Table 4.

Factors associated with primary care service use in the last 12 months of life, sensitivity analysis with IMD, N = 42,770

		GP consultation		GP prescription		GP referral to other specialities		Palliative care needs recognised or not
Palliative care	Yes	1.29(1.27 to 1.31)	< 0.0001	1.16(1.14 to 1.18)	< 0.0001	1.21(1.17 to 1.25)	< 0.0001
Age at death (ref: < 50)	50–59	0.96(0.93 to 1.00)	< 0.0001	1.08(1.00 to 1.15)	< 0.0001	1.10(0.99 to 1.22)	< 0.0001	0.98(0.93 to 1.03)	< 0.0001
	60–69	0.94(0.91 to 0.97)		1.20(1.13 to 1.28)		1.15(1.04 to 1.27)		0.88(0.84 to 0.93)
	70–79	0.92(0.90 to 0.95)		1.28(1.20 to 1.36)		1.16(1.05 to 1.27)		0.80(0.76 to 0.84)
	80–89	0.86(0.83 to 0.89)		1.37(1.28 to 1.46)		1.14(1.03 to 1.25)		0.67(0.64 to 0.71)
	90+	0.79(0.76 to 0.82)		1.50(1.39 to 1.61)		0.99(0.88 to 1.10)		0.53(0.49 to 0.56)
Gender (ref: female)	Male	0.96(0.95 to 0.97)	< 0.0001	0.91(0.89 to 0.92)	< 0.0001	0.98(0.95 to 1.01)	0.14	0.97(0.95 to 1.00)	0.033
Cancer site (ref: Lung)	Colorectal	0.99(0.97 to 1.01)	< 0.0001	1.07(1.04 to 1.10)	< 0.0001	1.05(1.00 to 1.10)	< 0.0001	0.76(0.73 to 0.79)	< 0.0001
	Breast	1.01(1.00 to 1.02)		0.97(0.94 to 0.99)		1.02(0.98 to 1.06)		0.90(0.87 to 0.92)
	Prostate	1.20(1.18 to 1.22)		1.16(1.13 to 1.19)		1.24(1.18 to 1.30)		0.76(0.73 to 0.80)
No. comorbid conditions (ref: 0)	1	1.09(1.07 to 1.10)	< 0.0001	1.19(1.17 to 1.22)	< 0.0001	1.07(1.03 to 1.12)	< 0.0001	1.06(1.03 to 1.09)	< 0.0001
	2	1.20(1.18 to 1.22)		1.45(1.41 to 1.49)		1.15(1.10 to 1.21)		1.07(1.04 to 1.11)
	3	1.17(1.14 to 1.19)		1.66(1.61 to 1.72)		1.24(1.18 to 1.31)		1.08(1.03 to 1.12)
	4+	1.25(1.23 to 1.28)		2.07(2.00 to 2.15)		1.38(1.29 to 1.48)		1.00(0.95 to 1.06)
Time between diagnosis and death (ref: 120+)	0–5	1.08(1.04 to 1.11)	< 0.0001	0.96(0.91 to 1.01)	< 0.0001	1.56(1.43 to 1.71)	< 0.0001	1.09(1.03 to 1.16)	< 0.0001
	6–12	1.31(1.26 to 1.35)		1.07(1.01 to 1.13)		1.47(1.34 to 1.61)		1.37(1.29 to 1.46)
	13–36	1.09(1.06 to 1.13)		1.04(1.00 to 1.10)		0.95(0.87 to 1.04)		1.39(1.31 to 1.48)
	37–60	1.05(1.01 to 1.08)		1.03(0.98 to 1.09)		1.00(0.91 to 1.10)		1.29(1.21 to 1.37)
	61–120	1.01(0.97 to 1.04)		0.97(0.92 to 1.02)		1.02(0.93 to 1.11)		1.16(1.09 to 1.24)
Year of death (ref: 2010–2014)	2000–2004	0.64(0.61 to 0.67)	< 0.0001	0.77(0.75 to 0.80)	< 0.0001	1.07(0.94 to 1.22)	< 0.0001	0.50(0.47 to 0.54)	< 0.0001
	2005–2009	0.85(0.82 to 0.87)		0.90(0.87 to 0.92)		0.89(0.84 to 0.94)		0.84(0.81 to 0.87)
IMD (ref: most deprived)	Least depr	1.02(0.99 to 1.04)	0.24	0.86(0.83 to 0.89)	< 0.0001	1.07(0.99 to 1.14)	0.10	1.09(1.04 to 1.13)	< 0.0001
	2	1.02(1.00 to 1.04)		0.89(0.87 to 0.92)		1.06(0.99 to 1.13)		1.09(1.05 to 1.13)
	3	1.02(0.99 to 1.04)		0.91(0.88 to 0.94)		1.03(0.96 to 1.10)		1.03(0.99 to 1.07)
	4	1.00(0.98 to 1.02)		0.93(0.90 to 0.96)		1.01(0.95 to 1.07)		1.01(0.98 to 1.05)