{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T06:08:56Z","timestamp":1774332536986,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cancer is one of the leading causes of death in Latin America. This study aims to compare the percentage of home and hospital deaths among cancer patients in 12 Latin American countries and to examine associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We carried out a population\u2010level observational study using death certificate data from Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Mexico, Paraguay, Peru and Uruguay. Data from cancer decedents (ICD\u201010 C00\u2013C97) for a full year (January 1 to December 31) with available data (2016\u20132018) were included. We used descriptive statistics and multivariable binary logistic regression analysis in each country and between countries to describe the distribution in place of death and examine associated sociodemographic, clinical and ecological factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cancer was the underlying cause of 491,929 deaths. An average of 31.1% occurred at home, from a range of 14.9% in Brazil to 81% in Guatemala. The variation remains after controlling for sociodemographic factors and cancer types. Patients who are older, live in rural areas, have lower educational levels, and a solid cancer history are more likely to die at home. Countries with more hospital beds and physicians, better Universal Health Coverage, higher Human Development Index, and higher health expenditure per capita had fewer home deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Factors affecting place of death patterns in Latin America are country\u2010specific and the results can only partially be explained by sociodemographic, clinical and ecological factors. Our results may be used to improve palliative care according to the current country\u2010specific distribution of place of death.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.70996","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T13:18:56Z","timestamp":1750252736000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers"],"prefix":"10.1002","volume":"14","author":[{"given":"Alisa","family":"Dannenberg","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine Uniklinik RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Cohen","sequence":"additional","affiliation":[{"name":"End\u2010of\u2010Life Care Research Group Vrije Universiteit Brussel (VUB) and Ghent University  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc","family":"Deliens","sequence":"additional","affiliation":[{"name":"End\u2010of\u2010Life Care Research Group Vrije Universiteit Brussel (VUB) and Ghent University  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Seitz","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine Uniklinik RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Krikorian","sequence":"additional","affiliation":[{"name":"Group of Pain and Palliative Care School of Health Sciences, Universidad Pontificia Bolivariana  Medell\u00edn Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Fernando","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Palliative Care Unit Barreto's Cancer Hospital  Barretos Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ver\u00f3nica","family":"Kramer","sequence":"additional","affiliation":[{"name":"National Cancer Institute  Santiago de Chile Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Sosa Basaistegui","sequence":"additional","affiliation":[{"name":"National Cancer Institute  Montevideo Uruguay"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Alonso Babarro","sequence":"additional","affiliation":[{"name":"Unidad de Cuidados Paliativos Hospital Universitario La Paz  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Cartin","sequence":"additional","affiliation":[{"name":"Centro de C\u00e1ncer y Hematolog\u00eda Hospital Metropolitano Universidad de Costa Rica  San Jos\u00e9 Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celina","family":"Castaneda","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad Autonoma del Estado de Mexico  Ciudad de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesly","family":"Peralta","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Pain National Cancer Institute  Capiata Paraguay"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Villacres","sequence":"additional","affiliation":[{"name":"Servicio de Geriatr\u00eda, Hospital Alberto Sabogal Sologuren \u2013 Essalud  Callao Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sof\u00eda","family":"Bunge","sequence":"additional","affiliation":[{"name":"National Cancer Institute  Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1294-9657","authenticated-orcid":false,"given":"Tania","family":"Pastrana","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine Uniklinik RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585970602200407"},{"key":"e_1_2_10_3_1","unstructured":"J. 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