Research
Trends in site of death and health care utilization at the end of life: a population-based cohort study
Andrea D. Hill, Therese A. Stukel, Longdi Fu, Damon C. Scales, Andreas Laupacis, Gordon D. Rubenfeld, Hannah Wunsch, James Downar, Kenneth Rockwood, Daren K. Heyland, Samir K. Sinha, Camilla Zimmermann, Sonal Gandhi, Jeff Myers, Heather J. Ross, Jean F. Kozak, Scott Berry, Shelly P. Dev, Ignazio La Delfa and Robert A. Fowler
April 26, 2019 7 (2) E306-E315; DOI: https://doi.org/10.9778/cmajo.20180097
Andrea D. Hill
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
PhDTherese A. Stukel
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
PhDLongdi Fu
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MScDamon C. Scales
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD PhDAndreas Laupacis
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MScGordon D. Rubenfeld
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MScHannah Wunsch
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MScJames Downar
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MDCM MHScKenneth Rockwood
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MPADaren K. Heyland
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MScSamir K. Sinha
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD DPhilCamilla Zimmermann
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD PhDSonal Gandhi
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MScJeff Myers
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MSEdHeather J. Ross
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MHScJean F. Kozak
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
PhDScott Berry
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MD MHScShelly P. Dev
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MDIgnazio La Delfa
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MDRobert A. Fowler
Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
MDCM MS(Epi)
Article Information
vol. 7 no. 2 E306-E315
PubMed
History
- Published online April 26, 2019.
Copyright & Usage
Copyright 2019, Joule Inc. or its licensors
Author Information
- Andrea D. Hill, PhD,
- Therese A. Stukel, PhD,
- Longdi Fu, MSc,
- Damon C. Scales, MD PhD,
- Andreas Laupacis, MD MSc,
- Gordon D. Rubenfeld, MD MSc,
- Hannah Wunsch, MD MSc,
- James Downar, MDCM MHSc,
- Kenneth Rockwood, MD MPA,
- Daren K. Heyland, MD MSc,
- Samir K. Sinha, MD DPhil,
- Camilla Zimmermann, MD PhD,
- Sonal Gandhi, MD MSc,
- Jeff Myers, MD MSEd,
- Heather J. Ross, MD MHSc,
- Jean F. Kozak, PhD,
- Scott Berry, MD MHSc,
- Shelly P. Dev, MD,
- Ignazio La Delfa, MD,
- Robert A. Fowler, MDCM MS(Epi)
- Departments of Critical Care Medicine (Hill, Scales, Rubenfeld, Wunsch, Dev, Fowler) and of Medicine (Gandhi, Berry), Sunnybrook Health Sciences Centre; Sunnybrook Research Institute (Hill); ICES (Stukel, Fu, Scales); Institute of Health Policy, Management and Evaluation (Stukel, Fowler), Interdepartmental Division of Critical Care (Scales, Rubenfeld, Wunsch, Dev, Fowler), Faculty of Medicine (Laupacis), Department of Anesthesia (Wunsch), Department of Medicine (Sinha, Gandhi, La Delfa), Division of Palliative Medicine, Department of Medicine (Zimmermann), and Division of Palliative Care, Department of Family Medicine, Faculty of Medicine (Myers), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis) and Department of Palliative Care (La Delfa), St. Michael’s Hospital, Toronto, Ont.; Departments of Medicine and Critical Care (Downar), Division of Palliative Care, University of Ottawa, Ottawa, Ont.; Divisions of Geriatric Medicine and Neurology (Rockwood), Department of Medicine, Dalhousie University, Halifax, NS; Department of Critical Care Medicine (Heyland), Queen’s University, Kingston Ont.; Department of Medicine (Sinha) and Division of Palliative Care (Myers), Sinai Health System; Department of Medicine (Sinha), Division of Palliative Care, Department of Supportive Care (Zimmermann), and Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre (Ross), University Health Network, Toronto, Ont.; School of Population and Public Health (Kozak), University of British Columbia; Department of Family and Community Medicine (Kozak), Providence Health Care, Vancouver, BC
- Correspondence to: Andrea Hill, Andrea.Hill{at}sunnybrook.ca
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Trends in site of death and health care utilization at the end of life: a population-based cohort study
Andrea D. Hill, Therese A. Stukel, Longdi Fu, Damon C. Scales, Andreas Laupacis, Gordon D. Rubenfeld, Hannah Wunsch, James Downar, Kenneth Rockwood, Daren K. Heyland, Samir K. Sinha, Camilla Zimmermann, Sonal Gandhi, Jeff Myers, Heather J. Ross, Jean F. Kozak, Scott Berry, Shelly P. Dev, Ignazio La Delfa, Robert A. Fowler
Apr 2019, 7 (2) E306-E315; DOI: 10.9778/cmajo.20180097
Trends in site of death and health care utilization at the end of life: a population-based cohort study
Andrea D. Hill, Therese A. Stukel, Longdi Fu, Damon C. Scales, Andreas Laupacis, Gordon D. Rubenfeld, Hannah Wunsch, James Downar, Kenneth Rockwood, Daren K. Heyland, Samir K. Sinha, Camilla Zimmermann, Sonal Gandhi, Jeff Myers, Heather J. Ross, Jean F. Kozak, Scott Berry, Shelly P. Dev, Ignazio La Delfa, Robert A. Fowler
Apr 2019, 7 (2) E306-E315; DOI: 10.9778/cmajo.20180097
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