All patients | Full active treatment including CPR | Full active treatment including acute hospital setting but not CPR | Treatment of any reversible conditions (including acute hospital settings) but not for ventilation or CPR | Treatment of reversible conditions but only in home/hospice settings: keep comfortable | Symptomatic treatment only: keep comfortable | No CoT plan | |
No. patients with each ceiling of treatment decision | 736 (16.4%) | 243 (5.42%) | 996 (22.20%) | 1472 (32.81%) | 1040 (23.18%) | 2367 (34.53%) | |
PPD home¶ | 2755 (54.87%) | 254 (59.91%) | 99 (67.35%) | 368 (48.55%) | 635 (50.00%) | 456 (48.67%) | 938 (63.77%) |
PPD hospital | 104 (2.07%) | 33 (7.78%) | 11 (7.48%) | 15 (1.98%) | 4 (0.31%) | 5 (0.53%) | 34 (2.31%) |
PPD care home | 1749 (34.83%) | 113 (31.37%) | 17 (11.56%) | 294 (38.79%) | 533 (41.94%) | 442 (47.17%) | 348 (23.66%) |
PPD hospice | 413 (8.23%) | 24 (5.66%) | 20 (13.61%) | 81 (10.69%) | 99 (7.79%) | 34 (3.63%) | 151 (10.27%) |
Died in PPD** | 1088/1384 (78.61%) | 14/28 (50%) | 14/24 (58.33%) | 101/153 (66.01%) | 366/452 (80.97%) | 326/351 (92.87%) | 267/376 (71.01%) |
*P values represent proportion of patients with cancer versus non-cancer diagnosis in each cohort. Four hundred and thirty-eight patients did not have a diagnosis recorded.
†Others include vascular, renal, musculoskeletal, haematology, mental illness and endocrine.
‡Number of patients with/without CoT whose place of death is documented on CMC.
§ P values of those died in location compared with all those who died in other known locations.
¶Number of patients with CMC documentation of PPD and CoT.
**Number of patients with recorded PPD, CoT and place of death on CMC.
CMC, Coordinate My Care; CoT, ceiling of treatment; CPR, cardiopulmonary resuscitation; PPD, preferred place of death.