Logistic regressionb odds ratio (95% CI) | |||||
---|---|---|---|---|---|
Patient and care characteristics | Total % | Did not recognise death in the near future (n = 154), % | Recognised death in the near future (n = 93), % | Univariate analyses | Multivariate analysesc |
Age, years | |||||
1–64 | 20 | 18 | 24 | 1 | |
65–85 | 41 | 37 | 47 | 0.93 (0.5 to 1.8) | d |
≥85 | 39 | 45 | 29 | 0.46 (0.2 to 0.9) | d |
Sex | |||||
Male | 45 | 44 | 47 | 1 | |
Female | 55 | 56 | 53 | 0.88 (0.5 to 1.5) | d |
Education | 48 | 53 | 42 | 1 | |
Elementary | |||||
Secondary | 39 | 36 | 43 | 1.50 (0.8 to 2.7) | d |
Tertiary | 13 | 11 | 16 | 1.80 (0.8 to 4.1) | d |
Dutch nationality | |||||
≥1 parent | 94 | 96 | 90 | 1 | |
≤1 parent | 6 | 4 | 10 | 2.58 (0.9 to 7.5) | d |
Primary cause of death | |||||
Cancer | 38 | 25 | 59 | 1 | 1 |
Not cancer | 62 | 75 | 41 | 0.23 (0.1 to 0.4) | 0.29 (0.2 to 0.5) |
Dementia diagnosed by a physician | |||||
No | 88 | 85 | 93 | 1 | |
Yes | 12 | 15 | 7 | 0.38 (0.2 to 1.0) | |
Admitted to hospital and/or ICU in the last 30 days of life | |||||
No | 55 | 55 | 55 | 1 | |
Yes | 45 | 45 | 45 | 0.99 (0.6 to 1.7) | d |
Palliative care initialisation (before the last week of life) | |||||
No | 75 | 65 | 85 | 1 | |
Yes | 25 | 35 | 15 | 0.32 (0.1 to 1.0) | d |
GP–patient communication prior to the last week of life | |||||
GP discussed the diagnosis | |||||
No | 48 | 55 | 38 | 1 | |
Yes | 52 | 45 | 62 | 1.93 (1.1 to 3.3) | d |
GP discussed the prognosis | |||||
No | 44 | 53 | 30 | 1 | |
Yes | 56 | 47 | 70 | 2.68 (1.5 to 4.7) | d |
GP discussed the incurability | |||||
No | 44 | 53 | 30 | 1 | |
Yes | 56 | 47 | 70 | 2.68 (1.5 to 4.7) | d |
GP discussed palliative care options | |||||
No | 55 | 67 | 35 | 1 | 1 |
Yes | 45 | 33 | 65 | 3.73 (2.1 to 6.5) | 2.37 (1.3 to 4.4) |
ICU = intensive care unit.
↵a Includes five missing values; percentages of missing observations variables ranged between 0.4% and 5.6%.
↵b Dependent variable: patients in whom GPs recognised death in the near future before the last week of life n = 93, reference group: patients in whom GPs did not recognise death in the near future before or in the last week of life n = 154
↵c Stepwise backwards logistic regression. Variables removed after three steps of the backward analyses. Significant values are in bold.
↵d Not entered/retained following multiple backwards logistic regression analyses.