Table 3.
Patient factors associated with hospice use. Odds ratios and p-values are from multivariable logistic regression.
Hospice Use | Hospice Use | ||
---|---|---|---|
|
|||
Unadjusted % | Odds Ratio (95% CI) | P Value | |
Sex | |||
Male | 36.3 | Reference | |
Female | 33.6 | 0.77 (0.52, 1.14) | 0.19 |
Race/Ethnicity | |||
White | 39.5 | Reference | |
Non-white | 25.6 | 0.60 (0.40, 0.90) | 0.02 |
Marital status | |||
Married/living as married | 34.5 | 0.93 (0.65, 1.35) | 0.72 |
Non-married | 36.5 | Reference | |
Age at diagnosis (years) | |||
21-59 | 31.4 | Reference | |
60-69 | 36.6 | 1.23 (0.78, 1.96) | 0.37 |
70-79 | 34.9 | 1.35 (0.74, 2.46) | 0.33 |
≥80 | 41.2 | 2.47 (1.16, 5.23) | 0.02 |
Comorbidity score at diagnosis | |||
None/Mild | 34.1 | Reference | |
Moderate/Severe | 37.2 | 0.73 (0.51, 1.14) | 0.09 |
Physician communication score | |||
0-79 | 40.1 | 0.96 (0.62, 1.49) | 0.86 |
80-99 | 31.7 | 0.73 (0.48, 1.10) | 0.14 |
100 | 35.3 | Reference | |
Education | |||
<High school | 37.8 | 1.53 (0.83, 2.80) | 0.17 |
High school/some college | 37.6 | 1.72 (1.07, 2.76) | 0.03 |
≥college degree | 27.7 | Reference | |
Number of months able to live at current standard of living if lost income |
|||
<1 month | 46.5 | 1.82 (1.11, 2.99) | 0.02 |
1-2 months | 34.0 | 1.09 (0.57, 2.08) | 0.80 |
3-12 months | 27.9 | 0.84 (0.47, 1.51) | 0.58 |
≥1 year | 33.2 | Reference | |
Insurance | |||
VA | 43.4 | 0.88 (0.46, 1.66) | 0.69 |
Private | 32.4 | Reference | |
Supplemental | 35.9 | 0.77 (0.44, 1.35) | 0.37 |
Public | 33.7 | 0.88 (0.45, 1.72) | 0.71 |
None | 32.6 | 0.62 (0.28, 1.41) | 0.26 |
Performance status | |||
Poor | 37.7 | 1.38 (0.91, 2.09) | 0.13 |
Good | 28.1 | Reference | |
Integrated provider organization member |
|||
Yes | 38.1 | 1.09 (0.72, 1.65) | 0.69 |
No | 33.6 | Reference | |
Cancer type | |||
Lung | 42.4 | 2.08 (1.40, 3.09) | <0.001 |
Colorectal | 21.6 | Reference | |
Survival from diagnosis, months | 0.99 (0.98, 0.995) | 0.001 | |
<13 months | 52.4 | ||
≥13 months | 18.3 | ||
Accurate understanding about whether chemotherapy might cure |
|||
Yes | 49.2 | 1.97 (1.37, 2.82) | <0.001 |
No | 28.4 | Reference | |
Care preference | |||
Life-prolonging care | 27.0 | Reference | |
Symptom-directed care | 43.6 | 1.83 (1.26, 2.66) | 0.002 |
Missing/not asked | 36.2 | 1.51 (0.89, 2.57) | 0.13 |