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Table 3 Factors independently associated with Palliative Care access

From: Access to inpatient palliative care among cancer patients in France: an analysis based on the national cancer cohort

 

Adjusted odds ratios [95% confidence interval]

Accessed inpatient palliative care vs did not access (2013–2016)

Total (N = 170,599)

Death (2013–2016)

 

No (N = 109,793)

Yes (N = 60,806)

Gender (ref. male)

 Female

0.93 [0.90–0.95]

0.97 [0.90–1.05]

1.13 [1.09–1.17]

Age in 2013 (ref. 50–74)

 Under 18 years

0.44 [0.37–0.52]

0.92 [0.67–1.26]

1.77 [1.22–2.56]

 18–49

0.77 [0.73–0.81]

0.88 [0.78–0.99]

1.39 [1.28–1.51]

 75 years and older

1.61 [1.56–1.66]

1.34 [1.22–1.46]

0.82 [0.79–0.85]

Cancer site (ref. Respiratory track)

 Gastro-intestinal

0.66 [0.64–0.68]

0.64 [0.57–0.72]

0.99 [0.95–1.04]

 Endocrine glands

0.08 [0.07–0.09]

0.14 [0.10–0.19]

0.57 [0.45–0.73]

 Hematologic

0.39 [0.37–0.41]

0.66 [0.57–0.76]

0.62 [0.58–0.66]

 Bone

0.48 [0.38–0.60]

0.62 [0.37–1.04]

0.97 [0.68–1.38]

 Skin

0.09 [0.09–0.10]

0.11 [0.09–0.13]

0.34 [0.32–0.37]

 Nervous system

1.61 [1.50–1.74]

0.63 [0.48–0.81]

1.76 [1.59–1.95]

 Soft tissues

0.23 [0.18–0.29]

0.18 [0.08–0.37]

0.55 [0.40–0.76]

 Upper aerodigestive tract

0.66 [0.63–0.70]

0.89 [0.77–1.04]

0.80 [0.74–0.86]

 Urinary tract

0.33 [0.31–0.34]

0.33 [0.28–0.39]

0.82 [0.77–0.88]

 Eye

0.21 [0.15–0.30]

0.21 [0.09–0.51]

0.75 [0.45–1.24]

Cancer stage (ref. Invasive)

 In situ

0.14 [0.12–0.17]

0.33 [0.23–0.47]

0.39 [0.30–0.51]

 Node involvement

1.69 [1.60–1.78]

1.77 [1.55–2.03]

1.35 [1.26–1.46]

 Metastatic

5.37 [5.19–5.55]

3.56 [3.17–4.00]

1.96 [1.89–2.04]

 Non-attributablea

0.08 [0.06–0.10]

0.14 [0.08–0.22]

0.25 [0.17–0.35]

Comorbidities in 2013 (ref. no comorbidities)

 1 category

1.20 [1.17–1.24]

1.22 [1.12–1.33]

0.79 [0.75–0.82]

 2 categories or more

1.37 [1.32–1.41]

1.58 [1.44–1.74]

0.66 [0.63–0.68]

Social deprivation level (ref. Very high deprivation (5th quintile))

 Very little deprivation (1st quintile)

0.86 [0.82–0.90]

0.74 [0.65–0.84]

1.06 [0.99–1.12]

 Little deprivation (2nd quintile)

0.93 [0.89–0.97]

0.87 [0.77–0.98]

1.09 [1.03–1.15]

 Moderate deprivation (3rd quintile)

0.92 [0.88–0.96]

0.96 [0.85–1.08]

1.02 [0.97–1.08]

 Substantial deprivation (4th quintile)

0.94 [0.90–0.98]

0.87 [0.78–0.98]

1.03 [0.97–1.08]

  1. Table legend. Multivariable logistic regressions were selected by a forward stepwise selection procedure (probability threshold = 20%, probability of staying in the model = 5%) and adjusted for region of residence. Only cancer sites common to both men and women were considered, a Cancer sites and stage which could not be characterized under the ICD-10 classification