Table 3.
Factors independently associated with Palliative Care access
| Adjusted odds ratios [95% confidence interval] | |||
|---|---|---|---|
| Accessed inpatient palliative care vs did not access (2013–2016) | |||
| Total (N = 170,599) | Death (2013–2016) | ||
| No (N = 109,793) | Yes (N = 60,806) | ||
| Gender (ref. male) | |||
| Female | 0.93 [0.90–0.95] | 0.97 [0.90–1.05] | 1.13 [1.09–1.17] |
| Age in 2013 (ref. 50–74) | |||
| Under 18 years | 0.44 [0.37–0.52] | 0.92 [0.67–1.26] | 1.77 [1.22–2.56] |
| 18–49 | 0.77 [0.73–0.81] | 0.88 [0.78–0.99] | 1.39 [1.28–1.51] |
| 75 years and older | 1.61 [1.56–1.66] | 1.34 [1.22–1.46] | 0.82 [0.79–0.85] |
| Cancer site (ref. Respiratory track) | |||
| Gastro-intestinal | 0.66 [0.64–0.68] | 0.64 [0.57–0.72] | 0.99 [0.95–1.04] |
| Endocrine glands | 0.08 [0.07–0.09] | 0.14 [0.10–0.19] | 0.57 [0.45–0.73] |
| Hematologic | 0.39 [0.37–0.41] | 0.66 [0.57–0.76] | 0.62 [0.58–0.66] |
| Bone | 0.48 [0.38–0.60] | 0.62 [0.37–1.04] | 0.97 [0.68–1.38] |
| Skin | 0.09 [0.09–0.10] | 0.11 [0.09–0.13] | 0.34 [0.32–0.37] |
| Nervous system | 1.61 [1.50–1.74] | 0.63 [0.48–0.81] | 1.76 [1.59–1.95] |
| Soft tissues | 0.23 [0.18–0.29] | 0.18 [0.08–0.37] | 0.55 [0.40–0.76] |
| Upper aerodigestive tract | 0.66 [0.63–0.70] | 0.89 [0.77–1.04] | 0.80 [0.74–0.86] |
| Urinary tract | 0.33 [0.31–0.34] | 0.33 [0.28–0.39] | 0.82 [0.77–0.88] |
| Eye | 0.21 [0.15–0.30] | 0.21 [0.09–0.51] | 0.75 [0.45–1.24] |
| Cancer stage (ref. Invasive) | |||
| In situ | 0.14 [0.12–0.17] | 0.33 [0.23–0.47] | 0.39 [0.30–0.51] |
| Node involvement | 1.69 [1.60–1.78] | 1.77 [1.55–2.03] | 1.35 [1.26–1.46] |
| Metastatic | 5.37 [5.19–5.55] | 3.56 [3.17–4.00] | 1.96 [1.89–2.04] |
| Non-attributablea | 0.08 [0.06–0.10] | 0.14 [0.08–0.22] | 0.25 [0.17–0.35] |
| Comorbidities in 2013 (ref. no comorbidities) | |||
| 1 category | 1.20 [1.17–1.24] | 1.22 [1.12–1.33] | 0.79 [0.75–0.82] |
| 2 categories or more | 1.37 [1.32–1.41] | 1.58 [1.44–1.74] | 0.66 [0.63–0.68] |
| Social deprivation level (ref. Very high deprivation (5th quintile)) | |||
| Very little deprivation (1st quintile) | 0.86 [0.82–0.90] | 0.74 [0.65–0.84] | 1.06 [0.99–1.12] |
| Little deprivation (2nd quintile) | 0.93 [0.89–0.97] | 0.87 [0.77–0.98] | 1.09 [1.03–1.15] |
| Moderate deprivation (3rd quintile) | 0.92 [0.88–0.96] | 0.96 [0.85–1.08] | 1.02 [0.97–1.08] |
| Substantial deprivation (4th quintile) | 0.94 [0.90–0.98] | 0.87 [0.78–0.98] | 1.03 [0.97–1.08] |
Table legend. Multivariable logistic regressions were selected by a forward stepwise selection procedure (probability threshold = 20%, probability of staying in the model = 5%) and adjusted for region of residence. Only cancer sites common to both men and women were considered, a Cancer sites and stage which could not be characterized under the ICD-10 classification