TABLE 3

Adjusted Odds of Receiving Intense End-of-Life Care

Category (Reference)Hospital DeathMedically Intense≥2 Intensity IndicatorsInpatient Intravenous Chemotherapy
OR (95% CI)POR (95% CI)POR (95% CI)POR (95% CI)P
Death age (5–9 y)
 <5 y1.72 (1.36–2.17)<.00011.42 (1.08–1.86).011.37 (1.05–1.78).021.03 (0.61–1.74).92
 10–14 y1.03 (0.82–1.29).801.05 (0.80–1.39).711.07 (0.82–1.39).630.95 (0.56–1.59).83
 15–21 y1.42 (1.16–1.73).00061.40 (1.11–1.77).011.29 (1.02–1.62).030.85 (0.54–1.36).51
Insurance (HMO)
 Private insurance1.47 (1.17–1.83).00081.09 (0.84–1.42).521.08 (0.84–1.40).531.09 (0.65–1.80).95
 Public or self1.49 (1.20–1.84).00031.17 (0.91–1.50).221.07 (0.84–1.36).580.79 (0.48–1.30).22
Sex (Male)
 Female1.22 (1.06–1.42).010.98 (0.83–1.16).841.00 (0.85–1.17).951.02 (0.72–1.43).93
Race and/or ethnicity (non-Hispanic white)
 African American1.43 (1.05–1.94).021.29 (0.92–1.81).131.22 (0.88–1.70).230.82 (0.38–1.78).61
 Hispanic1.43 (1.20–1.70)<.00011.23 (1.00–1.50).051.158 (0.97–1.44).090.99 (0.66–1.49).95
 Asian American1.32 (1.01–1.72).041.07 (0.79–1.45).670.95 (0.70–1.29).741.00 (0.54–1.85).99
 Other1.27 (0.88–1.85).201.18 (0.78–1.80).431.05 (0.69–1.59).830.81 (0.32–2.09).66
Year of death (2000–2003)
 2004–20071.03 (0.87–1.22).761.13 (0.93–1.38).211.09 (0.90–1.31).401.01 (0.68–1.50).97
 2008–20111.15 (0.96–1.38).131.33 (1.09–1.63).011.29 (1.06–1.57).011.08 (0.71–1.64).72
Diagnosis (solid tumors)
 Hematologic malignancies3.56 (3.04–4.17)<.00012.31 (1.96–2.68)<.00012.25 (1.92–2.65)<.00012.21 (1.56–3.12)<.0001
No. chronic conditions (0 conditions)
 1 chronic condition1.27 (1.07–1.51).010.89 (0.74–1.08).240.92 (0.76–1.10).350.85 (0.57–1.25).40
 ≥20.99 (0.69–1.42).950.84 (0.56–1.26).400.83 (0.56–1.24).370.51 (0.18–1.43).20
Last hospital (specialty center)
 Nonspecialty center0.91 (0.75–1.09).291.34 (1.09–1.65).011.29 (1.05–1.57).010.56 (0.34–0.94).03
Distance last hospital to home (<10 miles)
 10–24.9 miles0.89 (0.73–1.05).140.81 (0.66–0.99).040.79 (0.65–0.96).020.79 (0.52–1.22).29
 ≥25 miles0.64 (0.53–0.78)<.00010.88 (0.71–1.08).210.86 (0.70–1.05).130.88 (0.58–1.35).56
  • Also in the model, but nonsignificant: zip code–level income. CI, confidence interval; HMO, health maintenance organization; OR, odds ratio.