A recent report from the Canadian Institute for Health Information shows that the percentage of cancer patients who died in Canadian hospitals in 2011–2012 varied significantly from province to province, from 39% in British Columbia to 69% in Manitoba (data from Quebec were not available).
The report shows that although most patients do not want to die in hospital, almost half of Canadians are doing so, possibly due to a lack of availability of home care or hospice services in their area. The provincial variations shown in the report could point to areas in need of better access to palliative care services.
The report, entitled End-of-Life Hospital Care for Cancer Patients, showed that of the 25 000 cancer patients who died in hospital in 2011–2012, 22% had been admitted to acute care with a sole diagnosis of palliative care. Another 5% were admitted as alternate level of care patients.
Twenty-three percent of cancer patients were admitted to acute care multiple times in their last 28 days of life, a number that rose to 30% for those living in rural areas. Furthermore, 70% of patients visited emergency departments at least once during this final period of their lives. The report can be viewed at www.cihi.ca.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
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For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org