ID | 67188 |
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著者 |
Shibata, Masashi
Department of General Medicine, Iizuka Hospital
Otsuka, Yuki
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Hagiya, Hideharu
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Koyama, Toshihiro
Department of Pharmaceutical Biomedicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Kashiwagi, Hideyuki
Department of Transitional and Palliative Care, Iizuka Hospital
Otsuka, Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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抄録 | Background
In the global aging, the coronavirus disease 2019 (COVID-19) pandemic may have affected the place of death (PoD) in Japan, where hospital deaths have dominated for decades. We analyzed the PoD trends before and during the COVID-19 pandemic in Japan. Methods This nationwide observational study used vital statistics based on death certificates from Japan between 1951 and 2021. The proportion of PoD; deaths at home, hospitals, and nursing homes; and annual percentage change (APC) were estimated using joinpoint regression analysis. Analyses were stratified by age groups and causes of death. Results After 2019, home deaths exhibited upward trends, while hospital death turned into downward trends. By age, no significant trend change was seen in the 0-19 age group, while hospital deaths decreased in the 20-64 age group in 2019. The trend change in home death in the >= 65 age group significantly increased since 2019 with an APC of 12.3% (95% confidence interval [CI]: 9.0 to 15.7), while their hospital death trends decreased by -4.0% (95% CI: -4.9 to -3.1) in 2019-2021. By cause of death, home death due to cancer and the old age increased since 2019 with an APC of 29.3% (95% CI: 25.4 to 33.2) and 8.8% (95% CI: 5.5 to 12.2), respectively. Conclusion PoD has shifted from hospital to home during the COVID-19 pandemic in Japan. The majority of whom were older population with cancer or old age. |
発行日 | 2024-02-28
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出版物タイトル |
PLoS ONE
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巻 | 19巻
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号 | 2号
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出版者 | Public Library of Science
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開始ページ | e0299700
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ISSN | 1932-6203
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2024 Shibata et al.
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論文のバージョン | publisher
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関連URL | isVersionOf https://doi.org/10.1371/journal.pone.0299700
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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Citation | Shibata M, Otsuka Y, Hagiya H, Koyama T, Kashiwagi H, Otsuka F (2024) Changes in the place of death before and during the COVID-19 pandemic in Japan. PLoS ONE 19(2): e0299700. https://doi.org/10.1371/journal.pone.0299700
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