| Total N = 711 | Pre-implementation N = 212 | During/short-term after implementation N = 248 | Long-term after implementation N = 251 | P-value |
---|---|---|---|---|---|
Male, N (%) | 358 (50.4) | 109 (51.4) | 125 (50.4) | 124 (49.4) | 0.89a |
Age, mean (SD) | 71.6 (12.6) | 70.5 (13.4) | 72.0 (12.3) | 72.0 (12.1) | 0.67b |
Diagnosis, N (%) | |||||
 Non-malignant diseases | 204 (28.7) | 44 (20.8) | 81 (32.7) | 79 (31.5) | 0.008a |
WHO/ECOG performance status, N (%) | N = 654 | N = 199 | N = 216 | N = 240 | 0.05a |
 2: Ambulatory and capable of self-care but unable to carry out any work | 140 (21.4) | 43 (21.6) | 47 (21.8) | 50 (21.0) |  |
 3: Capable of only limited self-care: confined to bed/chair more than 50% of waking hours | 261 (39.9) | 79 (39.7) | 76 (35.2) | 106 (44.2) |  |
 4: Completely disabled | 172 (26.3) | 44 (22.1) | 62 (28.7) | 66 (27.5) |  |
Prognosis, N (%) | N = 693 | N = 210 | N = 236 | N = 248 | 0.09a |
 Days to weeks | 181 (26.1) | 47 (22.4) | 66 (28) | 68 (27.4) |  |
 < 3 months | 212 (30.5) | 65 (31.0) | 62 (26.3) | 85 (34.3) |  |
 < 6 months and < 1 year | 158 (22.8) | 50 (23.8) | 64 (27.1) | 44 (17.7) |  |
 > 1 year | 20 (2.9) | 7 (3.3)) | 6 (2.5) | 7 (2.8) |  |
 Difficult to make an estimation | 123 (17.7) | 41 (19.5) | 38 (16.1) | 44 (17.7) |  |
Admission department, N (%) | N = 583 | N = 156 | N = 212 | N = 215 |  < 0.001a |
 Pulmonology/cardiology | 215 (36.9) | 47 (30.1) | 78 (37.0) | 90 (41.7) |  |
 Internal medicine (both malignant and non-malignant internal diseases) | 182 (31.2) | 68 (43.6) | 32 (15.2) | 82 (38.0) |  |
 Otherd | 186 (31.9) | 41 (26.3) | 101 (47.9) | 43 (20.0) |  |
Reason for consultation | N = 684 | N = 201 | N = 234 | N = 245 |  < 0.001a |
 Advance care planning and/or guidance in the upcoming process | 331 (43.4) | 103 (51.2) | 100 (42.6) | 128 (51.6) |  |
 Advice on symptoms, medication | 129 (18.9) | 35 (17.4) | 34 (14.5) | 60 (24.2) |  |
 Guidance in after care and support system | 107 (15.6) | 36 (17.9) | 30 (12.8) | 41 (16.5) |  |
 Guidance/advice in the dying phase | 117 (17.1) | 27 (13.4) | 71 (30.2) | 19 (7.7) |  |
Preferred place of death discussed, N (%) | 321 (45.1) | 115 (54.2) | 60 (24.2) | 146 (58.2) | 0.02a |
 Home | 160 (49.8) | 64 (55.7) | 34 (56.7) | 62 (42.5) |  |
 Hospital | 21 (6.5) | 6 (5.2) | 8 (13.3) | 7 (4.8) |  |
 Care facility (care home / hospice) | 94 (29.3) | 29 (25.2) | 17 (28.3) | 48 (32.9) |  |
 No clear place mentioned | 46 (14.3) | 16 (13.9) | 1 (1.7) | 29 (19.9) |  |
Time until death after consultation (days), Median [IQR] N = 557 | 18.46 [4.62 – 65.77] | 26.5 [8.1 – 92.0] | 12.3 [3.5 – 47.3] | 18.5 [4.6 – 61.2] | 0.004c |
Place of death, N (%) | N = 484 | N = 118 | N = 161 | N = 202 | 0.06a |
 Home | 135 (27.9) | 30 (25.4) | 44 (27.3) | 60 (29.7) |  |
 Hospital | 250 (51.7) | 65 (55.1) | 93 (57.8) | 90 (44.6) |  |
 Care facility (care home / hospice) | 99 (20.5) | 7 (5.9) | 4 (2.5) | 8 (4.0) |  |
Death at place of preference | N = 208 121 (58.2) | N = 61 25 (41,0) | N = 44 26 (59,1) | N = 103 70 (68.0) | 0.003a |
Hospital (re)admission within six months after consultation | N = 522 121 (23.2) | N = 171 41 (24.0) | N = 175 43 (24.6) | N = 175 37 (21.1) | 0.46a |
Consult with multidisciplinair team meeting, N (%) | 547 (76.9) | 163 (76.5) | 181 (73.0) | 203 (81.5) | 0.12a |
 At least one of the patients’ own primary care professional attended the multidisciplinair team meeting, N (%) | 271 (49.5) | 80 (49.1) | 129 (71.3) | 62 (30.5) |  < 0.001a |
 Patient’s own GP attended the multidisciplinary team meeting, N (%) | 151 (23.7) | 63 (38.7) | 56 (30.9) | 32 (15.8) |  < 0.001a |
 Warm handover to GP (by member of palliative care team or ward physician), N (%) | 259 (36.5) | 81 (34.6) | 95 (38.9) | 95 (34.7) | 0.002a |
Home visit, N (%) | 15 (2.9) | 1 (0.6) | 7 (4.0) | 7 (4.0) | 0.14a |