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Table 5 Factors associated with primary care service use in the last 12 months of life, using all deaths post QoF, N = 46,703

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

 

GP consultation

 

GP prescription

 

GP referral to other specialities

 

Palliative care needs recognised or not

 

Palliative care (ref: Yes)

No

1.32(1.31 to 1.34)

< 0.0001

1.17(1.15 to 1.19)

< 0.0001

1.23(1.19 to 1.26)

< 0.0001

  

Age at death (ref: < 50)

50–59

0.95(0.92 to 0.99)

< 0.0001

1.13(1.06 to 1.20)

< 0.0001

1.10(1.00 to 1.20)

< 0.0001

0.98(0.94 to 1.02)

< 0.0001

60–69

0.93(0.90 to 0.97)

 

1.19(1.12 to 1.26)

 

1.18(1.08 to 1.28)

 

0.88(0.85 to 0.92)

 

70–79

0.90(0.87 to 0.94)

 

1.27(1.20 to 1.34)

 

1.25(1.15 to 1.35)

 

0.81(0.78 to 0.85)

 

80–89

0.84(0.81 to 0.87)

 

1.36(1.29 to 1.44)

 

1.23(1.13 to 1.34)

 

0.70(0.67 to 0.73)

 

90+

0.78(0.75 to 0.81)

 

1.49(1.40 to 1.59)

 

1.10(0.99 to 1.21)

 

0.56(0.53 to 0.59)

 

Gender (ref: female)

Male

0.95(0.94 to 0.96)

< 0.0001

0.90(0.88 to 0.91)

< 0.0001

1.00(0.97 to 1.03)

0.96

0.97(0.96 to 0.99)

0.006

Cancer site (ref: Lung)

Colorectal

1.00(0.98 to 1.02)

< 0.0001

1.06(1.03 to 1.09)

< 0.0001

1.06(1.01 to 1.10)

< 0.0001

0.78(0.75 to 0.80)

< 0.0001

Breast

1.03(1.02 to 1.04)

 

0.97(0.95 to 0.99)

 

0.99(0.95 to 1.02)

 

0.90(0.88 to 0.93)

 

Prostate

1.21(1.19 to 1.23)

 

1.14(1.11 to 1.17)

 

1.19(1.14 to 1.24)

 

0.76(0.73 to 0.78)

 

No. comorbid conditions (ref: 0)

1

1.09(1.06 to 1.13)

< 0.0001

1.20(1.17 to 1.23)

< 0.0001

1.05(1.01 to 1.09)

< 0.0001

1.06(1.03 to 1.08)

< 0.0001

2

1.33(1.29 to 1.37)

 

1.45(1.42 to 1.49)

 

1.13(1.09 to 1.17)

 

1.06(1.03 to 1.09)

 

3

1.11(1.07 to 1.14)

 

1.69(1.64 to 1.74)

 

1.21(1.16 to 1.26)

 

1.05(1.02 to 1.08)

 

4+

1.06(1.03 to 1.10)

 

2.04(1.97 to 2.10)

 

1.30(1.24 to 1.38)

 

0.99(0.95 to 1.03)

 

Time between diagnosis and death (ref: 120+)

< 6

1.01(0.98 to 1.04)

0 < .0001

0.97(0.93 to 1.02)

< 0.0001

1.54(1.42 to 1.67)

< 0.0001

1.13(1.07 to 1.20)

< 0.0001

6–12

0.79(0.77 to 0.81)

 

1.08(1.03 to 1.13)

 

1.43(1.32 to 1.54)

 

1.38(1.31 to 1.45)

 

13–36

0.89(0.81 to 0.98)

 

1.06(1.01 to 1.10)

 

0.90(0.84 to 0.98)

 

1.42(1.35 to 1.50)

 

37–60

1.04(0.95 to 1.14)

 

1.03(0.98 to 1.08)

 

0.93(0.86 to 1.01)

 

1.32(1.25 to 1.40)

 

61–120

1.30(1.09 to 1.54)

 

0.98(0.94 to 1.03)

 

0.95(0.88 to 1.02)

 

1.17(1.11 to 1.24)

 

Year of death (ref: 2010–2014)

2006–2009

1.18(1.16 to 1.19)

< 0.0001

0.92(0.90 to 0.94)

< 0.0001

0.93(0.88 to 0.97)

0.003

0.86(0.84 to 0.88)

< 0.0001

Region (ref: England)

Wales

1.24(1.22 to 1.26)

0.011

1.14(1.07 to 1.22)

< 0.0001

1.19(1.00 to 1.42)

< 0.0001

0.98(0.91 to 1.05)

0.50

Scotland

1.07(1.06 to 1.09)

 

0.85(0.80 to 0.89)

 

0.62(0.49 to 0.77)

 

1.00(0.95 to 1.06)

 

NI

1.34(1.31 to 1.37)

 

1.00(0.92 to 1.08)

 

1.35(1.10 to 1.66)

 

0.91(0.79 to 1.04)