Skip to main content

Table 3 Factors associated with primary care service use in the last 3 months of life, N = 68,523

From: Primary care service use by end-of-life cancer patients: a nationwide population-based cohort study in the United Kingdom

Variable Value GP consultation   GP prescription   GP referral to other specialities  
Palliative care Yes 1.39(1.37 to 1.42) < 0.0001 1.39(1.37 to 1.41) < 0.0001 1.26(1.20 to 1.33) < 0.0001
Age at death (ref: < 50) 50–59 0.99(0.95 to 1.02) < 0.0001 1.04(0.98 to 1.10) < 0.0001 1.14(1.00 to 1.30) < 0.0001
60–69 0.97(0.94 to 1.01)   1.05(0.99 to 1.10)   1.24(1.09 to 1.41)  
70–79 0.93(0.90 to 0.96)   1.03(0.97 to 1.08)   1.23(1.09 to 1.40)  
80–89 0.86(0.83 to 0.90)   1.04(0.98 to 1.10)   1.23(1.08 to 1.39)  
90+ 0.81(0.78 to 0.84)   1.12(1.06 to 1.20)   1.12(0.97 to 1.28)  
Gender (ref: female) Male 0.97(0.96 to 0.98) < 0.0001 0.90(0.89 to 0.92) < 0.0001 1.04(1.00 to 1.08) 0.05
Cancer site (ref: Lung) Colorectal 0.99(0.97 to 1.01) < 0.0001 1.01(0.98 to 1.04) < 0.0001 1.10(1.04 to 1.16) < 0.0001
Breast 1.00(0.98 to 1.02)   0.95(0.93 to 0.98)   0.99(0.95 to 1.04)  
Prostate 1.10(1.08 to 1.12)   1.11(1.08 to 1.13)   1.15(1.09 to 1.22)  
No. comorbidity conditions (ref: 0) 1 1.03(1.01 to 1.04) < 0.0001 1.11(1.09 to 1.14) < 0.0001 1.02(0.96 to 1.08) < 0.0001
2 1.08(1.06 to 1.10)   1.26(1.23 to 1.28)   1.05(0.99 to 1.11)  
3 1.10(1.08 to 1.12)   1.39(1.35 to 1.43)   1.09(1.02 to 1.16)  
4+ 1.18(1.16 to 1.20)   1.58(1.53 to 1.63)   1.17(1.07 to 1.27)  
Time between diagnosis and death (months)
(ref: 120+)
< 6 1.40(1.35 to 1.45) < 0.0001 1.15(1.10 to 1.21) < 0.0001 1.81(1.62 to 2.02) < 0.0001
6–12 1.14(1.10 to 1.19)   1.12(1.07 to 1.18)   1.04(0.93 to 1.17)  
13–36 1.09(1.05 to 1.13)   1.07(1.03 to 1.12)   1.01(0.91 to 1.13)  
37–60 1.06(1.02 to 1.10)   1.05(1.00 to 1.10)   1.03(0.91 to 1.16)  
61–120 1.00(0.96 to 1.04)   1.00(0.95 to 1.04)   1.06(0.95 to 1.18)  
Year of death (ref: 2010–2014) 2000–2004 0.66(0.63 to 0.69) < 0.0001 0.88(0.85 to 0.90) < 0.0001 1.16(1.03 to 1.31) < 0.0001
2005–2009 0.85(0.83 to 0.88)   0.93(0.91 to 0.96)   0.92(0.86 to 0.99)  
Region (ref: England) Wales 0.91(0.81 to 1.02) 0.12 1.10(1.03 to 1.17) < 0.0001 1.23(1.00 to 1.51) 0.029
Scotland 0.99(0.88 to 1.10)   0.86(0.81 to 0.92)   0.83(0.64 to 1.07)  
NI 1.22(1.00 to 1.48)   1.07(0.95 to 1.20)   1.21(1.01 to 1.46)