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Table 3 Preference for place of death, treatment priorities and decision making

From: Social and clinical determinants of preferences and their achievement at the end of life: prospective cohort study of older adults receiving palliative care in three countries

 

London

Dublin

New York

All

(N = 64)

(N = 59)

(N = 15)

(N = 138)

Most preferred place of death1

 

Home

42

66%

28

47%

7

47%

77

56%

 

Home of a relative or friend

0

0%

0

0%

0

0%

0

0%

 

Palliative care unit or inpatient hospice

12

19%

14

24%

5

33%

31

22%

 

Hospital

2

3%

4

7%

0

0%

6

4%

 

Nursing home or residential home

1

2%

2

3%

0

0%

3

2%

 

Elsewhere

4

6%

1

2%

1

7%

6

4%

 

Don’t know/prefer not to say

3

5%

10

17%

2

13%

15

11%

Least preferred place of death2

 

Home

8

13%

10

17%

4

27%

22

16%

 

Home of a relative or friend

9

14%

3

5%

0

0%

12

9%

 

Palliative care unit or inpatient hospice

5

8%

1

2%

0

0%

6

4%

 

Hospital

18

28%

15

25%

2

13%

35

25%

 

Nursing home or residential home

17

27%

6

10%

4

27%

27

20%

 

Somewhere else

1

2%

8

14%

2

13%

11

8%

 

Don’t know/prefer not to say

6

8%

16

27%

3

20%

25

18%

Treatment goal priority: quantity or quality of lifea3

 

To extend life

1

2%

3

5%

0

0%

4

3%

 

To improve the quality of life for time left

38

59%

30

51%

6

40%

74

54%

 

Both are equally important

23

36%

24

41%

7

47%

54

39%

 

Don’t know/prefer not to say

2

3%

2

3%

2

13%

5

4%

Person who makes decisions about careb4

 

Herself/himself

62

97%

48

81%

10

67%

120

87%

 

Spouse or partner

22

34%

17

29%

2

13%

41

30%

 

Other relatives

37

58%

31

53%

7

47%

75

54%

 

Friends

6

9%

0

0%

1

7%

7

5%

 

The doctor

18

28%

11

19%

0

0%

29

21%

  1. Notes: a The exact question used: “In situations of serious illness with limited time to live difficult decisions may need to be made and some things may need to be prioritized over others. In this situation, would it be more important to extend your life or to improve the quality of life for the time you had left or are both equally important?
  2. Statistical test for the difference among countries was conducted using log-likelihood ratio test, adjusting for age, gender and cancer/non-cancer. b The exact question: “Who would you like to make decisions about your care? Please choose as many as apply, you can choose more than one.” All but one respondent chose at least one option
  3. 1Test for difference: Χ 2=7.77 (df = 14), p < 0.9009
  4. 2 Χ 2=18.58 (df = 18), p < 0.4183
  5. 3 Χ 2=6.25 (df = 8), p < 0.6187
  6. 4 Χ 2=12.62 (df = 2), p < 0.0018; Χ 2=2.04 (df = 2), p < 0.3609; Χ 2=1.68 (df = 2), p < 0.4323; Χ 2=8.00 (df = 2), p < 0.0183; Χ 2=8.57 (df = 2), p < 0.0138