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Table 2 Multivariate ordinal regressions of factors associated with pain and peace

From: Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study

 

Unadjusted

Adjusted

 

n

Median score (IQR)

Ordered log OR (95 % CI)

P value

n

Ordered log OR (95 % CI)

P value

Pain in last week of life (POS item)

       

 Place of death

       

  Hospital

167

2 (0–2)

Ref.

 

166

Ref.

 

  Home

168

1 (0–1)

−0.33 (–0.72 to 0.06)

0.094

168

−0.25 (–0.65 to 0.15)

0.228

 Relative’s relationship to the patient

       

  Spouse/partner

139

1 (0–2)

Ref.

 

139

Ref.

 

  Son/daughter

135

1 (0–2)

0.39 (–0.04 to 0.82)

0.076

135

0.38 (–0.05 to 0.80)

0.087

  Brother/sister

20

2 (1–2.5)

1.03 (0.19 to 1.88)

0.017

20

0.94 (0.08 to 1.80)

0.031

  Other

40

1 (0–2)

0.47 (–0.17 to 1.10)

0.148

40

0.38 (–0.26 to 1.03)

0.245

Peace in last week of life (POS item)

       

 Place of death

       

  Hospital

161

3 (1.5–4)

Ref.

 

140

Ref.

 

  Home

169

4 (3–5)

0.93 (0.52 to 1.33)

<0.001

160

0.69 (0.19 to 1.19)

0.007

 Relative’s relationship to the patient

       

  Spouse/partner

136

4 (3–4)

Ref.

 

124

Ref.

 

  Son/daughter

137

4 (3–4)

−0.14 (–0.57 to 0.29)

0.510

126

−0.16 (–0.62 to 0.30)

0.489

  Brother/sister

15

3 (2–4)

−0.85 (–1.80 to 0.10)

0.080

12

−0.88 (–1.95 to 0.20)

0.112

  Other

41

3 (1.5–4)

−0.75 (–1.38 to –0.12)

0.019

38

−0.51 (–1.17 to 0.16)

0.138

 Length of relative’s awareness of incurability

       

  Never or aware for less than one week

76

3 (1–4)

Ref.

 

73

Ref.

 

  Aware for one week or more

237

4 (3–4)

0.65 (0.18 to 1.12)

0.006

227

0.69 (0.19 to 1.18)

0.389

 Patient’s preference for place of death discussed with family

       

  No

122

4 (2–4)

Ref.

 

115

Ref.

 

  Yes

193

4 (3–4)

0.79 (0.38 to 1.21)

<0.001

185

0.64 (0.17 to 1.11)

0.008

  1. POS items were used to measure pain interference or affect on the patient (0–4 scale, higher scores meaning more pain interference) and the overall grade of peace (0–5 scale, higher scores meaning more frequent feeling at peace) during the last week of life [28, 29]. The model on pain included 334 patients (94.9 %), with 167:1 patients per variable. Model statistics: Pearson χ2(24) = 19.281, P = 0.737; Nagelkerke R2 = 0.030. The model on peace included 300 patients (85.2 %), with 75:1 patients per variable. Model statistics: Pearson χ2(119) = 121.466, P = 0.420; Nagelkerke R2 = 0.121
  2. CI, Confidence interval; OR, Odds ratio; POS, Palliative care Outcome Scale