2013-2020年影响中国肝癌患者死亡地点的因素:基于人口的研究

IF 2.8
Xiaosheng Ding , Weiwei Shi , Jinlei Qi , Juan An , Weiran Xu , Hui Shi , Xixi Zheng , Xiaoyan Li
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引用次数: 0

摘要

尽管中国的肝癌负担很大,但对中国肝癌患者死亡地点(POD)的影响因素的研究有限。本研究旨在描述肝癌患者POD分布,确定与医院死亡相关的因素,并为政府制定医疗保健政策提供有价值的见解。方法2013 - 2020年数据来自中国国家死亡率监测系统(NMSS)。这一分析集中在死于肝癌的个体中POD的分布。使用卡方检验评估不同类别间特征分布的变化。我们还应用了多水平logistic回归分析来确定与医院肝癌死亡相关的因素。计算方差的比例变化来评估模型中不同因素的贡献。结果2013 - 2020年,NMSS共报告肝癌相关死亡608,789例,其中家中死亡440,079例(72.29%),医院死亡158,291例(26.00%)。Home仍然是肝癌患者首选的POD。结果表明,年龄在0 - 14岁之间、居住在城市地区、未婚、受过高等教育、从事专业、工作人员或公务员工作的女性患者或退休患者倾向于在医院结束生命。结论在中国,家庭仍然是肝癌患者最主要的就诊地点,人口统计学和社会经济因素显著影响着医院是否是肝癌患者的就诊地点。加强医疗政策制定者对影响肝癌患者死亡地点的因素的理解,可能有助于创造更公平的医疗资源分配,并为具有不同临终关怀偏好的少数群体提供多种选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Factors affecting the place of death in patients with liver cancer in China, 2013–2020: A population-based study

Factors affecting the place of death in patients with liver cancer in China, 2013–2020: A population-based study

Background

Despite the country's substantial liver cancer burden, there is limited research on the factors influencing the place of death (POD) of patients with liver cancer in China. This study aimed to delineate POD distribution among patients with liver cancer, identify the factors associated with hospital deaths, and offer valuable insights for the government to develop healthcare policies.

Methods

Data from 2013 to 2020 were obtained from the National Mortality Surveillance System (NMSS) of China. This analysis focused on the distribution of POD among individuals who succumbed to liver cancer. Variations in characteristic distributions across different categories were evaluated using a chi-squared test. We also applied a multilevel logistic regression analysis to identify the factors associated with hospital liver cancer deaths. The proportional change in variance was computed to evaluate the contributions of different factors in the model.

Results

From 2013 to 2020, the NMSS reported a total of 608,789 liver cancer-related deaths, of which 440,079 (72.29%) died at home, and 158,291 (26.00%) died in the hospital. Home remained the preferred POD among patients with liver cancer. The results demonstrated that female patients, aged between 0 and 14 years, of Han ethnicity, living in urban areas, unmarried, highly educated, and either employed in a professional, staff, or civil servant capacity, or retired patients tended to end their lives in the hospital.

Conclusions

In China, home continues to be the predominant POD for patients with liver cancer, with demographic and socioeconomic factors significantly influencing whether a hospital is their POD. Enhancing healthcare policymakers' understanding of the factors influencing the place of death for patients with liver cancer may assist in creating a more equitable distribution of healthcare resources and providing a variety of choices for minorities with distinct preferences for end-of-life care.
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来源期刊
Cancer pathogenesis and therapy
Cancer pathogenesis and therapy Surgery, Radiology and Imaging, Cancer Research, Oncology
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