{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:20:08Z","timestamp":1777922408576,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>End-of-life care has become an important public health issue in recent years. Place of death is a major component of end-of-life care. Despite attempts to improve end-of-life care, there has not been published any data about place of deaths in Turkey. Aim: This retrospective, cross-sectional study investigates the place of death and trends over the years in geriatric age groups in Turkey. Methods: Patients who were admitted to geriatric outpatient clinic of a university hospital during a 7-year period were included. Place and date of death information were received from the death notification system and recorded as hospital or out-of-hospital death. Demographic and clinical data were collected from the hospital information system. Deaths occurring after March 1, 2020 were not included to eliminate the effect of coronavirus disease-2019 pandemic. Results: A total of 4025 (20.7%) patients were determined to be dead. Approximately three-quarters of deaths (73.0%) occurred in hospital. The number of deaths reported from nursing homes was only 13 (3.0%). Patients with dementia less frequently died in hospital, however, it was not statistically significant (12.4% vs 14.7%, P\u2009=\u2009.05). The prevalence of death in hospital was significantly higher in patients with chronic renal failure (3.1% vs 1.7%, P\u2009=\u2009.02). The presence of comorbid conditions such as heart failure, cerebrovascular disease, Parkinson's disease, chronic obstructive pulmonary disease\/asthma, and cancer did not affect the place of death ( P\u2009=\u2009.24, .21, .24, .51, and .18). Out-of-hospital mortality increased with advanced age ( P\u2009&lt;\u2009.001). No significant difference was found in the place of death over the years ( P\u2009=\u2009.41). Conclusion: To the best of our knowledge, this is the first study examining the place of death in Turkey, an aging country. Our results may help to establish policies about end-of-life care in elderly people to improve quality of life by using resources effectively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597211036579","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T06:57:37Z","timestamp":1629183457000},"page":"18-25","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Place of Death of Geriatric Population in  Turkey: A 7-Year Observational Study"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5885-4023","authenticated-orcid":false,"given":"Serdar","family":"Ceylan","sequence":"first","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merve","family":"Guner Oytun","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arzu","family":"Okyar Bas","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeynep","family":"Kahyaoglu","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burcu B.","family":"Dogu","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Cankurtaran","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meltem G.","family":"Halil","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"issue":"12","key":"bibr1-08258597211036579","first-page":"1123","volume":"7","author":"Byock IR","year":"2001","journal-title":"Am J Manag Care."},{"key":"bibr2-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38740.614954.55"},{"key":"bibr3-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0466-5"},{"key":"bibr4-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684x-12-7"},{"key":"bibr5-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311432329"},{"key":"bibr6-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.03.006"},{"key":"bibr7-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317691259"},{"key":"bibr8-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1056\/nejmc1911892"},{"key":"bibr9-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-012-0394-5"},{"key":"bibr10-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315594974"},{"key":"bibr11-08258597211036579","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky267"},{"key":"bibr12-08258597211036579","unstructured":"Turkish Statistical Institute, Elderly Statistics. 2019. https:\/\/data.tuik.gov.tr\/Bulten\/Index?p=Elderly-Statistics-2019-33712. 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