ArticleCancer research and treatment2017
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.
Article in Cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- A feasibility trial of advance care planning for patients with terminal cancer in primary hospitals.BMC palliative care · 2025Article
- Current trends in antimicrobial use and the role of antimicrobial stewardship in palliative oncology: a narrative review.BMC palliative care · 2025Review
- Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms.Journal of hospice and palliative care · 2023Article
- "Do not resuscitate" order and end-of-life treatment in a cohort of deceased in a Norwegian University Hospital.Acta anaesthesiologica Scandinavica · 2022Observational
- Factors influencing terminal cancer patients' autonomous DNR decision: a longitudinal statutory document and clinical database study.BMC palliative care · 2022Article
- Preparation and Practice of the Necessary Documents in Hospital for the "Act on Decision of Life-Sustaining Treatment for Patients at the End-of-Life".Cancer research and treatment · 2021Article
- Life-Sustaining Treatment States in Korean Cancer Patients after Enforcement of Act on Decisions on Life-Sustaining Treatment for Patients at the End of Life.Cancer research and treatment · 2021Article
- Observational
- Can primary palliative care education change life-sustaining treatment intensity of older adults at the end of life? A retrospective study.BMC palliative care · 2021Article
- Code status at time of rapid response activation - Impact on escalation of care?Resuscitation plus · 2021Article
- Article
- A National Study of Life-Sustaining Treatments in South Korea: What Factors Affect Decision-Making?Cancer research and treatment · 2021Article
- Difficulties Doctors Experience during Life-Sustaining Treatment Discussion after Enactment of the Life-Sustaining Treatment Decisions Act: A Cross-Sectional Study.Cancer research and treatment · 2021Article
- Implication of the Life-Sustaining Treatment Decisions Act on End-of-Life Care for Korean Terminal Patients.Cancer research and treatment · 2020Article
- Completion rate of physician orders for life-sustaining treatment for patients with metastatic or recurrent cancer: a preliminary, cross-sectional study.BMC palliative care · 2019Article
- The NEAT Predictive Model for Survival in Patients with Advanced Cancer.Cancer research and treatment · 2018Article
- The Effect of Hospice Consultation on Aggressive Treatment of Lung Cancer.Cancer research and treatment · 2018Article
- An Observational Study on the Effects of Delayed Initiation of End-of-Life Care in Terminally ill Young Adults in the Intensive Care Unit.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe explored the relationship between the use of each medical intervention and the length of time between do-not-resuscitate (DNR) consent and death in Korea. MATERIALS AND
methodsA total of 295 terminal cancer patients participated in this retrospective study. Invasive interventions (e.g., cardiopulmonary resuscitation, intubation, and hemodialysis), less invasive interventions (e.g., transfusion, antibiotic use, inotropic use, and laboratory tests), and the time interval between the DNR order and death were evaluated. The subjects were divided into three groups based on the amount of time between DNR consent and death (G1, time interval ≤ 1 day; G2, time interval > 1 day to ≤ 3 days; and G3, time interval > 3 days).
resultsIn general, there were fewer transfusions and laboratory tests near death. Invasive interventions tended to be implemented only in the G1 group. There was also less inotrope use and fewer laboratory tests in the G3 group than G1 and G2. Moreover, the G3 group received fewer less invasive interventions than those in G1 (odds ratio [OR], 0.16; 95% confidence interval [CI], 0.03 to 0.84; 3 days before death, and OR, 0.16; 95% CI, 0.04 to 0.59; the day before death). The frequency of less invasive interventions both 1 and 3 days before death was significantly lower for the G3 group than the G1 (p ≤ 0.001) and G2 group compared to G1 (p=0.001).
conclusionEarlier attainment of DNR permission was associated with reduced use of medical intervention. Thus, physicians should discuss death with terminal cancer patients at the earliest practical time to prevent unnecessary and uncomfortable procedures and reduce health care costs.
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