Article Figures & Tables
Figures
- Figure 1:
Flow chart outlining data build including linkages. Note: CIHI = Canadian Institute for Health Information, DAD = Discharge Abstract Database, NACRS = National Ambulatory Care Reporting System, OCR = Ontario Cancer Registry, OHIP = Ontario Health Insurance Plan, RPDP = Registered Persons Database, SMP = Symptom Management Program.
Tables
- Table 1:
Frequencies, descriptive statistics and standardized differences of each covariate before and after propensity score matching for patients who received hospice palliative care from the Symptom Management Program and a matched control group
Covariate Before matching; no. (%) of patients* After matching; no. (%) of patients* SMP
n = 914Non-SMP
n = 1613d SMP
n = 754Non-SMP
n = 754d Age group, yr 0.58 0.08 < 55 101 (11.0) 68 (4.2) 69 (9.2) 58 (7.7) 55–64 204 (22.3) 180 (11.2) 145 (19.2) 131 (17.4) 65–74 283 (31.0) 356 (22.1) 234 (31.0) 234 (31.0) ≥ 75 326 (35.7) 1009 (62.6) 306 (40.6) 331 (43.9) Sex 0.05 0.00 Male 504 (55.1) 926 (57.4) 431 (57.2) 431 (57.2) Female 410 (44.9) 687 (42.6) 323 (42.8) 323 (42.8) Charlson Comorbidity Index score, mean ± SD 5.23 ± 2.82 3.81 ± 2.88 0.51 4.91 ± 2.83 4.92 ± 2.90 0.01 Duration of disease, yr, mean ± SD 3.45 ± 4.39 6.79 ± 6.35 0.55 3.79 ± 4.64 3.48 ± 4.23 0.07 Cancer type 0.44 0.07 Breast 59 (6.5) 142 (8.8) 48 (6.4) 49 (6.5) Lung 264 (28.9) 225 (13.9) 190 (25.2) 170 (22.5) Colorectal 96 (10.5) 232 (14.4) 88 (11.7) 87 (11.5) Prostate 67 (7.3) 253 (15.7) 65 (8.6) 64 (8.5) Other 428 (46.8) 761 (47.2) 363 (48.1) 384 (50.9) Rural residence 0.18 0.01 No 842 (92.1) 1397 (86.6) 688 (91.2) 687 (91.1) Yes 72 (7.9) 216 (13.4) 66 (8.8) 67 (8.9) Income quintile 0.14 0.06 1 (lowest) 208 (22.8) 443 (27.5) 185 (24.5) 165 (21.9) 2 188 (20.6) 324 (20.1) 159 (21.1) 163 (21.6) 3 185 (20.2) 269 (16.7) 143 (19.0) 149 (19.8) 4 175 (19.1) 327 (20.3) 140 (18.6) 147 (19.5) 5 (highest) 158 (17.3) 250 (15.5) 127 (16.8) 130 (17.2) Index year 0.15 0.02 2012 190 (20.8) 407 (25.2) 165 (21.9) 166 (22.0) 2013 232 (25.4) 436 (27.0) 203 (26.9) 210 (27.8) 2014 228 (24.9) 397 (24.6) 188 (24.9) 183 (24.3) 2015 264 (28.9) 373 (23.1) 198 (26.3) 195 (25.9) Note: d = standardized difference, SD = standard deviation, SMP = Symptom Management Program.
↵* Except where noted otherwise.
Outcome Group; no. (%) of patients Absolute risk reduction (95% CI) Number needed to treat (95% CI) RR (95% CI) SMP Non-SMP Hospital admission 36 (4.8) 57 (7.6) 2.79 (2.76–2.82) 36 (35.45–36.25) 0.63 (0.42–0.95) Emergency department visit 71 (9.4) 99 (13.1) 3.71 (3.66–3.76) 27 (26.57–27.35) 0.72 (0.53–0.97) Chemotherapy 11 (1.5) 19 (2.5) – – – Intensive care unit admission 8 (1.1) 92 (12.2) 11.14 (11.11–11.17) 9 (8.95–9.00) 0.09 (0.04–0.18) Any aggressive end-of-life care 94 (12.5) 190 (25.2) 12.73 (12.65–12.81) 8 (7.81–7.91) 0.50 (0.39–0.62) Death in acute care 182 (24.1) 332 (44.0) 19.89 (19.78–20.00) 5 (5.00–5.06) 0.55 (0.47–0.64) Note: CI = confidence interval, RR = relative risk, SMP = Symptom Management Program.
- Table 3:
Descriptive statistics and results for FAMCARE questionnaire completed by family members of patients who received hospice palliative care from the Symptom Management Program
Subscale (no. of items/maximum score) Overall; mean score ± SD
n = 96Aggressive end-of-life care (any); mean score ± SD p value Death in acute care; mean score ± SD p value No
n = 86Yes
n = 10No
n = 68Yes
n = 28Information giving (5/25) 21.03 ± 3.39 21.26 ± 3.41 19.10 ± 2.60 0.02 20.88 ± 3.70 21.39 ± 2.50 0.95 Physical patient care (7/35) 29.98 ± 3.88 30.17 ± 3.84 28.30 ± 3.97 0.1 29.75 ± 4.18 30.54 ± 3.01 0.6 Psychosocial care (4/20) 17.24 ± 2.43 17.41 ± 2.41 15.80 ± 2.15 0.04 17.25 ± 2.59 17.21 ± 2.03 0.7 Availability of care (4/20) 17.47 ± 2.53 17.66 ± 2.40 15.80 ± 3.12 0.02 17.34 ± 2.80 17.79 ± 1.75 0.8 Total (20/100) 85.72 ± 11.11 86.50 ± 10.93 79.00 ± 10.94 0.03 85.22 ±12.09 86.93 ± 8.32 0.8 Note: SD = standard deviation.
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