TABLE 3.
Marginal Association Between Factors and Care Outcomes
| Care Outcome |
||||
|---|---|---|---|---|
| QOL (PedsQL Score >Median) |
Parental Regret |
|||
| Factor | Percentage With High QOL | OR (95% CI)a | Percentage With Regret | OR (95% CI)a |
| Overall | 50 | 41 | ||
| Parent characteristics | ||||
| Male sex | 53 | 1.19 (0.41–3.43) | 50 | 1.09 (0.36–3.32) |
| Education ≤high school | 54 | 1.20 (0.37–3.89) | 56 | 1.81 (0.63–5.27) |
| Race/ethnicity | ||||
| White | 44 | Reference | 45 | Reference |
| Black | 50 | 1.26 (0.28–5.60) | 13 | 0.17 (0.02–1.50) |
| Hispanic | 67 | 2.52 (0.87–7.27) | 33 | 0.60 (0.21–1.74) |
| Other | 44 | 1.01 (0.24–4.19) | 56 | 1.51 (0.36–6.26) |
| Understanding of prognosis | ||||
| Recognition of poor prognosis | 43 | 0.66 (0.25–1.72) | 46 | 1.41 (0.55–3.64) |
| Care experiences | ||||
| >Median mo between diagnosis and survey | 52 | 1.73 (0.52–5.76) | 40 | 0.77 (0.24–2.51) |
| >Median prior treatment regimens | 52 | 1.20 (0.52–2.74) | 50 | 2.06 (0.88–4.83) |
| High medical intensity of care | 48 | 0.84 (0.37–1.92) | 55 | 3.14 (1.31–7.51) |
| Last treatment regimen caused suffering with limited benefit | 10 | 0.11 (0.01–0.87) | 73 | 4.78 (1.16–19.72) |
| A great deal/a lot of suffering from pain | 16 | 0.11 (0.03–0.36) | 52 | 1.92 (0.77–4.78) |
| A great deal/a lot of suffering from any symptom | 28 | 0.11 (0.04–0.29) | 51 | 2.91 (1.18–7.16) |
| Goals of care | ||||
| QOL goal | 35 | 0.46 (0.15–1.38) | 24 | 0.39 (0.12–1.33) |
| Care decisions | ||||
| Decision for low-intensity or no cancer-directed therapy | 60 | 1.61 (0.62–4.19) | 44 | 1.35 (0.52–3.50) |
| Care outcomes | ||||
| PedsQL score >median | NA | NA | 31 | 0.52 (0.22–1.24) |
Abbreviations: NA, not applicable; OR, odds ratio; PedsQL, Pediatric Quality of Life Inventory; QOL, quality of life.
a
Bold type indicates P < .05.