Table 3.
Primary palliative care |
Specialized palliative homecare |
Total |
Primary palliative care vs Specialized palliative homecare |
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---|---|---|---|---|---|---|---|---|---|---|---|
All | Non-cancer | Cancer | All | Non-cancer | Cancer | All | Non-cancer | Cancer | PP | p-Value | |
Patients receiving palliative homecare 14 days before death | |||||||||||
n | 11,783 | 5141 | 6629 | 7123 | 1065 | 6058 | 18,906 | 6219 | 12,687 | ||
% | 62.32 | 43.74 | 56.26 | 37.68 | 14.95 | 85.05 | 100.00 | 32.89 | 67.11 | ||
Place of death, hospital | |||||||||||
n | 4232 | 1219 | 3013 | 1338 | 90 | 1248 | 5570 | 1309 | 4261 | <0.0001 | |
% | 35.92 | 23.65 | 45.45 | 18.78 | 8.45 | 20.60 | 29.46 | 21.05 | 33.59 | 17.14 | |
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 4.541 [4.178–4.936] | ||||||||||
Odds ratio non-cancer, primary palliative care vs specialized palliative homecare [CI] | 5.446 [4.274–6.938] | 5.446 [4.274–6.938] | Interaction primary palliative care vs specialized palliative homecare and non-cancer vs cancer p = 0.1150 | ||||||||
Odds ratio cancer, primary palliative care vs specialized palliative homecare [CI] | 4.435 [4.061–4.884] | 4.435 [4.061–4.884] | |||||||||
Hospital care | |||||||||||
n | 3036 | 951 | 2085 | 1114 | 93 | 1021 | 4150 | 1044 | 3106 | <0.0001 | |
% | 25.77 | 18.45 | 31.45 | 15.64 | 8.73 | 16.85 | 21.95 | 16.79 | 24.48 | 10.13 | |
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 2.720 [2.499–2.961] | ||||||||||
Odds ratio non-cancer, primary palliative care vs specialized palliative homecare [CI] | 3.060 [2.424–3.864] | 3.060 [2.424–3.864] | Interaction primary palliative care vs specialized palliative homecare and non-cancer vs cancer p = 0.2856 | ||||||||
Odds ratio cancer, primary palliative care vs specialized palliative homecare [CI] | 2.673 [2.441–2.926] | 2.673 [2.441–2.926] | |||||||||
Intensive care treatment | |||||||||||
n | 516 | 192 | 324 | 61 | 11 | 50 | 577 | 203 | 374 | <0.0001 | |
% | 4.38 | 3.73 | 4.89 | 0.86 | 1.03 | 0.83 | 3.05 | 3.26 | 2.95 | 3.52 | |
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 6.749 [5.110–8.912] | ||||||||||
Odds ratio non-cancer, primary palliative care vs specialized palliative homecare [CI] | 5.005 [2.699–9.282] | 5.005 [2.699–9.282] | Interaction primary palliative care vs specialized palliative homecare and non-cancer vs cancer p = .3019 | ||||||||
Odds ratio cancer, primary palliative care vs specialized palliative homecare [CI] | 7.190 [5.282–9.787] | 7.190 [5.282–9.787] | |||||||||
Chemotherapy | |||||||||||
Cancer patients | 6629 | 6058 | 12,687 | ||||||||
n | 411 | 221 | 632 | <0.0001 | |||||||
% | 6.20 | 3.65 | 4.98 | 2.55 | |||||||
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 2.173 [1.823–2.591] | ||||||||||
Parenteral nutrition | |||||||||||
Patients without gastrointestinal cancer or corresponding metastases | 8637 | 5141 | 3496 | 3704 | 1065 | 2639 | 12,341 | 6219 | 6135 | ||
n | 48 | 20 | 28 | 75 | 4 | 71 | 123 | 24 | 99 | <0.0001 | |
% | 0.56 | 0.39 | 0.80 | 2.02 | 0.38 | 2.69 | 1.00 | 0.39 | 1.61 | –1.46 | |
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 0.477 [0.323–0.705] | ||||||||||
Odds ratio non-cancer, primary palliative care vs specialized palliative homecare [CI] | 1.553 [0.521–4.629] | 1.553 [0.521–4.629] | Interaction primary palliative care vs specialized palliative homecare and non-cancer vs cancer p = 0.0164 | ||||||||
Odds ratio cancer other than gastrointestinal or corresponding metastases, primary palliative care vs specialized palliative homecare [CI] | 0.368 [0.233–0.581] | 0.368 [0.233–0.581] | |||||||||
Insertion or change of a PEG | |||||||||||
Patients without gastrointestinal cancer or corresponding metastases | 8637 | 5141 | 3496 | 3704 | 1065 | 2639 | 12,341 | 6219 | 6135 | ||
n | 41 | 25 | 16 | 5 | 1 | 4 | 46 | 26 | 20 | 0.0045 | |
% | 0.47 | 0.49 | 0.46 | 0.13 | 0.09 | 0.15 | 0.37 | 0.42 | 0.33 | 0.34 | |
Odds ratio primary palliative care vs specialized palliative homecare [CI] | 4.476 [1.717–11.666] | ||||||||||
Odds ratio non-cancer, primary palliative care vs specialized palliative homecare [CI] | 7.185 [0.961–53.715] | 7.185 [0.961–53.715] | Interaction primary palliative care vs specialized palliative homecare and non-cancer vs cancer p = 0.5715 | ||||||||
Odds ratio cancer other than gastrointestinal or corresponding metastases, primary palliative care vs specialized palliative homecare [CI] | 3.716 [1.229–11.229] | 3.716 [1.229–11.229] |
CI: confidence interval; PEG: percutaneous endoscopic gastrostomy; PP: percentage points difference; SD: standard deviation.