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My Thoughts / My Surgical Practice|Articles in Press

Trends in location of death for individuals with metastatic lung cancer in the United States

Published:February 24, 2023DOI:https://doi.org/10.1016/j.amjsurg.2023.02.017
      Lung cancer is the third most common form of cancer and the deadliest cancer in both men and women in the United States,
      • Sung H.
      • Ferlay J.
      • Siegel R.L.
      • et al.
      Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.
      accounting for 25% of all cancer deaths. Given both the poor 5-year survival rate of 18.6%
      • Howlader N.
      • Noone A.
      • Krapcho M.
      • et al.
      SEER Cancer Statistics Review, 1975-2018.
      and significant patient suffering due to pain, dyspnea, pleural effusion, and psychological distress,
      • Ford D.
      • Koch K.
      • Ray D.
      • Selecky P.
      Palliative and end-of-life care in lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.
      supportive end-of-life care that addresses the physical, intellectual, emotional, sociocultural, and spiritual needs for patients with lung cancer is critical. A robust literature has established that patients with advanced cancer prefer to die outside of institutionalized settings, which are associated with poor respect, emotional support, and symptom management.
      • Higginson I.J.
      • Sen-Gupta G.J.A.
      Place of care in advanced cancer: a qualitative systematic literature review of patient preferences.
      ,
      • Teno J.M.
      • Clarridge B.R.
      • Casey V.
      • et al.
      Family perspectives on end-of-life care at the last Place of care.
      This is particularly notable since more than 50% of unselected lung cancer patients historically die within one year of diagnosis, such that expedient access to an optimal end-of-life care setting is imperative.
      • Howlader N.
      • Noone A.
      • Krapcho M.
      • et al.
      SEER Cancer Statistics Review, 1975-2018.
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