Table 4 Involvement of patients dying from cancer and their families in the end-of-life decision-making process (n = 963)

From: End-of-life decision-making across cancer types: results from a nationwide retrospective survey among treating physicians

Involvement of patient and family in the decision-making process

 

All cancer deaths for which at least one ELD was made

All cancer deaths for which at least one ELD was made and patient had capacity

All cancer deaths for which at least one ELD was made and patient lacked capacity

  

Patient had capacity

 

Decision discussed with patient with capacity

Decision made in response to explicit request by patient with capacity

 

Patient without capacity had written advance directive (euthanasia or other)

Decision discussed with family of patient without capacity

Cancer type

n

Weighted %a

n

Weighted %a

n

Weighted %a

All cancer deaths

963

66.2

613

81.7

74.2

272

5.6

64.3

Gastrointestinal

291

65.2

184

82.1

71.7

82

5.7

68.5

Respiratory

233

69.5

158

83.5

74.6

61

5.6

61.0

Genitourinary

178

63.1

109

71.6

73.6

56

1.4

62.5

Breast

71

69.9

44

86.9

77.1

18

5.9

74.9

Haematological

68

61.8

42

92.3

82.3

21

3.1

61.1

Otherb

122

67.1

76

81.2

73.7

34

14.4

59.2

P-valuec

 

.781

 

.069

.867

 

.179

.845

  1. Concerns the most important ELD. More than one response was possible for each case ELD end-of-life decision with possible or certain life-shortening effect
  2. Percentages are row percentages
  3. Not included in table and analyses: missing data for patient had capacity n = 78 (8.1% of all cancer deaths for which at least one ELD was made), missing data for decision discussed with patient with capacity n = 2 (0.3% of all cancer deaths for which at least one ELD was made and patient had capacity), missing data for decision made in response to explicit request by patient with capacity n = 13 (2.1% of all cancer deaths for which at least one ELD was made and patient had capacity), missing data for decision discussed with family of patient without capacity n = 3 (1.1% of all cancer deaths for which at least one ELD was made and patient lacked capacity)
  4. aPercentages are weighted for the disproportionate stratification and differences in the distribution of mortality characteristics between the response sample and all patient deaths
  5. b‘Other’ category includes head and neck; bone and articular cartilage; skin; eye, brain, and central nervous system; thyroid and endocrine glands; ill-defined, secondary and unspecified sites; independent (primary) multiple sites
  6. cBivariate differences between patients with different cancer types calculated using Pearson’s χ2-tests