Care characteristicsa | Total (n = 235) | PaTz (n = 93) | No PaTz (n = 142) | Crude OR (95% CI) | Adjusted ORb (95% CI) |
---|---|---|---|---|---|
Number of topics discussed with another healthcare provider | |||||
 0–1 topics | 63 (27%) | 26 (28%) | 37 (26%) | 1 | 1 |
 2–4 topics | 78 (33%) | 26 (28%) | 52 (37%) | 0.71 (0.26–1.42) | 1.31 (0.57–2.99) |
 5–8 topics | 94 (40%) | 41 (44%) | 53 (37%) | 1.10 (0.58–2.10) | 2.55 (1.11–5.88)* |
Topics discussed with another healthcare provider | |||||
 Life expectancy | 150 (64%) | 60 (65%) | 90 (63%) | 1.05 (0.61–1.81) | 1.75 (0.91–3.37) |
 Expected complications | 137 (58%) | 57 (61%) | 80 (56%) | 1.23 (0.72–2.09) | 1.41 (0.75–2.63) |
 (Wishes regarding) palliative sedation | 137 (58%) | 57 (61%) | 80 (56%) | 1.23 (0.72–2.09) | 3.85 (1.71–8.66)** |
 (Wishes regarding) hospital admission | 113 (48%) | 46 (50%) | 67 (47%) | 1.10 (0.65–1.85) | 1.60 (0.86–2.98) |
 Treatment options | 107 (46%) | 40 (43%) | 67 (47%) | 0.85 (0.50–1.43) | 1.24 (0.66–2.30) |
 Preferred place of death | 102 (43%) | 43 (46%) | 59 (42%) | 1.21 (0.71–2.05) | 1.70 (0.91–3.17) |
 (Wishes regarding) euthanasia | 82 (35%) | 37 (40%) | 45 (32%) | 1.42 (0.83–2.46) | 2.97 (1.48–5.97)** |
 Spiritual issues | 45 (19%) | 17 (18%) | 28 (20%) | 0.91 (0.47–1.78) | 1.41 (0.66–3.01) |
Number of topics discussed with patient | |||||
 0–1 topics | 28 (12%) | 5 (5%) | 23 (16%) | 1 | 1 |
 2–4 topics | 31 (13%) | 10 (11%) | 21 (15%) | 2.19 (0.64–7.46) | 2.95 (0.77–11.3) |
 5–8 topics | 176 (75%) | 78 (84%) | 98 (69%) | 3.66 (1.33–10.1)* | 3.16 (1.04–9.64)* |
Topics discussed with patient | |||||
 Life expectancy | 191 (81%) | 79 (85%) | 112 (79%) | 1.51 (0.75–3.03) | 1.21 (0.56–2.63) |
 Expected complications | 161 (69%) | 71 (76%) | 90 (63%) | 1.87 (1.04–3.36)* | 1.60 (0.84–3.07) |
 (Wishes regarding) hospital admission | 185 (79%) | 82 (88%) | 103 (73%) | 2.82 (1.36–5.85)** | 1.68 (0.75–3.74) |
 Preferred place of death | 185 (79%) | 80 (86%) | 105 (74%) | 2.17 (1.08–4.35)* | 2.05 (0.95–4.41) |
 (Wishes regarding) palliative sedation | 168 (72%) | 75 (81%) | 93 (66%) | 2.20 (1.18–4.08)* | 1.70 (0.86–3.36) |
 Spiritual issues | 155 (66%) | 62 (67%) | 93 (66%) | 1.05 (0.61–1.83) | 1.17 (0.63–2.18) |
 Treatment options | 164 (70%) | 72 (77%) | 92 (65%) | 1.86 (1.03–3.38)* | 1.24 (0.64–2.43) |
 (Wishes regarding) euthanasia | 144 (61%) | 68 (73%) | 76 (54%) | 2.36 (1.34–4.16)** | 1.56 (0.83–2.94) |
Healthcare provider expecting the patient’s death | |||||
 More than 6 months in advance (ref) | 52 (22%) | 23 (25%) | 29 (21%) | 1 | 1 |
 3–6 months in advance | 68 (29%) | 29 (31%) | 39 (28%) | 0.94 (0.45–1.94) | 1.19 (0.51–2.74) |
 1–2 months in advance | 41 (18%) | 14 (15%) | 27 (19%) | 0.65 (0.28–1.52) | 0.83 (0.31–2.17) |
 In the final month | 45 (19%) | 17 (18%) | 28 (20%) | 0.77 (0.34–1.73) | 1.63 (0.64–4.13) |
 In the final week | 27 (12%) | 10 (11%) | 17 (12%) | 0.74 (0.29–1.93) | 1.53 (0.52–4.51) |
Hospital admission in the final 2 weeks | 45 (19%) | 20 (22%) | 25 (18%) | 1.26 (0.65–2.43) | 1.60 (0.77–3.35) |
Preferred place of death known | 226 (96%) | 89 (96%) | 137 (96%) | 1.30 (0.23–7.24) | 0.95 (0.15–5.93) |
 Died at preferred place of death | 219 (93%) | 85 (91%) | 134 (94%) | 0.48 (0.10–2.18) | 0.76 (0.15–3.95) |
Place of death | |||||
 Home (ref) | 175 (75%) | 72 (78%) | 103 (74%) | 1 | 1 |
 Residential care home | 18 (8%) | 5 (5%) | 13 (9%) | 0.55 (0.19–1.61) | 0.59 (0.18–1.93) |
 Hospice | 27 (12%) | 10 (11%) | 17 (12%) | 0.84 (0.36–1.94) | 0.76 (0.30–1.93) |
 Hospital | 8 (3%) | 4 (4%) | 4 (3%) | 1.43 (0.35–5.91) | 0.88 (0.18–4.26) |
 Other/don’t know | 4 (2%) | 1 (1%) | 3 (2%) | 0.48 (0.05–4.67) | 0.33 (0.03–3.95) |