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BMJ 2006;332 (4 March), doi:10.1136/bmj.332.7540.0-b
A complicated network of factors influences where patients with cancer die, a systematic review of 58 studies with more than 1.5 million terminally ill cancer patients has discovered. Gomes and Higginson (p 515) found consistent evidence for the effect of 17 factors on place of death, six of which were strongly associated with dying at home. Policies to enable people to die at home should focus on the empowerment of families, public education, home based models of care, assessment of risk, and training of practitioners in palliative care, say the authors.
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