TY - JOUR
T1 - Care and Decision-Making at the End of Life for Patients With a Non-Western Migration Background Living in The Netherlands
T2 - A Nationwide Mortality Follow-Back Study
AU - Torensma, Marieke
AU - Suurmond, Jeanine L.
AU - van der Heide, Agnes
AU - Onwuteaka-Philipsen, Bregje D.
PY - 2020/5
Y1 - 2020/5
N2 - Context: Migrant populations across Europe are aging and will increasingly need end-of-life care. Objective: The objectives of this study were to gain insight into end-of-life care and decision-making for patients with a non-western migration background and assess differences compared to patients with a Dutch or western migration background. Methods: A mortality follow-back study was conducted using a stratified sample of death certificates of persons who died between August and December 2015, obtained from the central death registry of Statistics Netherlands. Questionnaires were sent to the attending physician (n = 9351; response 78%). Patients aged ≥18 years who died a nonsudden death were included in this study (n = 5327). Results: Patients with a non-western migration background are more likely than patients with a Dutch or western migration background to be admitted to and die in hospital (51.6% vs. 33.9% [OR 1.74; 95% CI 1.26–2.41]; 39.1% vs. 20.1% [OR 1.96; 95% CI 1.39–2.78]); less likely to receive morphine or morphine-like medication and continuous deep sedation (72.8% vs. 80.1% [OR 0.62; 95% CI 0.43–0.89]; 16.8% vs. 25.2% [OR 0.52; 95% CI 0.34–0.80]); and more likely to receive end-of-life care that, according to physicians, is directed at curation for too long (6.8% vs. 1.7% [OR 3.61; 95% CI 1.83–7.12]). End-of-life decisions are made less frequently for patients with a non-western migration background (71.6% vs. 79.2% [OR 0.64; 95% CI 0.45–0.91]). Characteristics of decision-making are similar. Conclusion: End-of-life care for patients with a non-western migration background focuses more, or longer on maximum, curative treatment and end-of-life decisions are made less often.
AB - Context: Migrant populations across Europe are aging and will increasingly need end-of-life care. Objective: The objectives of this study were to gain insight into end-of-life care and decision-making for patients with a non-western migration background and assess differences compared to patients with a Dutch or western migration background. Methods: A mortality follow-back study was conducted using a stratified sample of death certificates of persons who died between August and December 2015, obtained from the central death registry of Statistics Netherlands. Questionnaires were sent to the attending physician (n = 9351; response 78%). Patients aged ≥18 years who died a nonsudden death were included in this study (n = 5327). Results: Patients with a non-western migration background are more likely than patients with a Dutch or western migration background to be admitted to and die in hospital (51.6% vs. 33.9% [OR 1.74; 95% CI 1.26–2.41]; 39.1% vs. 20.1% [OR 1.96; 95% CI 1.39–2.78]); less likely to receive morphine or morphine-like medication and continuous deep sedation (72.8% vs. 80.1% [OR 0.62; 95% CI 0.43–0.89]; 16.8% vs. 25.2% [OR 0.52; 95% CI 0.34–0.80]); and more likely to receive end-of-life care that, according to physicians, is directed at curation for too long (6.8% vs. 1.7% [OR 3.61; 95% CI 1.83–7.12]). End-of-life decisions are made less frequently for patients with a non-western migration background (71.6% vs. 79.2% [OR 0.64; 95% CI 0.45–0.91]). Characteristics of decision-making are similar. Conclusion: End-of-life care for patients with a non-western migration background focuses more, or longer on maximum, curative treatment and end-of-life decisions are made less often.
KW - End-of-life care
KW - end-of-life decision-making
KW - migrant patients
UR - http://www.scopus.com/inward/record.url?scp=85077384169&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jpainsymman.2019.11.026
DO - https://doi.org/10.1016/j.jpainsymman.2019.11.026
M3 - Article
C2 - 31837456
SN - 0885-3924
VL - 59
SP - 990-1000.e5
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 5
ER -