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

作　　者：Xiaosheng Ding Weiwei Shi Jinlei Qi Juan An Weiran Xu Hui Shi Xixi Zheng Xiaoyan Li 

机构地区：[1]Department of Oncology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China [2]Department of Oncology,PLA General Hospital,Beijing 100853,China [3]National Center for Chronic and Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China

出　　处：《Cancer Pathogenesis and Therapy》2025年第2期163-172,共10页癌症发生与治疗(英文)

基　　金：supported by grants from the National Natural Science Foundation of China(Nos.81974361 and 82272768);the Beijing Municipal Education Commission-Beijing Natural Science Foundation Union Program(No.KZ202010025046).

摘　　要：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.

关 键 词：Liver neoplasms Place of death Socioeconomic status China 

分 类 号：R73[医药卫生—肿瘤]