Table 2.
Adjusted Odds Ratios
| Access | Quality | |||
|---|---|---|---|---|
|
| ||||
| Registered with palliative care program OR (95% CI)a | Registered 60 or more days prior to death OR (95% CI)a | 1 + visits OR (95% CI)a | Died in hospital OR (95% CI)a | |
|
| ||||
| Comorbidities | ||||
| 0 | 1.00 | 1.00 | 1.00 | 1.00 |
| 1 | 1.01 (0.6–1.8) | 1.32 (0.8–2.3) | 0.71 (0.5–1.1) | 1.12 (0.8–1.6) |
| 2+ | 0.95 (0.6–1.6) | 0.94 (0.5–1.7) | 0.94 (0.6–1.4) | 1.26 (0.9–1.8) |
|
| ||||
| Stage | ||||
| IV | 1.00 | 1.00 | 1.00 | 1.00 |
| III | 0.48 (0.3–0.9)b | 1.26 (0.7–2.2) | 1.15 (0.8–1.7) | 1.15 (0.8–1.6) |
| II | 0.47 (0.3–0.9) | 0.94 (0.5–1.7) | 0.71 (0.4–1.2) | 1.30 (0.9–1.9) |
| I | 0.47 (0.1–1.5) | 1.67 (0.5–6.1) | 1.11 (0.8–1.6) | 0.54 (0.3–1.1) |
| Unknown | 0.82 (0.4–2.0) | 0.95 (0.3–2.7) | 0.54 (0.2–1.2) | 1.54 (0.9–2.7) |
|
| ||||
| Income | ||||
| <30 k | 1.00 | 1.00 | 1.00 | 1.00 |
| 30,000–44,999 | 0.68 (0.4–1.2) | 1.28 (0.7–2.3) | 0.79 (0.6–1.2) | 0.90 (0.6–1.3) |
| >45 k | 1.43 (0.8–2.7) | 0.86 (0.5–1.6) | 0.90 (0.6–1.4) | 0.64 (0.4–0.9) |
| Missing | 0.50 (0.2–1.7) | 1.54 (0.3–7.6) | 1.24 (0.5–3.2) | 0.37 (0.2–0.8) |
|
| ||||
| Age | ||||
| <65 | 1.00 | 1.00 | 1.00 | 1.00 |
| 65–74 | 0.79 (0.4–1.5) | 0.88 (0.5–1.5) | 0.89 (0.6–1.3) | 1.15 (0.8–1.8) |
| 75–84 | 0.69 (0.4–1.3) | 0.51 (0.3–0.9) | 0.70 (0.5–1.1) | 0.85 (0.6–1.2) |
| 85+ | 0.32 (0.2–0.7) | 0.51 (0.2–1.2) | 0.60 (0.3–1.0) | 0.94 (0.6–1.5) |
|
| ||||
| Sex | ||||
| Male | 1.00 | 1.00 | 1.00 | 1.00 |
| Female | 0.85 (0.5–1.3) | 1.52 (1.0–2.4) | 0.70 (0.6–1.0) | 1.19 (0.9–1.6) |
|
| ||||
| Long-term care residency | ||||
| No | 1.00 | 1.00 | 1.00 | 1.00 |
| Yes | 0.18 (0.1–0.4) | 7.23 (1.5–34.8) | 0.44 (0.2–1.2) | 0.15 (0.09–0.2) |
|
| ||||
| Rural/urban | ||||
| Rural | – | – | 1.00 | 1.00 |
| Urban | – | – | 3.18 (2.0–5.1) | 0.48 (0.3–0.7) |
|
| ||||
| Distance | ||||
| 0–10 km | 1.00 | 1.00 | – | – |
| 10–20 km | 0.96 (0.5–1.8) | 1.09 (0.6–1.9) | – | – |
| 20+ km | 0.26 (0.1–0.4) | 0.86 (0.4–1.7 | – | – |
|
| ||||
| ER visits during the last 30 days of life | ||||
| 0 | 1.00 | 1.00 | – | 1.00 |
| 1+ | 0.68 (0.4–1.2) | 0.65 (0.4–1.1) | – | 0.24 (0.2–0.3) |
|
| ||||
| Location of death | ||||
| Out of hospital | 1.00 | 1.00 | 1.00 | – |
| In hospital | 0.62 (0.4–1.1) | 0.57 (0.4–0.9) | 3.88 (2.7–5.7) | – |
|
| ||||
| Year of death | ||||
| 2001–2002 | 1.00 | 1.00 | 1.00 | 1.00 |
| 2003 | 1.59 (0.8–3.0) | 1.42 (0.6–3.0) | 0.60 (0.4–1.0) | 1.49 (1.0–2.3) |
| 2004 | 2.75 (1.4–5.4) | 0.86 (0.4–1.8) | 0.58 (0.4–1.0) | 1.02 (0.7–1.6) |
| 2005 | 2.57 (1.3–5.2) | 0.94 (0.4–2.0) | 0.46 (0.3–0.8) | 1.08 (0.7–1.7) |
| 2006 | 1.92 (0.9–4.2) | 1.18 (0.5–2.7) | 0.46 (0.3–0.8) | 1.20 (0.7–2.0) |
| 2007–2008 | 2.81 (0.8–9.3) | 1.12 (0.4–2.8) | 0.64 (0.4–1.2) | 0.97 (0.5–1.8) |
|
| ||||
| N | 602 | 385 | 1084 | 1201 |
|
| ||||
| Pseudo R-squared | 0.2180 | 0.0650 | 0.1247 | 0.1415 |
|
| ||||
| Log likelihood | −271.791 | −247.265 | −501.60915 | −681.062 |
a
OR=odds ratio; CI=confidence interval.
b
Bold figures indicate statistical significance at p<0.05.