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Original research
Temporal trends in mortality location in patients with anal cancer in the USA: an analysis of the National Center for Health Statistics mortality data
  1. Amir H Sohail1,
  2. Caroline E Williams1,
  3. Emily Schiller1,
  4. Ivan B Ye1,
  5. Ronald Orozco2,
  6. Hazim Hakmi1,
  7. Faisal Shahjehan3,
  8. Hassam Ali4,
  9. Manesh K Gangwani5,
  10. Muhammad Aziz5,
  11. Umar Hayat6,
  12. Soban Maan7,
  13. Aisha Akhtar8 and
  14. Matthew Symer1
  1. 1Department of Surgery, NYU Langone Hospital, Long Island Mineola, New York, USA
  2. 2Division of General Surgery Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
  3. 3Department of Surgery, New York Medical College, Valhalla, New York, USA
  4. 4Department of Medicine, East Carolina University, Greenville, South Carolina, USA
  5. 5Department of Medicine, University of Toledo, Toledo, Ohio, USA
  6. 6Department of Internal Medicine, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
  7. 7Department of Internal Medicine, West Virginia University, Morgantown, West Virginia, USA
  8. 8Department of Surgery, Arizona Advanced Surgery, Scottsdale, Arizona, USA
  1. Correspondence to Dr Ronald Orozco, Division of General Surgery Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA; rorozco{at}salud.unm.edu

Abstract

Objectives Investigate trends in where patients died of anal cancer in the USA.

Methods Retrospective cohort study using the US National Center for Health Statistics Wide-Ranging ONline Data for Epidemiologic Research platform from 2003 to 2020; all patients with death certificates listing anal cancer as the underlying cause of death in the USA. Main outcome measure of location of patient death: inpatient facility, home, hospice, nursing home/long-term care facility and other.

Results There were a total of 16 296 deaths with anal cancer as the underlying diagnosis during the study period. The crude rate increased from 0.191 per 100 000 deaths in 2003 to 0.453 per 100 000 deaths in 2020. Over the study period, 22.4% of patient deaths occurred in inpatient facilities, 44.9% at home, 12.2% at hospice facilities and 13.1% at nursing homes/long-term care facilities. The percentage of deaths occurring in hospice facilities increased from 1.0% to 13.3% during the study period. Deaths at home also increased from 42.7% in 2003 to 55.8% in 2020. Meanwhile, inpatient deaths decreased from 33.5% in 2003 to 14.4% in 2020.

Conclusions There has been a significant increase in the proportion of patients with anal cancer dying at home or hospice from 2003 to 2020.

  • Cancer
  • End of life care
  • Hospice care
  • Home Care

Data availability statement

Data are available in a public, open access repository.

https://doi.org/10.1136/spcare-2023-004571

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    Data availability statement

    Data are available in a public, open access repository.

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Author note Amir H. Sohail is the overall guarantor of the content.