Table 1.

Number of deaths due to hematologic malignancy in 2003 to 2019, overall and by geographic area

Large metropolitanMedium/small metropolitanRural metropolitan
N = 501 894 (49.7%)N = 320 923 (31.8%)N = 186 900 (18.5%)OR (95% CI)*,OR (95% CI)*,
POD, no. (%) 
 Medical facility 240 935 (48.0) 136 851 (42.6) 83 096 (44.5) 1.00 (ref) 1.00 (ref) 
 Home 155 390 (31.0) 106 053 (33.0) 62 139 (33.2) 0.86 (0.85, 0.87) 1.04 (1.02, 1.05) 
 Hospice 41 681 (8.3) 30 576 (9.5) 8658 (4.6) 1.66 (1.64, 1.67) 2.14 (2.12, 2.16) 
 Nursing facility 63 888 (12.7) 47 443 (14.8) 33 007 (17.7) 0.67 (0.66, 0.67) 0.87 (0.87, 0.88) 
Large metropolitanMedium/small metropolitanRural metropolitan
N = 501 894 (49.7%)N = 320 923 (31.8%)N = 186 900 (18.5%)OR (95% CI)*,OR (95% CI)*,
POD, no. (%) 
 Medical facility 240 935 (48.0) 136 851 (42.6) 83 096 (44.5) 1.00 (ref) 1.00 (ref) 
 Home 155 390 (31.0) 106 053 (33.0) 62 139 (33.2) 0.86 (0.85, 0.87) 1.04 (1.02, 1.05) 
 Hospice 41 681 (8.3) 30 576 (9.5) 8658 (4.6) 1.66 (1.64, 1.67) 2.14 (2.12, 2.16) 
 Nursing facility 63 888 (12.7) 47 443 (14.8) 33 007 (17.7) 0.67 (0.66, 0.67) 0.87 (0.87, 0.88) 

Authors’ analysis of sites of death by rural-urban classification utilizing CDC WONDER database. ORs for the association between geographic region and POD from multinomial regression (top panel), adjusting for year of death are noted.

*

Odds of dying at home, in hospice, or in a nursing facility compared with a medical facility for large metropolitan areas vs rural areas.

All ORs were significant at P < .0001.

Odds of dying at home, in hospice, or in a nursing facility compared with a medical facility for medium/small metropolitan areas vs rural areas.

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