ArticleBMC palliative care2018
Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision.
Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ceiling of Care in Acute Care Settings: A Concept Analysis.Journal of nursing management · 2026Pooled it
- Code Status Orders: Do the Options Matter?Journal of general internal medicine · 2023Trial
- Randomized Controlled Trial of a Decision Support Intervention About Cardiopulmonary Resuscitation for Hospitalized Patients Who Have a High Risk of Death.Journal of general internal medicine · 2021Trial
- "Don't need resuscitate" in palliative care: Ethical challenge or obstacle to a good death.Asia-Pacific journal of oncology nursing · 2025Article
- Do not attempt cardiopulmonary resuscitation decision-making process: scoping review.BMJ supportive & palliative care · 2025Article
- SAFE-GOALS: a protocol for goals of care discussions in the intensive care unit.Trauma surgery & acute care open · 2025Review
- Evaluation of a French adaptation of a community-based advance serious illness planning decision aid.PEC innovation · 2023Article
- Exploring caregivers' perceptions of community-based service requirements of patients with spinal cord injury: a qualitative study.BMC primary care · 2023Article
- Perceptions and experiences of community-based healthcare professionals in the state of Qatar having do not attempt resuscitation discussions during the COVID-19 pandemic.Frontiers in medicine · 2023Article
- The do-not-resuscitate-like (DNRL) order, a medical directive for limiting life-sustaining treatment in the end-of-life care of children with cancer: experience of major cancer center in Brazil.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Observational
- The outcome of in- and out-hospital cardiopulmonary arrest in the older population: a scoping review.European geriatric medicine · 2021Article
- Developing an integrated model of community-based palliative care into the primary health care (PHC) for terminally ill cancer patients in Iran.BMC palliative care · 2021Review
- 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
- Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal.Journal of public health research · 2021Article
- Knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics at King Abdulaziz University Hospital, Jeddah, Saudi Arabia.Saudi medical journal · 2020Article
- A comparative study on decision and documentation of refraining from resuscitation in two medical home care units in Sweden.BMC palliative care · 2019Article
- Exploring health care providers' perceptions about home-based palliative care in terminally ill cancer patients.BMC palliative care · 2019Article
- Healthcare Professionals' Perspective on Palliative Care in Intensive Care Settings: An Interpretive Descriptive Study.Global qualitative nursing researchArticle
- Moving from "Do Not Resuscitate" Orders to Standardized Resuscitation Plans and Shared-Decision Making in Hospital Inpatients.Gerontology & geriatric medicineReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundAs the "do not resuscitate" (DNR) discussion involves communication, this study explored (1) the effects of a title that included "allow natural death", and of information contents and outcomes of the decision; and (2) the information needs and consideration of the DNR decision, and benefits and barriers of the DNR discussion.
methodsHealthy adults (n = 524) were presented with a scenario with different titles, information contents, and outcomes, and they rated the probability of a DNR decision. A questionnaire including information needs, consideration of the decision, and benefits and barriers of DNR discussion was also used.
resultsThere was a significantly higher probability of signing the DNR order when the title included "allow natural death" (t = - 4.51, p < 0.001), when comprehensive information was provided (F = 60.64, p < 0.001), and when there were worse outcomes (F = 292.16, p < 0.001). Common information needs included remaining life period and the prognosis. Common barriers were the families' worries and uncertainty about future physical changes.
conclusionThe title, information contents, and outcomes may influence the DNR decisions. Health-care providers should address the concept of natural death, provide comprehensive information, and help patients and families to overcome the barriers.
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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.