Table 2 Factors associated with primary care service use in the 12 months of life, N = 68,523
Variable | Value | GP consultation | GP prescription | GP referral to other specialities | Palliative care needs recognised or not | ||||
|---|---|---|---|---|---|---|---|---|---|
Palliative care | Yes | 1.30(1.29 to 1.32) | < 0.0001 | 1.17(1.16 to 1.19) | < 0.0001 | 1.22(1.19 to 1.26) | < 0.0001 | – | |
Age at death (ref: < 50) | 50–59 | 0.96(0.93 to 0.99) | < 0.0001 | 1.09(1.03 to 1.14) | < 0.0001 | 1.08(1.00 to 1.18) | < 0.0001 | 0.99(0.95 to 1.03) | < 0.0001 |
60–69 | 0.94(0.91 to 0.96) | 1.18(1.12 to 1.24) | 1.13(1.04 to 1.23) | 0.89(0.86 to 0.93) | |||||
70–79 | 0.92(0.89 to 0.94) | 1.24(1.18 to 1.30) | 1.16(1.07 to 1.25) | 0.81(0.78 to 0.84) | |||||
80–89 | 0.85(0.83 to 0.88) | 1.32(1.25 to 1.39) | 1.13(1.04 to 1.22) | 0.69(0.66 to 0.72) | |||||
90+ | 0.77(0.75 to 0.80) | 1.44(1.36 to 1.52) | 0.99(0.91 to 1.09) | 0.53(0.50 to 0.56) | |||||
Gender (ref: female) | Male | 0.96(0.95 to 0.97) | < 0.0001 | 0.90(0.89 to 0.92) | < 0.0001 | 0.99(0.97 to 1.02) | 0.51 | 0.97(0.95 to 0.99) | 0.003 |
Cancer site (ref: Lung) | Colorectal | 0.98(0.97 to 1.00) | < 0.0001 | 1.05(1.03 to 1.08) | < 0.0001 | 1.04(1.01 to 1.09) | < 0.0001 | 0.78(0.75 to 0.80) | < 0.0001 |
Breast | 1.01(1.00 to 1.02) | 0.96(0.95 to 0.98) | 1.00(0.97 to 1.03) | 0.91(0.89 to 0.93) | |||||
Prostate | 1.19(1.17 to 1.21) | 1.14(1.12 to 1.17) | 1.21(1.17 to 1.26) | 0.76(0.74 to 0.79) | |||||
No. comorbid conditions (ref: 0) | 1 | 1.09(1.08 to 1.11) | < 0.0001 | 1.21(1.18 to 1.23) | < 0.0001 | 1.07(1.03 to 1.11) | < 0.0001 | 1.07(1.04 to 1.09) | < 0.0001 |
2 | 1.20(1.19 to 1.22) | 1.45(1.42 to 1.48) | 1.14(1.10 to 1.18) | 1.08(1.05 to 1.10) | |||||
3 | 1.17(1.15 to 1.19) | 1.68(1.64 to 1.72) | 1.24(1.19 to 1.29) | 1.08(1.04 to 1.11) | |||||
4+ | 1.26(1.24 to 1.28) | 2.03(1.98 to 2.09) | 1.32(1.25 to 1.39) | 1.01(0.97 to 1.05) | |||||
Time between diagnosis and death (ref: 120+) | 0–5 | 1.07(1.04 to 1.11) | 0.0001 | 0.95(0.91 to 0.99) | < 0.0001 | 1.53(1.42 to 1.65) | < 0.0001 | 1.11(1.06 to 1.17) | < 0.0001 |
6–12 | 1.31(1.27 to 1.35) | 1.07(1.02 to 1.12) | 1.41(1.30 to 1.52) | 1.38(1.31 to 1.45) | |||||
13–36 | 1.10(1.07 to 1.13) | 1.05(1.01 to 1.09) | 0.92(0.86 to 0.99) | 1.41(1.34 to 1.49) | |||||
37–60 | 1.05(1.01 to 1.08) | 1.03(0.98 to 1.07) | 0.96(0.89 to 1.05) | 1.32(1.25 to 1.39) | |||||
61–120 | 1.01(0.98 to 1.03) | 0.98(0.94 to 1.02) | 0.98(0.91 to 1.05) | 1.17(1.11 to 1.23) | |||||
Year of death (ref: 2010–2014) | 2000–2004 | 0.64(0.62 to 0.66) | < 0.0001 | 0.79(0.77 to 0.80) | < 0.0001 | 1.13(1.01 to 1.25) | < 0.0001 | 0.48(0.45 to 0.51) | < 0.0001 |
2005–2009 | 0.86(0.84 to 0.88) | 0.91(0.89 to 0.93) | 0.93(0.88 to 0.97) | 0.81(0.78 to 0.83) | |||||
Region (ref: England) | Wales | 0.85(0.75 to 0.96) | 0.005 | 1.15(1.08 to 1.22) | < 0.0001 | 1.23(1.01 to 1.49) | 0.007 | 0.98(0.91 to 1.06) | 0.62 |
Scotland | 1.06(0.96 to 1.17) | 0.87(0.83 to 0.91) | 0.77(0.61 to 0.97) | 0.99(0.93 to 1.05) | |||||
Northern Ireland | 1.34(1.09 to 1.64) | 1.01(0.93 to 1.09) | 1.14(0.95 to 1.35) | 0.91(0.78 to 1.06) |