Nilsson Jonas, Blomberg Carl, Holgersson Georg, Carlsson Tobias, Bergqvist Michael, Bergström Stefan
Center for Research & Development, Uppsala University/County Council of Gävleborg, Gävle Hospital, Gävle, Sweden.
Department of Radiation Sciences & Oncology, Umeå University Hospital, Umeå, Sweden.
Asia Pac J Clin Oncol. 2017 Dec;13(6):356-364. doi: 10.1111/ajco.12678. Epub 2017 Mar 13.
The importance to die at preferred death place is substantial among terminally ill cancer patients. Previously, several studies have investigated this issue, but no systematic review has been made for many years. This systematic review was made in order to investigate preferred death place among cancer patients. A systematic search was made in PubMed library and a total of 399 articles were found, of which 23 were eligible and included in the review. Preference of home death averaged by 59.9% (39.7-100%) across all studies. Information about actual death place was only reported in 12 studies with an average of 40.4% (14-65.2%); thus, the incongruence between preferred and actual death place seems to be substantial. This highlights the importance of health care providers to discuss the issue with the patients and their families. However, study designs must improve and publications of socioeconomic data should be unified to ease interpretation in future studies.
对于晚期癌症患者来说，在 preferred death place 离世非常重要。此前，已有多项研究探讨过这个问题，但多年来一直没有进行系统综述。本系统综述旨在调查癌症患者的 preferred death place。我们在 PubMed 数据库中进行了系统检索，共找到399篇文章，其中23篇符合条件并纳入综述。所有研究中，选择在家中离世的比例平均为59.9%（39.7%-100%）。只有12项研究报告了实际死亡地点的信息，平均为40.4%（14%-65.2%）；因此，预期死亡地点与实际死亡地点之间的不一致似乎相当大。这凸显了医疗服务提供者与患者及其家属讨论这个问题的重要性。然而，研究设计必须改进，社会经济数据的发表应该统一，以便在未来的研究中便于解读。 注：“preferred death place”直译为“首选的死亡地点”，这里意译为“预期死亡地点”更符合语境，具体可根据上下文灵活调整。
