ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2014
Timing of code status documentation and end-of-life outcomes in patients admitted to an oncology ward.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- 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
- The Association of Standardized Documentation of Serious Illness Conversations With Healthcare Utilization in Hospitalized Patients: A Propensity Score Matched Cohort Analysis.The American journal of hospice & palliative care · 2024Article
- Resuscitation outcomes in patients with cancer: experience in a large urban cancer centre.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Quality of End-of-Life Care during the COVID-19 Pandemic at a Comprehensive Cancer Center.Cancers · 2023Article
- Palliative care and infection management at end of life in nursing homes: A descriptive survey.Palliative medicine · 2020Article
- Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review.Journal of pain and symptom management · 2020Article
- Early DNR Order and Long-Term Prognosis Among Patients Hospitalized for Acute Heart Failure: Single-Center Cohort Study in Japan.International journal of general medicine · 2020Article
- Article
- Cardiopulmonary resuscitation in cancer patients: still some problems to solve.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Discussion of "Representation of People's Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health".Methods of information in medicine · 2017Article
- Do-not-resuscitate orders in cancer patients: a review of literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Review
- Advance directives in patients with advanced cancer receiving active treatment: attitudes, prevalence, and barriers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Association of code status discussion with invasive procedures among advanced-stage cancer and noncancer patients.International journal of general medicine · 2017Article
- Code status and resuscitation options in the electronic health record.Resuscitation · 2015Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGuidelines recommend documentation of care preferences for patients with advanced cancer upon hospital admission.We assessed end-of-life outcomes for patients who did or did not have code status (CS) documented within 48 h of admission.
methodsThis was a retrospective cohort study of patients who died on an inpatient oncology ward between January 2004 and February 2009. Primary end-of-life outcomes were "code blues" and cardiopulmonary resuscitation (CPR) attempts; secondary outcomes included unsuccessful CPR attempts, intensive care unit (ICU), consultations, and ICU admissions. Using logistic regression, outcomes were compared between those with and without CS documentation ≤ 48 h from admission (full code or do-not-resuscitate), controlling for significant confounders.
resultsThe 336 patients had a median age of 61 years; 97 % had advanced cancer. The median time from admission to death was 12 days (range <1-197 days); 151 patients (45 %) had CS documentation ≤ 48 h from admission. Controlling for confounders of reason for admission and marital status, patients with CS documentation ≤ 48 h from admission had fewer "code blues" (2 vs. 15 %; adjusted odds ratio(AOR) 0.12, 95% confidence interval (CI) 0.02-0.43), CPR attempts (1 vs. 11 %; AOR 0.12, 95 % CI 0.01-0.51), unsuccessful CPR attempts (0 vs. 11 %), ICU consultations (9 vs. 30 %; AOR 0.19, 95 % CI 0.08-0.40) and ICU admissions (2 vs. 5 %; AOR 0.18, 95 %CI 0.02-0.85).
conclusionsIn patients who died on an oncology ward, CS documentation within 48 h of admission was associated with less aggressive end-of-life care, regardless of the reason for admission.
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