Prevalence of Preferences for End-of-Life Place of Care and Death Among Patients With Cancer in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Donkor, A; Adotey, PN; Ofori, EO; Ayitey, JA; Ferguson, C; Luckett, T; Vanderpuye, V; Osei-Bonsu, EB; Phelan, C; Hunt, K

Prevalence of Preferences for End-of-Life Place of Care and Death Among Patients With Cancer in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Donkor, A

Adotey, PN Ofori, EO Ayitey, JA Ferguson, C

Luckett, T

Vanderpuye, V Osei-Bonsu, EB Phelan, C Hunt, K

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Publisher:: LIPPINCOTT WILLIAMS & WILKINS
Publication Type:: Journal Article
Citation:: JCO Glob Oncol, 2024, 10, (10), pp. e2400014
Issue Date:: 2024-05

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Field	Value	Language
dc.contributor.author	Donkor, A https://orcid.org/0000-0002-6073-524X
dc.contributor.author	Adotey, PN
dc.contributor.author	Ofori, EO
dc.contributor.author	Ayitey, JA
dc.contributor.author	Ferguson, C https://orcid.org/0000-0002-2417-2216
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Vanderpuye, V
dc.contributor.author	Osei-Bonsu, EB
dc.contributor.author	Phelan, C
dc.contributor.author	Hunt, K
dc.date.accessioned	2024-09-18T04:18:50Z
dc.date.available	2024-09-18T04:18:50Z
dc.date.issued	2024-05
dc.identifier.citation	JCO Glob Oncol, 2024, 10, (10), pp. e2400014
dc.identifier.issn	2687-8941
dc.identifier.issn	2687-8941
dc.identifier.uri	http://hdl.handle.net/10453/180845
dc.description.abstract	PURPOSE: There is limited information on preferences for place of care and death among patients with cancer in low- and middle-income countries (LMICs). The aim was to report the prevalence and determinants of preferences for end-of-life place of care and death among patients with cancer in LMICs and identify concordance between the preferred and actual place of death. METHODS: Systematic review and meta-analysis guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses was conducted. Four electronic databases were searched to identify studies of any design that reported on the preferred and actual place of care and death of patients with cancer in LMICs. A random-effects meta-analysis estimated pooled prevalences, with 95% CI, with subgroup analyses for region and risk of bias. RESULTS: Thirteen studies were included. Of 3,837 patients with cancer, 62% (95% CI, 49 to 75) preferred to die at home; however, the prevalence of actual home death was 37% (95% CI, 13 to 60). Subgroup analyses found that preferences for home as place of death varied from 55% (95% CI, 41 to 69) for Asia to 64% (95% CI, 57 to 71) for South America and 72% (95% CI, 48 to 97) for Africa. The concordance between the preferred and actual place of death was 48% (95% CI, 41 to 55) for South Africa and 92% (95% CI, 88 to 95) for Malaysia. Factors associated with an increased likelihood of preferred home death included performance status and patients with breast cancer. CONCLUSION: There is very little literature from LMICs on the preferences for end-of-life place of care and death among patients with cancer. Rigorous research is needed to help understand how preferences of patients with cancer change during their journey through cancer.
dc.format	Print
dc.language	eng
dc.publisher	LIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartof	JCO Glob Oncol
dc.relation.isbasedon	10.1200/GO.24.00014
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Humans
dc.subject.mesh	Terminal Care
dc.subject.mesh	Neoplasms
dc.subject.mesh	Developing Countries
dc.subject.mesh	Patient Preference
dc.subject.mesh	Prevalence
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Terminal Care
dc.subject.mesh	Prevalence
dc.subject.mesh	Developing Countries
dc.subject.mesh	Patient Preference
dc.subject.mesh	Humans
dc.subject.mesh	Terminal Care
dc.subject.mesh	Neoplasms
dc.subject.mesh	Developing Countries
dc.subject.mesh	Patient Preference
dc.subject.mesh	Prevalence
dc.title	Prevalence of Preferences for End-of-Life Place of Care and Death Among Patients With Cancer in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.
dc.type	Journal Article
utslib.citation.volume	10
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/IMPACCT
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT)
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-09-18T04:18:49Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	10
utslib.citation.issue	10

Abstract:

PURPOSE: There is limited information on preferences for place of care and death among patients with cancer in low- and middle-income countries (LMICs). The aim was to report the prevalence and determinants of preferences for end-of-life place of care and death among patients with cancer in LMICs and identify concordance between the preferred and actual place of death. METHODS: Systematic review and meta-analysis guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses was conducted. Four electronic databases were searched to identify studies of any design that reported on the preferred and actual place of care and death of patients with cancer in LMICs. A random-effects meta-analysis estimated pooled prevalences, with 95% CI, with subgroup analyses for region and risk of bias. RESULTS: Thirteen studies were included. Of 3,837 patients with cancer, 62% (95% CI, 49 to 75) preferred to die at home; however, the prevalence of actual home death was 37% (95% CI, 13 to 60). Subgroup analyses found that preferences for home as place of death varied from 55% (95% CI, 41 to 69) for Asia to 64% (95% CI, 57 to 71) for South America and 72% (95% CI, 48 to 97) for Africa. The concordance between the preferred and actual place of death was 48% (95% CI, 41 to 55) for South Africa and 92% (95% CI, 88 to 95) for Malaysia. Factors associated with an increased likelihood of preferred home death included performance status and patients with breast cancer. CONCLUSION: There is very little literature from LMICs on the preferences for end-of-life place of care and death among patients with cancer. Rigorous research is needed to help understand how preferences of patients with cancer change during their journey through cancer.

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http://hdl.handle.net/10453/180845