Table 3

Frequency of all the different medical end-of-life decisions in France by physicians’ characteristics (non sudden deaths)
Life prolonging treatment Withholding treatment Withdrawing treatment Intensification of alleviation of symptoms Administration of a medication to deliberately hasten death No decision Total deaths
n % n % n % n % n % n %
Gender
 Man 414 15.9 452 17.4 123 4.7 822 31.6 29 1.1 758 29.2 2598
 Woman 156 12.1 232 18.0 74 5.8 485 37.7 8 0.6 332 25.8 1287
 . 6 16.2 4 10.2 2 5.1 20 50.8 0 0.0 7 17.8 39
P value 0.0074 0.4357 0.4072 <0.0001 0.2600 0.0453
Age
 Under 40 120 13.8 161 18.4 50 5.7 351 40.2 14 1.5 178 20.4 874
 40-49 168 14.9 198 17.6 75 6.7 371 33.0 3 0.3 310 27.5 1125
 50-59 200 14.7 237 17.5 56 4.1 424 31.3 14 1.0 424 31.3 1355
 60 and over 86 15.8 87 16.0 16 2.9 169 31.1 7 1.2 179 33.0 543
 . 3 9.6 5 18.1 2 7.2 11 39.8 0 0.0 7 25.3 28
P value 0.8056 0.8511 0.0049 0.0002 0.0600 <0.0001
Speciality
 General practice 142 11.0 229 17.7 47 3.6 410 31.7 13 1.0 450 34.8 1292
 Intensive care 136 29.1 58 12.4 58 12.4 147 31.4 5 1.0 64 13.7 468
 Oncology 13 7.1 17 9.5 6 3.4 96 53.9 6 3.1 41 23.0 178
 Cardiology 32 26.7 26 21.6 1 0.8 34 28.2 5 4.4 22 18.3 120
 Surgery 16 24.1 7 10.8 2 3.1 22 34.1 0 0.0 18 27.9 65
 Geriatrics 75 8.8 151 17.7 44 5.2 330 38.7 3 0.3 250 29.3 853
 Emergency 81 24.4 63 18.9 15 4.5 50 15.0 0 0.0 124 37.2 333
 Neurology 2 4.9 9 24.6 1 2.5 16 43.5 0 0.0 9 24.5 37
 Other 78 13.9 125 22.2 25 4.4 213 37.9 6 1.0 115 20.5 562
 . 1 4.2 3 14.4 2 9.6 11 52.7 0 0.0 4 19.2 21
P value <0.0001 0.0014 (<0.0001) <0.0001 0.0003 <0.0001
Work context
 General practice 93 12.2 135 17.7 21 2.8 201 26.4 10 1.3 301 39.5 761
 Public hospital 352 17.9 357 18.1 123 6.2 670 34.0 17 0.8 451 22.9 1970
 Private hospital 47 16.6 31 11.0 17 6.0 120 42.4 4 1.4 64 22.6 283
 Medico-social, rehab. or  LTC establishment 16 6.9 51 21.7 7 3.0 99 42.1 0 0.0 62 26.4 235
 Other 20 9.2 30 13.6 11 5.0 78 35.4 2 1.0 79 35.8 221
 Several work contexts 44 10.6 77 18.7 19 4.6 138 33.5 4 1.1 130 31.5 412
 . 4 9.1 6 14.3 1 2.4 21 50.2 0 0.0 10 23.9 42
P value <0.0001 0.0271 0.0544 <0.0001 (0.5054) <0.0001
Size of agglomeration
 <5000 55 8.5 118 18.4 25 3.9 212 33.0 10 1.6 222 34.6 642
 5-10000 60 13.8 74 17.1 16 3.7 130 30.0 3 0.8 150 34.7 433
 20-20000 72 15.2 84 17.8 20 4.2 153 32.4 5 1.1 138 29.2 472
 20-100000 212 17.7 210 17.5 64 5.3 406 33.9 9 0.8 296 24.7 1197
 100-200000 56 14.1 75 18.7 29 7.2 130 32.4 2 0.5 109 27.1 402
 >200000 107 16.0 110 16.4 41 6.1 256 38.2 6 0.9 150 22.4 670
 . 15 13.7 18 16.5 4 3.7 40 36.6 1 1.2 31 28.4 109
P value <0.0001 0.9308 0.0891 0.1108 (0.6023) <0.0001
Number of deaths certified in the past 3 months
 0 34 16.8 40 19.5 10 4.9 57 27.8 2 1.1 61 29.8 205
 1--2 123 15.0 144 17.6 24 2.9 241 29.4 10 1.2 277 33.8 819
 3--4 169 16.0 199 18.8 62 5.9 337 31.9 9 0.9 280 26.5 1056
 5--9 149 15.2 156 15.8 50 5.1 354 35.9 8 0.8 269 27.3 986
 10--19 60 11.6 100 19.3 34 6.6 202 39.1 5 1.0 116 22.4 517
 20+ 18 8.5 28 13.2 15 7.1 94 44.3 0 0.0 57 26.9 212
 . 22 17.5 21 16.5 5 3.9 39 30.6 3 2.4 37 29.1 127
P value 0.0534 0.2641 0.0259 <0.0001 (0.4672) 0.0006
In-service training on end-of-life
 Yes 197 10.6 311 16.7 101 5.4 712 38.3 10 0.6 526 28.3 1858
 No 370 18.7 364 18.3 94 4.7 588 29.6 25 1.2 543 27.4 1984
 . 8 10.0 13 15.5 5 5.9 26 30.9 3 3.1 29 34.5 84

All percentages are weighted for non-response, to ensure there are representative of the initial. The percentage cannot be derived from the absolute unweighted absolute numbers. The p values are obtained with a Fisher exact test. Due to some cells with small numbers, some assumptions of a chi2 test are complied with.

Pennec et al.

Pennec et al. BMC Palliative Care 2012 11:25   doi:10.1186/1472-684X-11-25

Open Data