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Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan
Background The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and...
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| Published in: | Journal of general and family medicine 2024-11, Vol.25 (6), p.358-365 |
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| container_end_page | 365 |
| container_issue | 6 |
| container_start_page | 358 |
| container_title | Journal of general and family medicine |
| container_volume | 25 |
| creator | Sun, Yu Masuda, Rie Taniguchi, Yuta Iwagami, Masao Sakata, Nobuo Yoshie, Satoru Komiyama, Jun Yamagishi, Kazumasa Kihara, Tomomi Watanabe, Taeko Takahashi, Hideto Iso, Hiroyasu Tamiya, Nanako |
| description | Background
The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and during the pandemic.
Methods
Vital statistics from January 2015 to December 2022 were analyzed to evaluate trends in home deaths among cancer patients aged 0 to 113 years, pre‐pandemic (January 2015 to March 2020) and during the pandemic (April 2020 to December 2022). Home deaths were assessed by demographics, including age, sex, marital status, and residential location. Multivariable modified Poisson regression analyses were performed to identify factors associated with home deaths in both periods.
Results
Among 3,010,374 individuals, 11.6% (226,571/1,959,304) and 20.8% (218,429/1,051,070) died at home before and during the pandemic, respectively. In subgroup analysis depicting the trend of in‐home deaths by patient characteristics, only the age group showed a differential trend: the proportion of in‐home deaths was higher among older people before the pandemic, whereas it was higher among younger people during the pandemic. The multivariable analysis revealed the excess risk of in‐home deaths among people aged ≥65 years before the pandemic and among those aged |
| doi_str_mv | 10.1002/jgf2.724 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_af1548a5f7fd482c806af0a9f170c039</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_af1548a5f7fd482c806af0a9f170c039</doaj_id><sourcerecordid>3128484370</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4404-6faa10e6f5751d5ec5ed9ad11ce8218e191a8b3e4705f92e65065e66bcd439123</originalsourceid><addsrcrecordid>eNp1ktFqFDEUhgdRbKkFn0AC3nizNckkMxlvpKy2bin0Rr0NZ5OT3SwzkzWZqeydL1DoM_okZtxaW0EInOTk58ufw18ULxk9YZTyt5uV4yc1F0-KQ85UM6sboZ4-2B8UxyltKKWs5iXl1fPioGykFFypw-JmvoYIZsDo0-BNIsERA73BSLYweOyHROzO9ysCA1mHDokd43Qc1kjmV18XH37-uGVNFvcWO2_ekVOShtHuyBISWhJ6cu0HaHMz4_ZPuBg6wimTZAi5ck58Ty4gI14Uzxy0CY_v6lHx5ezj5_mn2eXV-WJ-ejkzQlAxqxwAo1g5WUtmJRqJtgHLmEGVv42sYaCWJYqaStdwrCStJFbV0lhRNoyXR8Viz7UBNnobfQdxpwN4_bsR4kpDzF5b1OCYFAqkq50VihtFK3AUGsdqamjZZNb7PWs7Lju0Jo8sQvsI-vim92u9CteaMZmN1TIT3twRYvg2Yhp055PBtoUew5h0yXhTqbwm46__kW7CGPs8q0mlhBJlTf8CTQwpRXT3bhjVU2b0lBmdM5Olrx66vxf-SUgWzPaC777F3X9B-uL8jE_AX1AMyck</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3128484370</pqid></control><display><type>article</type><title>Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan</title><source>Publicly Available Content Database</source><source>Wiley Open Access</source><source>PubMed Central</source><source>Coronavirus Research Database</source><creator>Sun, Yu ; Masuda, Rie ; Taniguchi, Yuta ; Iwagami, Masao ; Sakata, Nobuo ; Yoshie, Satoru ; Komiyama, Jun ; Yamagishi, Kazumasa ; Kihara, Tomomi ; Watanabe, Taeko ; Takahashi, Hideto ; Iso, Hiroyasu ; Tamiya, Nanako</creator><creatorcontrib>Sun, Yu ; Masuda, Rie ; Taniguchi, Yuta ; Iwagami, Masao ; Sakata, Nobuo ; Yoshie, Satoru ; Komiyama, Jun ; Yamagishi, Kazumasa ; Kihara, Tomomi ; Watanabe, Taeko ; Takahashi, Hideto ; Iso, Hiroyasu ; Tamiya, Nanako</creatorcontrib><description>Background
The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and during the pandemic.
Methods
Vital statistics from January 2015 to December 2022 were analyzed to evaluate trends in home deaths among cancer patients aged 0 to 113 years, pre‐pandemic (January 2015 to March 2020) and during the pandemic (April 2020 to December 2022). Home deaths were assessed by demographics, including age, sex, marital status, and residential location. Multivariable modified Poisson regression analyses were performed to identify factors associated with home deaths in both periods.
Results
Among 3,010,374 individuals, 11.6% (226,571/1,959,304) and 20.8% (218,429/1,051,070) died at home before and during the pandemic, respectively. In subgroup analysis depicting the trend of in‐home deaths by patient characteristics, only the age group showed a differential trend: the proportion of in‐home deaths was higher among older people before the pandemic, whereas it was higher among younger people during the pandemic. The multivariable analysis revealed the excess risk of in‐home deaths among people aged ≥65 years before the pandemic and among those aged <65 years during the pandemic.
Conclusions
The pandemic has increased home‐based end‐of‐life care for terminal cancer patients, particularly younger individuals, possibly due to hospital visit restrictions. Ensuring sufficient resources for both home and hospital care is vital to allow individuals to receive end‐of‐life care in their preferred settings.
This research examines the characteristics and trends of home deaths among cancer patients in Japan before and during the COVID‐19 pandemic, using vital statistics from 2015 to 2022. It identifies a significant rise in home deaths among younger patients during the pandemic, likely influenced by hospital visitation restrictions. The study underscores the importance of flexible end‐of‐life care options to accommodate patient preferences.</description><identifier>ISSN: 2189-7948</identifier><identifier>ISSN: 2189-6577</identifier><identifier>EISSN: 2189-7948</identifier><identifier>DOI: 10.1002/jgf2.724</identifier><identifier>PMID: 39554288</identifier><language>eng</language><publisher>Japan: John Wiley & Sons, Inc</publisher><subject>Age groups ; Cancer ; Coronaviruses ; COVID-19 ; Disease ; Emergency medical care ; Health care ; home deaths ; Marital status ; Missing data ; Original ; Pandemics ; Patients ; Trends ; visit restrictions ; Vital statistics</subject><ispartof>Journal of general and family medicine, 2024-11, Vol.25 (6), p.358-365</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.</rights><rights>2024 The Author(s). Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4404-6faa10e6f5751d5ec5ed9ad11ce8218e191a8b3e4705f92e65065e66bcd439123</cites><orcidid>0000-0002-3784-4333</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3128484370?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3128484370?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,38516,43895,44590,46052,46476,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39554288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Yu</creatorcontrib><creatorcontrib>Masuda, Rie</creatorcontrib><creatorcontrib>Taniguchi, Yuta</creatorcontrib><creatorcontrib>Iwagami, Masao</creatorcontrib><creatorcontrib>Sakata, Nobuo</creatorcontrib><creatorcontrib>Yoshie, Satoru</creatorcontrib><creatorcontrib>Komiyama, Jun</creatorcontrib><creatorcontrib>Yamagishi, Kazumasa</creatorcontrib><creatorcontrib>Kihara, Tomomi</creatorcontrib><creatorcontrib>Watanabe, Taeko</creatorcontrib><creatorcontrib>Takahashi, Hideto</creatorcontrib><creatorcontrib>Iso, Hiroyasu</creatorcontrib><creatorcontrib>Tamiya, Nanako</creatorcontrib><title>Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan</title><title>Journal of general and family medicine</title><addtitle>J Gen Fam Med</addtitle><description>Background
The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and during the pandemic.
Methods
Vital statistics from January 2015 to December 2022 were analyzed to evaluate trends in home deaths among cancer patients aged 0 to 113 years, pre‐pandemic (January 2015 to March 2020) and during the pandemic (April 2020 to December 2022). Home deaths were assessed by demographics, including age, sex, marital status, and residential location. Multivariable modified Poisson regression analyses were performed to identify factors associated with home deaths in both periods.
Results
Among 3,010,374 individuals, 11.6% (226,571/1,959,304) and 20.8% (218,429/1,051,070) died at home before and during the pandemic, respectively. In subgroup analysis depicting the trend of in‐home deaths by patient characteristics, only the age group showed a differential trend: the proportion of in‐home deaths was higher among older people before the pandemic, whereas it was higher among younger people during the pandemic. The multivariable analysis revealed the excess risk of in‐home deaths among people aged ≥65 years before the pandemic and among those aged <65 years during the pandemic.
Conclusions
The pandemic has increased home‐based end‐of‐life care for terminal cancer patients, particularly younger individuals, possibly due to hospital visit restrictions. Ensuring sufficient resources for both home and hospital care is vital to allow individuals to receive end‐of‐life care in their preferred settings.
This research examines the characteristics and trends of home deaths among cancer patients in Japan before and during the COVID‐19 pandemic, using vital statistics from 2015 to 2022. It identifies a significant rise in home deaths among younger patients during the pandemic, likely influenced by hospital visitation restrictions. The study underscores the importance of flexible end‐of‐life care options to accommodate patient preferences.</description><subject>Age groups</subject><subject>Cancer</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease</subject><subject>Emergency medical care</subject><subject>Health care</subject><subject>home deaths</subject><subject>Marital status</subject><subject>Missing data</subject><subject>Original</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Trends</subject><subject>visit restrictions</subject><subject>Vital statistics</subject><issn>2189-7948</issn><issn>2189-6577</issn><issn>2189-7948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1ktFqFDEUhgdRbKkFn0AC3nizNckkMxlvpKy2bin0Rr0NZ5OT3SwzkzWZqeydL1DoM_okZtxaW0EInOTk58ufw18ULxk9YZTyt5uV4yc1F0-KQ85UM6sboZ4-2B8UxyltKKWs5iXl1fPioGykFFypw-JmvoYIZsDo0-BNIsERA73BSLYweOyHROzO9ysCA1mHDokd43Qc1kjmV18XH37-uGVNFvcWO2_ekVOShtHuyBISWhJ6cu0HaHMz4_ZPuBg6wimTZAi5ck58Ty4gI14Uzxy0CY_v6lHx5ezj5_mn2eXV-WJ-ejkzQlAxqxwAo1g5WUtmJRqJtgHLmEGVv42sYaCWJYqaStdwrCStJFbV0lhRNoyXR8Viz7UBNnobfQdxpwN4_bsR4kpDzF5b1OCYFAqkq50VihtFK3AUGsdqamjZZNb7PWs7Lju0Jo8sQvsI-vim92u9CteaMZmN1TIT3twRYvg2Yhp055PBtoUew5h0yXhTqbwm46__kW7CGPs8q0mlhBJlTf8CTQwpRXT3bhjVU2b0lBmdM5Olrx66vxf-SUgWzPaC777F3X9B-uL8jE_AX1AMyck</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Sun, Yu</creator><creator>Masuda, Rie</creator><creator>Taniguchi, Yuta</creator><creator>Iwagami, Masao</creator><creator>Sakata, Nobuo</creator><creator>Yoshie, Satoru</creator><creator>Komiyama, Jun</creator><creator>Yamagishi, Kazumasa</creator><creator>Kihara, Tomomi</creator><creator>Watanabe, Taeko</creator><creator>Takahashi, Hideto</creator><creator>Iso, Hiroyasu</creator><creator>Tamiya, Nanako</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3784-4333</orcidid></search><sort><creationdate>202411</creationdate><title>Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan</title><author>Sun, Yu ; Masuda, Rie ; Taniguchi, Yuta ; Iwagami, Masao ; Sakata, Nobuo ; Yoshie, Satoru ; Komiyama, Jun ; Yamagishi, Kazumasa ; Kihara, Tomomi ; Watanabe, Taeko ; Takahashi, Hideto ; Iso, Hiroyasu ; Tamiya, Nanako</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4404-6faa10e6f5751d5ec5ed9ad11ce8218e191a8b3e4705f92e65065e66bcd439123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age groups</topic><topic>Cancer</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Disease</topic><topic>Emergency medical care</topic><topic>Health care</topic><topic>home deaths</topic><topic>Marital status</topic><topic>Missing data</topic><topic>Original</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Trends</topic><topic>visit restrictions</topic><topic>Vital statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Yu</creatorcontrib><creatorcontrib>Masuda, Rie</creatorcontrib><creatorcontrib>Taniguchi, Yuta</creatorcontrib><creatorcontrib>Iwagami, Masao</creatorcontrib><creatorcontrib>Sakata, Nobuo</creatorcontrib><creatorcontrib>Yoshie, Satoru</creatorcontrib><creatorcontrib>Komiyama, Jun</creatorcontrib><creatorcontrib>Yamagishi, Kazumasa</creatorcontrib><creatorcontrib>Kihara, Tomomi</creatorcontrib><creatorcontrib>Watanabe, Taeko</creatorcontrib><creatorcontrib>Takahashi, Hideto</creatorcontrib><creatorcontrib>Iso, Hiroyasu</creatorcontrib><creatorcontrib>Tamiya, Nanako</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley-Blackwell Open Access Backfiles</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Journal of general and family medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Yu</au><au>Masuda, Rie</au><au>Taniguchi, Yuta</au><au>Iwagami, Masao</au><au>Sakata, Nobuo</au><au>Yoshie, Satoru</au><au>Komiyama, Jun</au><au>Yamagishi, Kazumasa</au><au>Kihara, Tomomi</au><au>Watanabe, Taeko</au><au>Takahashi, Hideto</au><au>Iso, Hiroyasu</au><au>Tamiya, Nanako</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan</atitle><jtitle>Journal of general and family medicine</jtitle><addtitle>J Gen Fam Med</addtitle><date>2024-11</date><risdate>2024</risdate><volume>25</volume><issue>6</issue><spage>358</spage><epage>365</epage><pages>358-365</pages><issn>2189-7948</issn><issn>2189-6577</issn><eissn>2189-7948</eissn><abstract>Background
The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of cancer patients who died at home during the pandemic and the associated factors before and during the pandemic.
Methods
Vital statistics from January 2015 to December 2022 were analyzed to evaluate trends in home deaths among cancer patients aged 0 to 113 years, pre‐pandemic (January 2015 to March 2020) and during the pandemic (April 2020 to December 2022). Home deaths were assessed by demographics, including age, sex, marital status, and residential location. Multivariable modified Poisson regression analyses were performed to identify factors associated with home deaths in both periods.
Results
Among 3,010,374 individuals, 11.6% (226,571/1,959,304) and 20.8% (218,429/1,051,070) died at home before and during the pandemic, respectively. In subgroup analysis depicting the trend of in‐home deaths by patient characteristics, only the age group showed a differential trend: the proportion of in‐home deaths was higher among older people before the pandemic, whereas it was higher among younger people during the pandemic. The multivariable analysis revealed the excess risk of in‐home deaths among people aged ≥65 years before the pandemic and among those aged <65 years during the pandemic.
Conclusions
The pandemic has increased home‐based end‐of‐life care for terminal cancer patients, particularly younger individuals, possibly due to hospital visit restrictions. Ensuring sufficient resources for both home and hospital care is vital to allow individuals to receive end‐of‐life care in their preferred settings.
This research examines the characteristics and trends of home deaths among cancer patients in Japan before and during the COVID‐19 pandemic, using vital statistics from 2015 to 2022. It identifies a significant rise in home deaths among younger patients during the pandemic, likely influenced by hospital visitation restrictions. The study underscores the importance of flexible end‐of‐life care options to accommodate patient preferences.</abstract><cop>Japan</cop><pub>John Wiley & Sons, Inc</pub><pmid>39554288</pmid><doi>10.1002/jgf2.724</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3784-4333</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2189-7948 |
| ispartof | Journal of general and family medicine, 2024-11, Vol.25 (6), p.358-365 |
| issn | 2189-7948 2189-6577 2189-7948 |
| language | eng |
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| source | Publicly Available Content Database; Wiley Open Access; PubMed Central; Coronavirus Research Database |
| subjects | Age groups Cancer Coronaviruses COVID-19 Disease Emergency medical care Health care home deaths Marital status Missing data Original Pandemics Patients Trends visit restrictions Vital statistics |
| title | Characteristics of cancer patients dying at home during the COVID‐19 pandemic: A study based on vital statistics from 2015 to 2022 in Japan |
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