In the per-protocol analyses, more patients for whom a PCP was started died outside the hospital compared with patients in the pre-PCP group (83% and 74%, respectively, P= 0.012). The number of admissions per patient in the last 12 months of life was not significantly different between both groups either ( Fig. 5.0 days, P = 0.999) between the pre- and post-PCP period. 69%, P = 0.625) and the number of inpatient days (median 6.0 vs. No differences were found in the percentage of patients who had been admitted to the hospital in the last 90 days of life (68% vs. DNR-codes were more often documented during the post-PCP period (79% and 89% for pre- and post-PCP period respectively, P < 0.001), while the moment of documentation was similar (a median of 61 and 69 days before death, respectively, P = 0.591) ( Fig. Patients’ preferred place of death was also more frequently documented in the pre-PCP period than in the post-PCP period (47% and 32%, respectively, P < 0.001) the moment of such documentation was similar (median of 18 and 17 days before death, respectively P = 0.514). In the pre-PCP period, bad-news conversations were documented more often and earlier than in the post-PCP period (75% and 62%, respectively, P < 0.001 median of 63 and 39 days before death, respectively, P = 0.067).
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