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. 2020 Feb 26;35(7):2010–2016. doi: 10.1007/s11606-020-05740-2

Table 2.

Predictors of Change in Stated Preference for End-of-Life (EOL) Care

Change in preference from non-aggressive to aggressive EOL care (N = 711) Change in preference from aggressive to non-aggressive EOL care (N = 711)
Odds ratio [95% CI] Odds ratio [95% CI]
Received ACPa 0.85 [0.52, 1.38] 0.87 [0.54, 1.39]
Age 1.01 [0.99, 1.02] 1.01 [0.99, 1.03]
Malesa 0.83 [0.49, 1.43] 1 [0.61, 1.67]
Ethnicitya
  Malay 1.2 [0.67, 2.15] 1.45 [0.84, 2.48]
  Indian/others 1.62* [0.92, 2.85] 1.11 [0.62, 1.99]
Marrieda 1.11 [0.7, 1.77] 1.1 [0.7, 1.73]
No. of children 0.95 [0.82, 1.09] 0.98 [0.86, 1.12]
Secondary education or more a 0.81 [0.49, 1.32] 0.87 [0.54, 1.4]
Household incomea
  $500—$2999 0.83 [0.45, 1.52] 1.04 [0.58, 1.87]
  $3000 and above 1.12 [0.53, 2.33] 1.2 [0.59, 2.45]
  Do not know/refuse to answer 0.97 [0.52, 1.83] 0.69 [0.36, 1.29]
KCCQ quality-of-life score 0.99 [0.98, 1] 1 [0.98, 1.01]
KCCQ clinical summary score 1 [0.99, 1.01] 1 [0.99, 1.02]
Depressive symptoms score 0.97 [0.91, 1.04] 0.97 [0.91, 1.04]
High financial constraints a 0.92 [0.55, 1.53] 1.34 [0.82, 2.17]
Correct prognostic understandinga 0.66* [0.43, 1.03] 0.92 [0.61, 1.4]
KCCQ self-efficacy score 0.99 [0.98, 1.01] 0.99 [0.98, 1]
Decisional conflict score 1 [0.99, 1.01] 1.01 [1, 1.02]
Discussed care preference with surrogate decision-makera 1.27 [0.74, 2.16] 1.81** [1.05, 3.14]

CI, confidence interval; ACP, advance care planning; No., number; EOL, end-of-life, KCCQ: Kansas City Cardiomyopathy Questionnaire

aReference categories for variables are as follows: did not participate in ACP, females, Chinese, not married, primary education or less at baseline, household income less than $500, low/no financial constraints, incorrect understanding of prognosis or being unsure of prognosis, did not discuss treatment preference with surrogate decision-maker

* and ** indicate a statistical significance level at 10% and 5% respectively