Evidence map›Paper›PMID 40866585›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Factors related to the quality of death and family satisfaction among cancer patients at home: an analysis using death certificate data and a national bereaved family survey.

Jun Hamano, Yoko Nakazawa, Mitsunori Miyashita, Tatsuya Morita, Yasuyiki Okumura, Yoshiyuki Kizawa, Shohei Kawagoe, Hiroshi Yamamoto, Emi Takeuchi, Risa Yamazaki and 1 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jun HamanoDepartment of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, 305-8575, Ibaraki, Japan. junhamano@md.tsukuba.ac.jp.
Yoko NakazawaDivision of Policy Evaluation, Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan.
Mitsunori MiyashitaDepartment of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan.
Tatsuya MoritaDepartment of Palliative and Supportive Care, Palliative Care Team, Seirei Mikatahara General Hospital, 3453 Mikatahara-cho, Hamamatsu, Shizuoka, 433-8558, Japan.
Yasuyiki OkumuraInitiative for Clinical Epidemiological Research, 1-2-5 Nakamachi, Machida, Tokyo, 194-0021, Japan.
Yoshiyuki KizawaAozora Clinic, 2-35 Midorigaoka, Matsudo, 271-0074, Japan.
Shohei KawagoeDepartment of Respiratory Medicine, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.
Hiroshi YamamotoDepartment of Respiratory Medicine, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.
Emi TakeuchiDivision of Quality Assurance Programs, Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
Risa YamazakiDepartment of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa, 252-0373, Japan.
Asao OgawaDivision of Psycho-Oncology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center , 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Funding

Ministry of Health, Labour and Welfare Research for Promotion of Cancer Control Programs 23EA1021
6 · The paper itself

Abstract

purposeEnsuring a high quality of death (QOD) and family satisfaction is crucial for advanced cancer patients receiving home-based care. While home deaths are associated with better QOD and family satisfaction, key contributing factors remain unclear. This study aimed to identify key factors of QOD and family satisfaction among cancer patients at home using a nationwide mortality follow-back survey and bereavement questionnaire.

methodsA secondary analysis of a nationwide, cross-sectional mortality follow-back survey was conducted. Data were collected from bereaved family members of cancer patients who died at home in 2017-2018. The primary outcomes were QOD in the last month of life, assessed via the Good Death Inventory (GDI), and family satisfaction at the last place before death. Multivariate regression analyses examined associations between QOD, family satisfaction, and factors such as medical and nursing care, end-of-life (EOL) discussions, and caregiver burden.

resultsAmong 30,205 surveyed families, 18,505 responded (61.3%). Adequate patient-physician discussions on the place of death were positively associated with GDI and family satisfaction (β = 6.22, p < 0.001; OR = 2.69, p < 0.001), as were regular physician home visits (β = 1.57, p < 0.001; OR = 1.58, p < 0.001). Conversely, ambulance use (β = - 1.68, p < 0.001; OR = 0.69, p < 0.001) and caregiver burden (β = - 3.06, p < 0.001; OR = 0.85, p < 0.001) were negatively associated with both outcomes.

conclusionRegular physician visits and EOL discussions significantly positively associated with QOD and family satisfaction. Minimizing caregiver burden and avoiding ambulance use may further enhance QOD and family satisfaction at home.

Indexed as

BereavementFamilyHome Care ServicesNeoplasmsPersonal SatisfactionTerminal CareAdultAgedAged, 80 and overCaregiversCross-Sectional StudiesDeath CertificatesFemaleHumansMaleMiddle AgedAdvanced cancerBereaved family surveyFamily satisfactionHome careMortality follow-back surveyQuality of death

Identifiers

PMID40866585

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.