Home versus hospital mortality from cancer in Mexico (1999-2009).
OBJECTIVE
To analyze the place of death from cancer in México from 1999 to 2009 and find the associated factors.


METHODS
We collected data on mortality by cancer from the national database including age, gender, area of residence, level of education, place of death, and type of cancer.


RESULTS
The proportion of deaths at home and hospital was 55.67% and 39%, respectively. Factors associated with home deaths were old age, female gender, rural area of residence, and lack of formal education. There was a short but significant decrease in home deaths for cervical cancer and leukemia.


CONCLUSIONS
In México, mortality in home is greater than in hospital for patients with cancer. Our results have important implications for palliative care professionals and health services of México.
Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr José E. Gónzalez, Universidad Autónoma de Nuevo León (UANL), Monterrey, Nuevo Leon, México. castilloguzsan@yahoo.com.mx
Sandra
S
Castillo-Guzmán
Dionicio
D
Palacios-Ríos
Teresa Adriana
TA
Nava-Obregón
Juan Francisco
JF
Torres-Pérez
Omar
O
González-Santiago
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004522:Educational Status; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007223:Infant; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality*; D012307:Risk Factors; D012737:Sex Factors; D055815:Young Adult