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Table 3 Trends in do-not-resuscitate (DNR) order and hospice care utilization variables: 2010 to 2015

From: Differences in do-not-resuscitate orders, hospice care utilization, and late referral to hospice care between cancer and non-cancer decedents in a tertiary Hospital in Taiwan between 2010 and 2015: a hospital-based observational study

Characteristics

Total

2010

2011

2012

2013

2014

2015

p for trend

DNR by disease, n (%)

 Cancer

       

0.229

 No

347(5.1)

68(6.1)

59(5.3)

37(3.4)

47(4.0)

45(3.9)

91(8.3)

 

 Yes

6399(94.9)

1042(93.9)

1044(94.7)

1051(96.6)

1133(96.0)

1120(96.1)

1009(91.7)

 

Non-cancer

       

< 0.001

  No

454(26.5)

114(45.1)

83(27.8)

62(22.1)

55(19.9)

57(18.6)

83(27.9)

 

  Yes

1259(73.5)

139(54.9)

216(72.2)

219(77.9)

222(80.1)

249(81.4)

214(72.1)

 

Hospice care utilization by disease, n (%)

 Cancer

       

< 0.001

  No

3016(44.7)

574(51.7)

545(49.4)

479(44.0)

501(42.5)

491(42.1)

426(38.7)

 

  Yes

3730(55.3)

536(48.3)

558(50.6)

609(56.0)

679(57.5)

674(57.9)

674(61.3)

 

Non-cancer

       

< 0.001

  No

1512(88.3)

243(96.0)

274(91.6)

256(91.1)

250(90.3)

259(84.6)

230(77.4)

 

  Yes

201(11.7)

10(4.0)

25(8.4)

25(8.9)

27(9.7)

47(15.4)

67(22.6)

 

Number of living days after DNR order, median (IQR)

 Cancer

7(18)

6(14)

7(17)

7(20)

8(20)

8(20)

9(19)

0.001

Non-cancer

9(27)

7(28)

8(23)

11(38)

8(22)

10(24)

11(31)

0.029

Length of hospice enrollment in days, median (IQR)

 Cancer

13(26)

13(27)

16(31)

14(28)

14(27)

12(25)

11(20)

0.069

Non-cancer

7(13)

14.5(158)

11(23)

7(31)

7(9)

6(16)

5(11)

0.134

Late referral, %

 Cancer

33.9

32.2

27.9

31.9

35.0

35.7

39.2

< 0.001

Non-cancer

53.2

30.0

48.0

52.0

51.9

55.3

58.2

0.144

  1. Abbreviations: IQR Interquartile range
  2. P for trend: DNR, hospice utilization, and late referral trend analyses were conducted using the non-parametric Jonckheere–Terpstra test; analysis of variance was performed to test for linear trends in number of living days after DNR order and length of hospice enrollment