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Home versus hospital mortality from cancer in Mexico (1999-2009)
Sandra Castillo-Guzmán1, Dionicio Palacios-Ríos, Teresa Adriana Nava-Obregón
1Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr José E. Gónzalez, Universidad Autónoma de Nuevo León (UANL), Monterrey, Nuevo Leon, México. castilloguzsan@yahoo.com.mx
Objective:
To analyze the place of death from cancer in México from 1999 to 2009 and find the associated factors.
Methods:
We collected data on mortality by cancer from the national database including age, gender, area of residence, level of education, place of death, and type of cancer.
Results:
The proportion of deaths at home and hospital was 55.67% and 39%, respectively. Factors associated with home deaths were old age, female gender, rural area of residence, and lack of formal education. There was a short but significant decrease in home deaths for cervical cancer and leukemia.
Conclusions:
In México, mortality in home is greater than in hospital for patients with cancer. Our results have important implications for palliative care professionals and health services of México.
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