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) | – |