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Table 5 Factors associated * with home death(versus hospital death) in children and young people with cancer, England 1993–2014(N = 12,774)

From: Place of death in children and young people with cancer and implications for end of life care: a population-based study in England, 1993–2014

Variable

Value

Year of death

  

1993–2000

2001–2004

2005–2014

Age(ref: 20–24)

0–14

1.64(1.46 to 1.84)

1.47(1.23 to 1.77)

1.34(1.19 to 1.50)

15–19

1.23(1.07 to 1.42)

1.33(1.09 to 1.63)

1.24(1.10 to 1.41)

Gender

Male vs female

1.07(0.98 to 1.17)

1.06(0.93 to 1.21)

1.06(0.98 to 1.16)

Underlying cause of death (ref: Brain & CNS)

Leukaemia

0.65(0.57 to 0.74)

0.60(0.49 to 0.74)

0.47(0.41 to 0.55)

Lymphoma & other haematology

0.71(0.58 to 0.86)

0.59(0.44 to 0.81)

0.52(0.42 to 0.65)

Bone & connective

1.33(1.16 to 1.52)

1.27(1.04 to 1.54)

1.08(0.96 to 1.23)

Renal/Liver/Adrenal including neuroblastoma

1.18(1.02 to 1.36)

1.31(1.06 to 1.62)

0.92(0.79 to 1.06)

Other malignant

1.02(0.89 to 1.17)

0.79(0.63 to 1.00)

0.83(0.72 to 0.95)

Non-cancer

0.18(0.11 to 0.28)

0.15(0.07 to 0.34)

0.26(0.18 to 0.40)

Deprivation (ref: 5 least deprived)

1(most deprived)

0.83(0.73 to 0.96)

0.78(0.62 to 0.97)

0.72(0.63 to 0.84)

2

0.88(0.76 to 1.01)

0.98(0.79 to 1.21)

0.81(0.70 to 0.93)

3

0.94(0.83 to 1.08)

1.02(0.82 to 1.25)

0.98(0.85 to 1.12)

4

0.95(0.83 to 1.08)

1.12(0.91 to 1.37)

0.99(0.87 to 1.14)

Rural/urban indicator

Rural vs Urban

1.07(0.95 to 1.20)

1.08(0.90 to 1.28)

1.03(0.91 to 1.15)

SCN region (ref: London)

Cheshire & Merseyside

1.19(0.95 to 1.50)

1.27(0.90 to 1.79)

1.04(0.81 to 1.34)

East Midlands

1.07(0.88 to 1.30)

1.10(0.82 to 1.47)

1.12(0.92 to 1.35)

East of England

1.30(1.08 to 1.56)

1.08(0.82 to 1.42)

1.26(1.05 to 1.50)

Greater Manchester, Lancashire and south Cumbria

1.15(0.95 to 1.41)

0.96(0.71 to 1.30)

1.07(0.87 to 1.31)

North East, north Cumbria, and the Hambleton & Richmondshire districts of North Yorkshire

1.29(1.05 to 1.59)

1.41(1.04 to 1.91)

1.48(1.20 to 1.83)

South East Coast

1.11(0.91 to 1.36)

1.22(0.92 to 1.62)

1.27(1.05 to 1.54)

South West

1.30(1.07 to 1.57)

1.04(0.77 to 1.42)

1.30(1.07 to 1.58)

Thames Valley

1.28(0.99 to 1.66)

1.15(0.78 to 1.69)

1.11(0.84 to 1.48)

Wessex

1.35(1.09 to 1.67)

1.19(0.85 to 1.66)

1.48(1.19 to 1.84)

West Midlands

1.21(1.01 to 1.44)

0.84(0.61 to 1.14)

1.22(1.02 to 1.46)

Yorkshire & The Humber

0.94(0.78 to 1.15)

1.07(0.81 to 1.42)

1.17(0.97 to 1.41)

  1. *The association is measured by proportion ratios(PRs) and 95 % confidence intervals. PR > 1 indicates a higher probability of home death, <1 lower chance of home death, PR = 1 indicates no association. The PRs were derived from modified Poisson regression model, adjusting for the listed variables in the main analysis but with the omission of the number of contributing CoDs, the number of CYP deaths and the number of CYP cancer deaths at SCN region level