Skip to main content

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