer_Registry_2000_2009","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/77850506/Place_of_Death_and_Its_Determinants_for_Patients_with_Cancer_in_Singapore_An_Analysis_of_Data_from_the_Singapore_Cancer_Registry_2000_2009"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="28104791" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/28104791/Place_of_Death_among_Hospitalized_Patients_with_Cancer_at_the_End_of_Life">Place of Death among Hospitalized Patients with Cancer at the End of Life</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="52677793" href="https://independent.academia.edu/NishaRathi1">Nisha Rathi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of palliative medicine, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">The majority of hospital deaths in the United States occur after ICU admission. The characteristics associated with the place of death within the hospital are not known for patients with cancer. The study objective was to identify patient characteristics associated with place of death among hospitalized patients with cancer who were at the end of life. A retrospective cohort study design was implemented. Subjects were consecutive patients hospitalized between 2003 and 2007 at a large comprehensive cancer center in the United States. Multinomial logistic regression analysis was used to identify patient characteristics associated with place of death (ICU, hospital following ICU, hospital without ICU) among hospital decedents. Among 105,157 hospital discharges, 3860 (3.7%) died in the hospital: 42% in the ICU, 14% in the hospital following an ICU stay, and 44% in the hospital without ICU services. Individuals with the following characteristics had an increased risk of dying in the ICU:...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Place of Death among Hospitalized Patients with Cancer at the End of Life","attachmentId":48419968,"attachmentType":"pdf","work_url":"https://www.academia.edu/28104791/Place_of_Death_among_Hospitalized_Patients_with_Cancer_at_the_End_of_Life","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/28104791/Place_of_Death_among_Hospitalized_Patients_with_Cancer_at_the_End_of_Life"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="94205447" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/94205447/Palliative_Care_in_Western_Australia_Final_Report_December_2005">Palliative Care in Western Australia: Final Report December 2005</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="251795698" href="https://independent.academia.edu/WaltonJayne">Jayne Walton</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Background and Objectives of the Review The Western Australian (WA) Department of Health, in consultation with the Palliative Care Advisory Group (PCAG), commissioned the WA Centre for Cancer and Palliative Care at Edith Cowan University to provide advice regarding the development of a statewide plan for the future configuration and delivery of palliative care services in WA. The specific objectives of the review were to: Outline current palliative care service provision in WA, including the relationships between services and service role delineation. Project future need for service delivery in metropolitan, rural and remote areas and identify future linkages and role delineations to improve and enhance service delivery. Identify options for coordinating future service delivery across the state. Accountability The review was undertaken under the direction of the Palliative Care Advisory Group (PCAG). A subcommittee of PCAG, with other co-opted members, was appointed by Dr Neale Fong, the Director General for Health, to serve as a steering committee overseeing this specific project. Scope of Review The review consisted of two phases: Phase I: focussed on metropolitan inpatient needs and issues and more particularly on bed allocation in the metropolitan area and the organisational framework, as a response to the Clinical Services Framework released by the Health Reform Implementation Taskforce (HRIT). The report from Phase I was completed in June 2005. Phase II: reviewed service provision issues for the following groups: rural and remote communities, people who require community-based services, people who require medium to long-term support, people with conditions other than cancer, people from indigenous communities and culturally and linguistically diverse backgrounds, older people, children and their families, consumers and carers. Philosophy underpinning the review Every person in Western Australia with life-limiting illness has a fundamental right to a palliative approach to care. To enable this right to be met, issues regarding palliative care, specifically equity, access and affordability need to be considered for both current and future populations. RECOMMENDATIONS Recommendations are grouped under three categories: A-Metropolitan Inpatient Bed Allocation; B-Organisational Framework; C-Special groups. A. Metropolitan Inpatient Bed Allocation Recommendation 1: Total beds Based on the current Palliative Care Australia (PCA) Benchmark of 6.7 beds per 100,000 population, the total number of private and public beds should be 117.3 beds by 2015/16. However, based on the projected benchmark of 8.4 beds per 100,000 population obtained from the analysis in this report, a total number of 148.2 beds would better meet the projected future needs of the significant ageing population in the metropolitan area, anticipated by the year 2015/16.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Palliative Care in Western Australia: Final Report December 2005","attachmentId":96727925,"attachmentType":"pdf","work_url":"https://www.academia.edu/94205447/Palliative_Care_in_Western_Australia_Final_Report_December_2005","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/94205447/Palliative_Care_in_Western_Australia_Final_Report_December_2005"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="73663359" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/73663359/International_study_of_the_place_of_death_of_people_with_cancer_a_population_level_comparison_of_14_countries_across_4_continents_using_death_certificate_data">International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32961634" href="https://independent.academia.edu/GMiccinesi">G. Miccinesi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">British Journal of Cancer, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Where people die can influence a number of indicators of the quality of dying. We aimed to describe the place of death of people with cancer and its associations with clinical, socio-demographic and healthcare supply characteristics in 14 countries. Methods: Cross-sectional study using death certificate data for all deaths from cancer (ICD-10 codes C00-C97) in 2008 in Belgium,</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data","attachmentId":82097148,"attachmentType":"pdf","work_url":"https://www.academia.edu/73663359/International_study_of_the_place_of_death_of_people_with_cancer_a_population_level_comparison_of_14_countries_across_4_continents_using_death_certificate_data","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/73663359/International_study_of_the_place_of_death_of_people_with_cancer_a_population_level_comparison_of_14_countries_across_4_continents_using_death_certificate_data"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="71281475" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/71281475/A_prospective_cohort_study_of_factors_associated_with_place_of_death_among_patients_with_late_stage_cancer_in_southern_Africa">A prospective cohort study of factors associated with place of death among patients with late stage cancer in southern Africa</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33348341" href="https://wits.academia.edu/PaulRuff">Paul Ruff</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Pain and Symptom Management</p><p class="ds-related-work--abstract ds2-5-body-sm">Context.-Identifying factors that affect terminally ill patients' preferences for and actual place of death may assist patients to die wherever they wish. Objective.-The objective of this study was to investigate factors associated with preferred and actual place of death for cancer patients in Johannesburg, South Africa. Methods.-In a prospective cohort study at a tertiary hospital in Johannesburg, South Africa, adult patients with advanced cancer and their caregivers were enrolled from 2016 to 2018. Study nurses interviewed the patients at enrollment and conducted postmortem interviews with the caregivers. Results.-Of 324 patients enrolled, 191 died during follow-up. Preferred place of death was home for 127 (66.4%) and a facility for 64 (33.5%) patients; 91 (47.6%) patients died in their preferred setting, with a kappa value of congruence of 0.016 (95% CI = −0.107, 0.139). Factors associated with congruence were increasing age (odds ratio [OR]: 1.03, 95% CI: 1.00-1.05), use of morphine (OR: 1.87, 95% CI: 1.04-3.36), and wanting to die at home (OR: 0.44, 95% CI: 0.24-0.82). Dying at home was associated with increasing age (OR 1.03, 95% CI 1.00-1.05) and with the patient wishing to have family and/or friends present at death (OR 6.73, 95% CI 2.97-15.30). Conclusion.-Most patients preferred to die at home, but most died in hospital and fewer than half died in their preferred setting. Further research on modifiable factors, such as effective communication, access to palliative care and morphine, may ensure that more cancer patients in South Africa die wherever they wish.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A prospective cohort study of factors associated with place of death among patients with late stage cancer in southern Africa","attachmentId":80693410,"attachmentType":"pdf","work_url":"https://www.academia.edu/71281475/A_prospective_cohort_study_of_factors_associated_with_place_of_death_among_patients_with_late_stage_cancer_in_southern_Africa","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/71281475/A_prospective_cohort_study_of_factors_associated_with_place_of_death_among_patients_with_late_stage_cancer_in_southern_Africa"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="17387244" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/17387244/Palliative_care_beyond_that_for_cancer_in_Australia">Palliative care beyond that for cancer in Australia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31202576" href="https://uq.academia.edu/GeoffreyMitchell">Geoffrey Mitchell</a></div><p class="ds-related-work--metadata ds2-5-body-xs">The Medical journal of Australia, 2010</p><p class="ds-related-work--abstract ds2-5-body-sm">Only a quarter of patients&#39; deaths are due to cancer, but the vast majority of the patients of specialist palliative care services have cancer as a primary diagnosis. Almost two-thirds of patients dying of an expected illness do not receive specialist palliative care at all, and this proportion is likely to increase as the population ages. Australian health system care for dying people needs systematic change so that people who may require palliative care in the foreseeable future are systematically identified, and have proactive care plans developed to meet their complex needs. This can be done in general practice and aged care, as shown by a model for such care in the United Kingdom. We explain the need for system change, and propose steps by which this might be achieved.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Palliative care beyond that for cancer in Australia","attachmentId":39480915,"attachmentType":"pdf","work_url":"https://www.academia.edu/17387244/Palliative_care_beyond_that_for_cancer_in_Australia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/17387244/Palliative_care_beyond_that_for_cancer_in_Australia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="19155885" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/19155885/Actual_and_preferred_place_of_death_of_cancer_patients_Results_from_the_Italian_survey_of_the_dying_of_cancer_ISDOC_">Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="39353051" href="https://independent.academia.edu/MassimoCostantini2">Massimo Costantini</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Epidemiology & Community Health, 2006</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: To describe actual and preferred place of death of Italian cancer patients and to analyse the preferences met regarding the place of death. Design: Mortality follow back survey of 2000 cancer deaths, identified with a two stage probability sample representative of the whole country. Information on patients' experience was gathered from the nonprofessional caregiver with an interview. A section of the interview covered information on the actual and preferred place of death of the patients. Setting: 30 Italian local health districts randomly selected after stratification in four geographical areas. Participants: 1900 of 2000 (95.0%) caregivers of cancer deaths identified. Main outcome measures: Prevalence of actual and preferred places of death. Results: Valid interviews were obtained for 66.9% (n = 1271) of the caregivers. Place of death was home for 57.9% of Italian cancer patients, hospital for 34.6%, hospice for 0.7%, nursing home for 6.5%, and ambulance for 0.4%. Wide and significant differences within Italy were seen (home deaths ranged between 94.0% in the south and 28.2% in the north east). Home was the preferred place of death for 93.5% of patients that expressed a preference, with minimal differences within the country (between 89.5% and 99.0%). Overall 67.1% of the sample died in the place where they preferred to die. Conclusions: Policymakers should encourage health services to focus on ways of meeting individual preferences on place of death. As home was the preferred place of death for most cancer patients, effective programmes to enable the patients to remain at home should be implemented.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)","attachmentId":40461705,"attachmentType":"pdf","work_url":"https://www.academia.edu/19155885/Actual_and_preferred_place_of_death_of_cancer_patients_Results_from_the_Italian_survey_of_the_dying_of_cancer_ISDOC_","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/19155885/Actual_and_preferred_place_of_death_of_cancer_patients_Results_from_the_Italian_survey_of_the_dying_of_cancer_ISDOC_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="97439612" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/97439612/Multicenter_cohort_study_on_the_survival_time_of_cancer_patients_dying_at_home_or_in_a_hospital_Does_place_matter">Multicenter cohort study on the survival time of cancer patients dying at home or in a hospital: Does place matter?</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="35381492" href="https://independent.academia.edu/JunHamano">Jun Hamano</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Cancer, 2016</p><p class="ds-related-work--abstract ds2-5-body-sm">Although the place of death has a great influence on the quality of death and dying for cancer patients, whether the survival time differs according to the place of death is unclear. The primary aim of this study was to explore potential differences in the survival time of cancer patients dying at home or in a hospital. This multicenter, prospective cohort study was conducted in Japan from September 2012 through April 2014 and involved 58 specialist palliative care services. Among the 2426 patients recruited, 2069 patients were analyzed for this study: 1582 receiving hospital-based palliative care and 487 receiving home-based palliative care. A total of 1607 patients actually died in a hospital, and 462 patients died at home. The survival of patients who died at home was significantly longer than the survival of patients who died in a hospital in the days&#39; prognosis group (estimated median survival time, 13 days [95% confidence interval (CI), 10.3-15.7 days] vs 9 days [95% CI, 8...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Multicenter cohort study on the survival time of cancer patients dying at home or in a hospital: Does place matter?","attachmentId":99060893,"attachmentType":"pdf","work_url":"https://www.academia.edu/97439612/Multicenter_cohort_study_on_the_survival_time_of_cancer_patients_dying_at_home_or_in_a_hospital_Does_place_matter","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/97439612/Multicenter_cohort_study_on_the_survival_time_of_cancer_patients_dying_at_home_or_in_a_hospital_Does_place_matter"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="17618874" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/17618874/Clinical_sociodemographic_and_local_system_factors_associated_with_a_hospital_death_among_cancer_patients">Clinical, sociodemographic, and local system factors associated with a hospital death among cancer patients</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="37474309" href="https://independent.academia.edu/RichardGrimes">Richard Grimes</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Supportive Care in Cancer, 2006</p><p class="ds-related-work--abstract ds2-5-body-sm">Clinical, sociodemographic, and local system factors associated with a hospital death among cancer patients Abstract Objective: The study was conducted to examine factors associated with hospital deaths among a group of cancer patients. Patients and methods: A retrospective chart review of the M. D. Anderson Cancer Center Tumor Registry was conducted. Participants were all adult cancer patients, residents of the State of Texas diagnosed and treated since January 1, 1990, and who died during the years 1999 and 2000. The study outcome was the site of death. Main results: The inclusion criteria were met by 866 patients of whom 504 (58%) died in a hospital. The group included 489 (56%) men. A number of 641 (74%) were White, 104 (12%) Hispanic, 92 (11%) Black, and 29 (3%) of other origin. The majority, 501 (58%), had been diagnosed with stage IV disease, and the median survival time was 14 months. Multivariate logistic regression analysis showed patients diagnosed with hematologic cancers to be significantly more likely (p<0.001) of dying in hospitals, odds ratio [OR 2.88] and confidence interval [95% CI 1.79-4.63], women diagnosed with breast and gynecological cancers were significantly less likely (p=0.03) of dying at hospitals odds ratio [OR 0.64] and confidence interval [95% CI 0.42-0.96], when compared with patients diagnosed with other cancers. Lower household income per zip code of residency was marginally associated (p=0.06) with hospital deaths. Conclusions: The study identified groups of cancer patients at risk of hospital death. These results should account when planning the allocation of hospital palliative care services as well as when informing policy decisions about health care financing and delivery of these services.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Clinical, sociodemographic, and local system factors associated with a hospital death among cancer patients","attachmentId":39617392,"attachmentType":"pdf","work_url":"https://www.academia.edu/17618874/Clinical_sociodemographic_and_local_system_factors_associated_with_a_hospital_death_among_cancer_patients","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/17618874/Clinical_sociodemographic_and_local_system_factors_associated_with_a_hospital_death_among_cancer_patients"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":97435065,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":97435065,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_97435065" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="6442359" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/6442359/Variations_in_the_quality_and_costs_of_end_of_life_care_preferences_and_palliative_outcomes_for_cancer_patients_by_place_of_death_the_QUALYCARE_study">Variations in the quality and costs of end-of-life care, preferences and palliative outcomes for cancer patients by place of death: the QUALYCARE study</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="10175949" href="https://independent.academia.edu/JonathanKoffman">Jonathan Koffman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">BMC Cancer, 2010</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Variations in the quality and costs of end-of-life care, preferences and palliative outcomes for cancer patients by place of death: the QUALYCARE study","attachmentId":48867353,"attachmentType":"pdf","work_url":"https://www.academia.edu/6442359/Variations_in_the_quality_and_costs_of_end_of_life_care_preferences_and_palliative_outcomes_for_cancer_patients_by_place_of_death_the_QUALYCARE_study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/6442359/Variations_in_the_quality_and_costs_of_end_of_life_care_preferences_and_palliative_outcomes_for_cancer_patients_by_place_of_death_the_QUALYCARE_study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="1" data-entity-id="22074264" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/22074264/Factors_affecting_place_of_death_in_Western_Australia">Factors affecting place of death in Western Australia</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43236036" href="https://independent.academia.edu/LornaRosenwax">Lorna Rosenwax</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health & Place, 2007</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Factors affecting place of death in Western Australia","attachmentId":42749631,"attachmentType":"pdf","work_url":"https://www.academia.edu/22074264/Factors_affecting_place_of_death_in_Western_Australia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/22074264/Factors_affecting_place_of_death_in_Western_Australia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" 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