Abstract
Background: Identifying the preferred place of death is a key indicator of the quality of death in cancer patients and one of the most important issues for health service policymakers. This study was done to determine the preferred place of death and the factors affecting it for adult patients with cancer.Methods: In this systematic review and meta-analysis study four online databases (PubMed, Scopus, web of science, ProQuest) were searched by relevant keywords. Quality assessment of papers was conducted using Newcastle-Ottawa (NOS) criterion. Odds ratios, relative risks, and 95% confidence intervals were determined for each of the factors extracted from the investigations.Results: A total of 14,920 participants of 27 studies were included into the meta-analysis. Based on the results, 55% of cancer patients with a confidence interval [95% CI (41–49)] preferred home, 17% of patients with a confidence interval [95% CI (−12%) 23)] preferred hospital and 10% of patients with confidence interval [95% CI (13–18)] preferred hospices as their favored place to die. Effective factors were also reported in the form of demographic characteristics, disease-related factors and psychosocial factors.Conclusions: This study showed that more than half of cancer patients chose home as their preferred place of death. Therefore, guided policies need to ensure that the death of the patients in the preferred place should be considered with priority.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020218680, identifier: CRD42020218680.
Highlights
Cancer is considered the second leading cause of death worldwide
Preferred Place of Death for Cancer Patients to die in the preferred place (Neergaard et al, 2011; Hyun et al, 2013; Gomes et al, 2015; Vidal et al, 2020), a small number of these patients die in the preferred place (Chen et al, 2014; Howell et al, 2017)
Deaths in hospitals have increased due to advances in the health system, but in the last decade, the emphasis has changed to the quality of endof-life care, and by developing home care, it has been emphasized to people’s preferences to die at home
Summary
In 2018, about 9.6 million people of the world have died by cancer, which was almost one in six worldwide deaths (WHO, 2021). People often died at home due to poor access to health resources. Deaths in hospitals have increased due to advances in the health system, but in the last decade, the emphasis has changed to the quality of endof-life care, and by developing home care, it has been emphasized to people’s preferences to die at home. Social norms play a role in determining the place of death (Gu et al, 2007). This study was done to determine the preferred place of death and the factors affecting it for adult patients with cancer
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
