Publication:
Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data.

Loading...
Thumbnail Image

Date

2018-01-25

Authors

Harding, Richard
Marchetti, Stefano
Onwuteaka-Philipsen, Bregje D
Wilson, Donna M
Ruiz-Ramos, Miguel
Cardenas-Turanzas, Maria
Rhee, YongJoo
Morin, Lucas
Hunt, Katherine
Teno, Joan

Advisors

Journal Title

Journal ISSN

Volume Title

Publisher

Metrics
Google Scholar
Export

Research Projects

Organizational Units

Journal Issue

Abstract

With over 1 million HIV-related deaths annually, quality end-of-life care remains a priority. Given strong public preference for home death, place of death is an important consideration for quality care. This 11 country study aimed to i) describe the number, proportion of all deaths, and demographics of HIV-related deaths; ii) identify place of death; iii) compare place of death to cancer patients iv), determine patient/health system factors associated with place of HIV-related death. In this retrospective analysis of death certification, data were extracted for the full population (ICD-10 codes B20-B24) for 1-year period: deceased's demographic characteristics, place of death, healthcare supply. i) 19,739 deaths were attributed to HIV. The highest proportion (per 1000 deaths) was for Mexico (9.8‰), and the lowest Sweden (0.2‰). The majority of deaths were among men (75%), and those aged With increasing comorbidity among people ageing with HIV, it is essential that end-of-life preferences are established and met. Differences in place of death according to country and diagnosis demonstrate the importance of ensuring a "good death" for people with HIV, alongside efforts to optimise treatment.

Description

MeSH Terms

Canada
Death Certificates
Female
HIV Infections
Hospitals
Humans
Italy
Male
Mexico
Netherlands
Nursing Homes
Republic of Korea
Retrospective Studies
Sweden
Terminal Care

DeCS Terms

CIE Terms

Keywords

Aids, End-of-life care, HIV, Mortality, Place of death

Citation