Tuesday, April 19, 2011

Late diagnosis is major factor in the hospital cancer deaths


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Late diagnosis in Northern Ireland helps the hospital deaths despite the patient preferred home to a comprehensive report on the life launched in the Queen's University of Belfast die.

The study of the Northern Ireland cancer registry carried out and funded by the Ulster Cancer Foundation found that patients who die in the hospital with cancer are very ill, late diagnosis of cancer a important factor in the hospital cancer deaths here. This is the first ever Northern Ireland specifically examines why cancer patients in Akutkrankenhäuser die to study.

More than half of patients included preferred at home, dying or has occurred in Northern Ireland the majority (45 percent) of cancer deaths in the hospital and only a third of the patients died at home (12.5 per cent in hospices) and 8 per cent in nursing/residential or nursing homes.

Why are cancer patients in acute hospitals patients Hospital of records for 695 cancer patients examined, in the hospital in the last six months 2007 died. It examines the time of diagnosis, death, as well as the preferred place of death as compared to actual place of death.

The report found the following:

-More than a quarter of all deaths in Northern Ireland are due to cancer, accounting for about 4150 deaths per year.

-The average age of patients who had cancer, and died in the hospital was 74 years. The average time from diagnosis, death was 4 months with a third die within one month after the diagnosis.

-Cancer registry data shows that total in 2007 died in eleven all cancer patients within one month after the diagnosis that the late diagnosis of cancer refers to a common problem.

-The most of late diagnosis were cancers of the lung or stomach organs and were closer to older, not partnership patients occur.

-Nearly 40 percent of patients, who died in the hospital, had specifically to return to their usual place of residence requested. Three quarters of cases their condition worsens and a return home was not possible. Was it was a lack of a suitable bed for 12.4% and the necessary supply package not in place for 4.9 per cent. 3 Percent lacked the required support of family.

-The proportion of patients die at home is reduced from 38.1 percent (1983-1992) on 32.1% in 2003-2007, however, now more die in nursing homes, which is their home in many cases.

-Cancer deaths, which at home varies significantly on local government districts from 24 percent in Newtownabbey to 46.9% in Magherafelt. There was a similar significant variability in the proportion which hospital deaths by local government district, ranging from 36.3% to 62.9% in Ballymoney in Strabane.

-A cancer-related deaths was at home patients from disadvantaged backgrounds and younger patients more for men, patients, who were a partnership.

The report provides a number of recommendations, which include:

-A major initiative to improve the earlier recognition of cancer symptoms among the public and healthcare professionals.

--Pflegeheime should be targeted to the education developed in the early detection of cancer symptoms and strategies to enable people with cancer, dying in their preferred place of death.

-For approximate 20% of patients, the condition of a return to a normal residence (, to die in their place of preference) would have allowed should improve efforts ensure facilities and resources in the community support to patients and their carers.

-More work is recommended to study, a home which helps to facilitate death for cancer patients just before the end of life.

-The report underlines, how important the recommendations within the 2010 palliative and end of life care strategy for Northern Ireland (DHSSPS) (2010) and recommends that this should be in education and relevant protocols for experts, which included work with cancer patients.

Dr. Anna Gavin, Director who said Northern Ireland cancer registry: "the results of this study are important, as they identify the good work, the current palliative care is also marked the areas in need of improvement." The report underlines the need, the problem of the late diagnosis of cancer. N. Ireland is one of the 12 areas reasons for late diagnosis work with a large international benchmarking project of survival for this purpose determine in order to improve and a population is the study of consciousness is to be here in May / June. "

Roisin foster, Chief Executive of the Ulster Cancer Foundation said: "the Ulster Cancer Foundation this research through the NI cancer registry were able to finance is very pleased." The results have the potential to promote the earlier diagnosis of cancer in the elderly. It refers also to improvements in community services that would enable more people, their home honored last wish die. This research was funded by donations from the public Northern Ireland. "Our supporters can be sure that their generosity makes a real difference now and in the future"

Sources: The Queen's University, AlphaGalileo Foundation.
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