Place and Cause of Death in Chronic Neurological Diseases (Including MS)
A study reviewing death certificates in Munich found that 43.8% of deaths occurred in hospitals, 25.9% in nursing homes, and 25.0% at home. Neurological diseases were listed as the immediate or underlying cause of death in 57.3% of cases.
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- #MSResearch
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Why it matters
This analysis provides insights into common end-of-life settings and the role of neurological diseases in mortality, highlighting the need for improved palliative care for affected individuals.
What this does not prove
This study does not establish causal relationships for mortality or specifically for MS, as it is based solely on death certificates.
Next milestone
No next milestone was established from the available source.
Study facts
- Study design
- Observational
- Participants / samples
- 2536 · individuals with chronic neurological diseases
- Randomised
- Not reported
- Controlled
- Not reported
- Primary endpoint met
- Not reported
- Relevant MS type
- Not reported
- Publication date
- 2026-10-06
- Evidence reviewed
- Abstract only
- Regulatory approval
- Not reported
- Research areas
- Not classified
Original sources
- Primary evidencePlace and cause of death among people with chronic neurological diseases in Munich: a population-based study using death certificates. ↗DOI: 10.1186/s42466-026-00536-x
Supporting passages (8)
study phaseMETHOD: In this cross-sectional study, all death certificates from the city of Munich, Germany (2020-2023) were reviewed.
study designThis study aimed to characterize the place and cause of death among individuals with chronic neurological diseases to help identify potential gaps in palliative care provision.
subjectsCases were included if malignant brain tumours, amyotrophic lateral sclerosis (ALS) or other motor neuron diseases, Parkinson's disease (PD), multiple sclerosis (MS) or other neurodegenerative or neuromuscular diseases were recorded as the cause of death or as a comorbidity.
sample sizeOf 60,357 deaths, 2,536 individuals (4.2%) had at least one chronic neurological disease.
sample size basisThis study aimed to characterize the place and cause of death among individuals with chronic neurological diseases to help identify potential gaps in palliative care provision.
publication datePublication date: 2026-10-06
findingsOverall, the neurological disease was recorded as the immediate or underlying cause of death in 57.3% of cases, while in the remaining cases it was documented as a comorbidity, reflecting its presence without formal causal attribution to death.
limitationsTitle: Place and cause of death among people with chronic neurological diseases in Munich: a population-based study using death certificates.
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