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Table 4 determinants of involvement of pain specialist in hospital by selected characteristics.

From: Inequity in the provision of and access to palliative care for cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)

 

1998 Italian cancer deaths 1

Followed in hospital by a specialist in pain

 

N.

% 3

(95%CI)

AGE AT DEATH (years)

   

   18–54

7,599

41.5

(24.9 – 60.3)

   55–64

14,449

29.2

(20.4 – 40.0)

   65–74

29,585

16.0

(11.5 – 22.0)

   75–84

33,982

17.0

(11.4 – 24.2)

   85+

12,999

11.4

(6.2 – 20.2)

  

P < 0.01

GENDER

   

   Males

60,469

19.1

(13.9 – 25.6)

   Females

38,144

20.5

(14.6 – 28.0)

  

P = 0.74

EDUCATION (years)

   

   ≤ 5

65,804

16.7

(12.0 – 22.8)

   6–9

15,114

22.2

(15.3 – 30.9)

   10+

17,696

28.2

(19.5 – 39.0)

  

P = 0.01

MARITAL STATUS

   

   Single 2

34,554

20.0

(14.2 – 27.6)

   Married

63,130

18.9

(15.0 – 23.6)

  

P = 0.72

PLACE OF RESIDENCE

   

   North West

31,869

24.6

(19.8 – 30.1)

   North East

24,208

13.3

(7.9 – 21.6)

   Center

22,716

22.3

(13.3 – 25.0)

   South and islands

19,821

16.3

(6.6 – 34.7)

  

P = 0.12

PRIMARY TUMOR

   

   Head and neck

1,880

14.8

(5.8 – 32.9)

   Digestive system

40,314

19.8

(14.8 – 25.9)

   Respiratory system

22,144

21.9

(14.2 – 32.2)

   Breast

7,205

13.4

(6.3 – 26.1)

   Genitourinary system

12,311

23.3

(14.2 – 35.8)

   Haematological

7,387

15.7

(5.9 – 35.7)

   Others and unspecified

7,371

16.9

(9.5 – 28.4)

  

P = 0.54

MONTHS SINCE DIAGNOSIS

   

   1–3

25,833

17.4

(11.9 – 24.8)

   4–6

12,041

19.2

(11.8 – 29.8)

   7–12

16,624

18.8

(10.9 – 30.4)

   13–36

23,213

19.6

(13.4 – 27.8)

   > 36

18,304

24.8

(16.8 – 35.0)

  

P = 0.21

ADMISSION'S WARD

   

   Surgery

20,547

21.1

(14.9 – 29.0)

   Medicine

55,237

19.1

(14.0 – 25.6)

   Oncology-Hematology

13,815

21.9

(13.5 – 33.5)

   Other

9,014

15.6

(7.9 – 28.7)

  

P = 0.81

NUMBER OF COHABITANTS

   

   None

7,178

12.8

(6.2 – 24.7)

   1

37,988

18.9

(14.0 – 25.1)

   2

22,412

20.9

(12.5 – 32.8)

   3+

20,797

18.5

(11.7 – 28.1)

  

P = 0.58

CAREGIVER (relationship)

   

   Spouse – partner

28,795

19.3

(13.0 – 27.7)

   Child

44,759

17.0

(12.5 – 22.8)

   Others

14,820

23.5

(15.0 – 34.2)

  

P = 0.45

CAREGIVER'S AGE

   

   18–44

28,797

22.6

(16.9 – 29.4)

   45–54

23,331

20.4

(14.2 – 28.4)

   55–64

20,080

20.5

(12.9 – 31.0)

   65–74

16,040

13.6

(7.3 – 24.1)

   75+

6,127

19.2

(8.5 – 37.9)

  

P = 0.17

CAREGIVER'S GENDER

   

   Males

26,679

22.8

(17.4 – 29.2)

   Females

61,695

17.1

(12.5 – 22.9)

  

P = 0.13

CAREGIVER'S EDUCATION

   

   ≤ 5

23,879

12.3

(7.9 – 18.4)

   6–9

19,490

16.2

(8.7 – 28.4)

   10+

41,114

24.5

(18.5 – 31.8)

  

P < 0.01

TOTAL

98,614

19.6

(15.5 – 24.5)

  1. 1 Subgroup of cancer deaths who spent part of their last three months of life in hospital. The number of cancer deaths have been estimated from the study sample, using 1998 Italian mortality data.
  2. 2 Including widowed, separated and divorced.
  3. 3 All percentages are weighted.