ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
End-of-life decision-making of terminally ill cancer patients in a tertiary cancer center in Shanghai, China.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Factors related to advance directives completion among cancer patients: a systematic review.BMC palliative care · 2024Pooled it
- Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review.BMC palliative care · 2018Pooled it
- Maintaining personhood within family life: a qualitative study of home-based palliative care for patients with advanced cancer in urban China.BMC palliative care · 2026Article
- The impact of end-of-life disability level on middle-aged and older adults' utilization of medical services.Frontiers in public health · 2025Article
- Influencing factors of home hospice care needs of family caregivers of the older adult with chronic diseases at the end of life in China: a cross-sectional study.Frontiers in public health · 2024Article
- "Negative Energy Magnetic Field": A Descriptive Qualitative Study on Occupational Stressors among Chinese Hospice Nurses.Journal of nursing management · 2024Article
- Exploring the needs and coping strategies of family caregivers taking care of dying patients at home: a field study.BMC palliative care · 2023Article
- The 'good death' in Mainland China - A Scoping Review.International journal of nursing studies advances · 2022Article
- Willingness of patients with cancer pain to participate in end-of-life decisions: a multi-center cross-sectional study from three coastal provinces in southern China.BMC palliative care · 2022Article
- Patient participation in treatment decision-making of prostate cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- C-reactive protein and white blood cell count are adverse prognostic markers for patients with advanced cancer on parenteral nutrition in a palliative care unit setting: A retrospective cohort study.Palliative medicine · 2022Article
- Discussion of advance care planning on end-of-life decisions with lung cancer patients in Wuhan, China: attitude, timing and future directions.Internal medicine journal · 2021Article
- To What Extent Does Clinically Assisted Nutrition and Hydration Have a Role in the Care of Dying People?Journal of palliative care · 2020Article
- Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs?BMC cancer · 2020Article
- Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review.Journal of pain and symptom management · 2020Article
- The Association between End-of-Life Care and the Time Interval between Provision of a Do-Not-Resuscitate Consent and Death in Cancer Patients in Korea.Cancer research and treatment · 2017Article
- Participation in treatment decision-making among Chinese-Australian women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Knowledge, attitudes, and influencing factors of cancer patients toward approving advance directives in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDifferent countries have various decision-making practices, which are formalized according to laws, rules, traditions, religious beliefs, and ethical views of different cultural backgrounds. We investigated the characteristics and factors associated with the decision-making details in terminally ill cancer patients in a tertiary cancer center in Shanghai, China.
methodA single center, retrospective study was performed among advanced cancer patients who died between March 2007 and December 2013 in ward at Palliative Care Unit, Fudan University Shanghai Cancer Center.
resultsOf 436 patients' end-of-life (EOL) discussions, 424 (97.2 %) occurred between family caregivers and physicians. The main decision-maker was in the following order: spouse (45.6 %), offsprings (44.3 %), parents (3.2 %), son-/daughter-in-law (1.8 %), and relatives (1.4 %). Two hundred twenty-one (47.3 %) patients received at least one of six life-sustaining treatments. One hundred eighty-four (40.4 %) patients continued artificial nutrition and hydration (ANH) until death. Cardiopulmonary resuscitation (CPR) was performed in 26 patients (6.0 %). Two hundred fourteen (49.1 %) patients received vasopressors before death. Only two patients received mechanical ventilation and only one patient received tracheostomy. The median time interval since the decision made till death was 20.17 h (95 % CI = 18.94-21.40, range 4.3 to 70.2 h). Patients who were older than 65 years old were less likely to undergo an intensive procedure (AOR = 0.559, 95 % CI = 0.367-0.852, p = 0.007). Patients living in urban settings (AOR = 2.177, 95 % CI = 1.398-3.390, p = 0.001) were more likely to undergo an intensive procedure in the EOL period.
conclusionsThis study reflected some Chinese characteristics for decision-making at the end of life among advanced cancer patients. More prospective studies focused on specific EOL issues are required to improve the quality of EOL care.
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