Multicentre analysis of intensity of care at the end-of-life in patients with advanced cancer, combining health administrative data with hospital records: variations in practice call for routine quality evaluation

Table 4 Unadjusted frequencies of each indicator by delivery of palliative care and multivariable logistic regression predicting intensity of care near death

	Early intervention of PCT (> 30 days before death)		No or late intervention of PCT (< 30 days before death)		Multivariable analysis^a
Indicators	n	(%)	n	(%)	OR	IC95%	p-value
Chemotherapy in last 14 days of life	28/240	(11.7)	89/487	(18.3)	0.50	[0.30–0.82]	0.006
≥ 1 emergency visits	62/282	(22.0)	188/644	(29.2)	1.04	[0.72–1.49]	0.844
≥ 1 admission in ICU	49/282	(17.4)	114/644	(17.7)	1.45	[0.95–2.21]	0.082
≥ 1 admission in acute care	180/282	(63.8)	481/644	(74.7)	0.64	[0.46–0.89]	0.009
Place of death in acute care hospital	153/273	(56.0)	511/637	(80.2)	0.33^b	[0.23-0.47]	< 0.0001

Abbreviations: PCT Palliative Care Team, ICU Intensive Care Unit
^aOdds Ratio of indicator, according to the timing of intervention of PCT, adjusted on age at death, gender, disease incurable at initial diagnosis, number of metastasis sites, group of primary tumor sites (defined in 3 categories of expected survival according to published French epidemiological data), and study centre
^balso adjusted on previous indicators of intensity of care

ISSN: 1472-684X