Malignant neoplasm of the heart: evaluating disparities in place of death in the United States using CDC-WONDER database over 22 years

Navya Pillikunte Doddareddy; Sandra Prabhu; Sneha Hirulkar; Nandini Sai Vadlamani; Sushmitha Priya Narra; Anju Pradeep

doi:10.18203/2394-6040.ijcmph20244013

Authors

Navya Pillikunte Doddareddy Department of Internal Medicine, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
Sandra Prabhu Department of Internal Medicine, Sree Gokulam Medical Center, Attingal, Trivandrum, Kerala, India
Sneha Hirulkar Department of Internal Medicine, Medical University of Lublin, Poland
Nandini Sai Vadlamani Department of Internal Medicine, Maharaja Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
Sushmitha Priya Narra Department of Internal Medicine, Pinnamaneni Siddhartha Institute OF Medical Sciences and Research Foundation, Gannavaram, Andhra Pradesh, India
Anju Pradeep Department of Internal Medicine, Kasturbha Medical College, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20244013

Keywords:

End-of-life care, Home, Hospital, Malignant neoplasm of heart, Medical facilities, Mortality trends, Nursing facilities

Abstract

Background: The aim of this study was to evaluate the disparities in place of death due to malignant neoplasms of heart based on age group, gender, race, and census region of the USA, via CDC-WONDER data.

Methods: Data was collected from CDC-WONDER using the ICD-11 code: C38. Data included all deaths occurring between 1999 and 2020, and was categorized by bridged-race categories. The data was extracted on August 29, 2023, and exported to Microsoft Excel. Statistical analysis included univariate logistic regressions and odds ratios (OR), done via STATA and R software, and prediction of future trends via ARIMA model.

Results: Out of a total of 5,334 patient deaths analyzed, those aged 25-74 experienced death more frequently took place in medical or nursing facilities. Death more frequently occurred at home or in hospice in the Midwest, south, and west USA. Asian or Pacific Islanders and Black or African American patients have experienced death more frequently occurs in medical or nursing facilities.

Conclusions: Hence, there is a need to focus on improving access to end-of-life care regarding malignant neoplasms of the heart in hospitals and nursing facilities for those over 85 and in the Midwest, south, and west and to implement future measures to improve end-of-life care for patients.

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