Table 4.
ACP content as documented by GPs (subgroup analyses for cancer, organ failure and multimorbidity patients)
| Items of ACP | Total (n = 119) |
Cancer (n = 55) |
Organ failure (n = 28) |
Multimorbidity (n = 36) |
P value |
|---|---|---|---|---|---|
| Documented treatment preferences for future care, n (%) | |||||
| Resuscitation | 25 (21) | 11 (20) | 11 (39) | 3 (8) | 0.009 |
| Mechanical ventilation | 2 (2) | 2 (4) | 0 (0) | 0 (0) | 0.499 |
| Intensive Care Unit admission | 4 (3) | 2 (4) | 2 (7) | 0 (0) | 0.266 |
| Referral to ED and hospitalization | 22 (19) | 8 (15) | 8 (29) | 6 (17) | 0.286 |
| Antibiotics | 4 (3) | 2 (4) | 1 (4) | 1 (3) | 1.000 |
| Artificial feeding and liquid administration | 1 (1) | 1 (2) | 0 (0) | 0 (0) | 1.000 |
| Other treatment preferences | 18 (15) | 11 (20) | 4 (14) | 3 (8) | 0.308 |
| Documented EoL wishes, n (%) | |||||
| Preferred place of care/death | 35 (29) | 20 (36) | 7 (25) | 8 (22) | 0.327 |
| Personal wishes/goals | 18 (15) | 16 (29) | 1 (4) | 1 (3) | 0.000 |
| Discussed future scenarios, n (%) | |||||
| Prognosis/life expectancy | 29 (24) | 18 (33) | 8 (29) | 3 (8) | 0.024 |
| Disease specific future scenarios | 20 (17) | 16 (29) | 3 (11) | 1 (3) | 0.002 |
| Concerns and hopes towards future | 34 (29) | 20 (36) | 7 (25) | 7 (19) | 0.206 |
| Conversation about palliative sedation | 27 (23) | 22 (40) | 4 (14) | 1 (3) | 0.000 |
| Conversation about euthanasia | 42 (35) | 35 (64) | 2 (7) | 5 (14) | 0.000 |
| Conversation ‘end-of-life’ | 22 (19) | 14 (26) | 5 (18) | 3 (8) | 0.136 |
| Registered advance directives, n (%) | |||||
| Declaration of will | 19 (16) | 18 (33) | 0 (0) | 1 (3) | 0.000 |
| Appointment of legal representative | 0 (0) | 0 (0) | 0 (0) | 0 (0) | – |