End-of-Life Strategies among Patients with Advanced Chronic Obstructive Pulmonary Disease

The burden of advanced chronic obstructive pulmonary disease (COPD) is high globally; however, little is known about how often end-of-life strategies are used by this population. To describe trends in the use of end-of-life care strategies by people with advanced COPD in Ontario, Canada. A populatio...

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Bibliographic Details
Published in:American journal of respiratory and critical care medicine 2018-12, Vol.198 (11), p.1389-1396
Main Authors: Gershon, Andrea S, Maclagan, Laura C, Luo, Jin, To, Teresa, Kendzerska, Tetyana, Stanbrook, Matthew B, Bourbeau, Jean, Etches, Jacob, Aaron, Shawn D
Format: Article
Language:English
Subjects:
Chronic obstructive pulmonary disease
Mortality
Palliative care
Socioeconomic factors
Trends
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Summary:The burden of advanced chronic obstructive pulmonary disease (COPD) is high globally; however, little is known about how often end-of-life strategies are used by this population. To describe trends in the use of end-of-life care strategies by people with advanced COPD in Ontario, Canada. A population-based repeated cross-sectional study examining end-of-life care strategies in individuals with advanced COPD was conducted. Annual proportions of individuals who received formal palliative care, long-term oxygen therapy, or opioids from 2004 to 2014 were determined. Results were age and sex standardized and stratified by age, sex, socioeconomic status, urban/rural residence, and immigrant status. Measurement/Main Results: There were 151,912 persons with advanced COPD in Ontario between 2004 and 2014. Use of formal palliative care services increased 1% per year from 5.3% in 2004 to 14.3% in 2014 (P value for trend 
ISSN:1073-449X
1535-4970
DOI:10.1164/rccm.201803-0592OC