ArticleJournal of general internal medicine2010
Code status documentation in the outpatient electronic medical records of patients with metastatic cancer.
Article in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Cluster Randomized Trial of a Primary Palliative Care Intervention (CONNECT) for Patients With Advanced Cancer
Cross-sectional, Observational Study of Advanced Cancer Patients' and Their Primary Caregivers' Willingness to Communicate About Advance Care Planning (ACP)
Who cites it
26 citing papers in PubMed, 81 citations in OpenAlex.
- Randomized Trial of a Palliative Care Intervention to Improve End-of-Life Care Discussions in Patients With Metastatic Breast Cancer.Journal of the National Comprehensive Cancer Network : JNCCN · 2022Trial
- Patient-physician communication about code status preferences: a randomized controlled trial.Cancer · 2013Trial
- Early and late code status documentation in cancer patients managed by a dedicated supportive care team.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Racial disparities in the frequency and timing of code status orders among women with breast cancer.BMC cancer · 2024Article
- Advancing Palliative Care Integration in Hematology: Building Upon Existing Evidence.Current treatment options in oncology · 2023Review
- Hospitalisations of patients with cancer in the last stage of life. Reason to improve advance care planning?European journal of cancer care · 2022Article
- Gynecologic oncology patient perspectives and knowledge on advance care planning: A quality improvement intervention.Gynecologic oncology reports · 2022Article
- Reducing Futile Acute Care Services for Terminally Ill Patients With Cancer: The Dignity Project.JCO oncology practice · 2021Article
- Code Status Documentation Availability and Accuracy Among Emergency Patients with End-stage Disease.The western journal of emergency medicine · 2021Article
- How well do documented goals-of-care discussions for patients with stage IV cancer reflect communication best practices?BMC palliative care · 2021Article
- Is the Emergency Department an Inappropriate Venue for Code Status Discussions?The American journal of hospice & palliative care · 2021Article
- Management Considerations for the Surgical Treatment of Colorectal Cancer During the Global Covid-19 Pandemic.Annals of surgery · 2020Article
- Factors Associated With DNR Status After Nontraumatic Intracranial Hemorrhage.The Neurohospitalist · 2020Article
- Article
- Toward improved goals-of-care documentation in advanced cancer: report on the development of a quality improvement initiative.Current oncology (Toronto, Ont.) · 2017Article
- Advance Care Planning and Palliative Care Integration for Patients Undergoing Hematopoietic Stem-Cell Transplantation.Journal of oncology practice · 2017Article
- End of life care for glioblastoma patients at a large academic cancer center.Journal of neuro-oncology · 2017Article
- Code Status Reconciliation to Improve Identification and Documentation of Code Status in Electronic Health Records.Applied clinical informatics · 2017Article
- Development of a tethered personal health record framework for early end-of-life discussions.The American journal of managed care · 2016Article
- The role of palliative care in population management and accountable care organizations.Journal of palliative medicine · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvanced care planning (ACP) is considered an essential component of medical care in the United States, especially in patients with incurable diseases. However, little is known about clinical practices in outpatient oncology settings related to discussing end-of-life care and documenting code status preferences in ambulatory medical records.
objectiveTo assess the rate of documentation of code status in the electronic longitudinal medical records (LMR) of patients with metastatic cancer.
designRetrospective review of 2,498 patients with metastatic solid tumors at an academic cancer center. An electronic patient database and the LMR were queried to identify demographic information, cancer type, number of clinic visits, and documentation of code status.
participantsThe sample consisted of adult patients with metastatic prostate, breast, ovarian, bladder kidney, colorectal, non-colorectal gastrointestinal (GI), and lung cancers. MEASUREMENTS: Primary outcome was the percentage of documented code status in the LMR. MAIN
resultsAmong the 2,498 patients, 20.3% had a documented code status. Code status was designated most frequently in patients with non-colorectal GI (193/609, 31.7%) and lung (179/583, 30.7%) cancers and least frequently in patients with genitourinary malignancies [bladder/kidney (4/89, 4.5%), ovarian (4/93, 4.3%), and prostate (7/365, 1.9%) cancers]. Independent predictors of having documented code status included religious affiliation, cancer type, and a greater number of visits to the cancer center. Younger patients and black patients were less likely to be designated as DNR/DNI.
conclusionsDespite the incurable nature of metastatic cancer, only a minority of patients had a code status documented in the electronic medical record.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.