ArticleBMJ open2019
Factors associated with non-beneficial treatments in end of life hospital admissions: a multicentre retrospective cohort study in Australia.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Trial
- Process evaluation of a tailored nudge intervention to promote appropriate care and treatment of older patients at the end-of-life.BMC geriatrics · 2024Trial
- Impact of a prospective feedback loop on care review activities in older patients at the end of life. A stepped-wedge randomised trial.BMC geriatrics · 2022Trial
- Clinical and Ethical Approaches to Medical Futility in End-of-Life Care: A Scoping Review.Cureus · 2026Review
- Ethical challenges in end-of-life cancer care: a qualitative study among health-care providers in Iran.BMC palliative care · 2026Article
- Improving patient reported experience in inpatients with palliative care needs: a pre-post quality improvement study.BMC palliative care · 2025Article
- Did the Palliative Care Outcomes Collaboration (PCOC) program lead to improved end-of-life care quality and reduced non-beneficial treatments?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- A Survey of Clinicians Regarding Goals of Care for Patients with Severe Comorbid Illnesses Hospitalized for an Acute Deterioration.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022Article
- Article
- Providing quality end-of-life care to older people in the era of COVID-19: perspectives from five countries.International psychogeriatrics · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantitatively assess the factors associated with non-beneficial treatments (NBTs) in hospital admissions at the end of life.
designRetrospective multicentre cohort study.
settingThree large, metropolitan tertiary hospitals in Australia.
participants831 adult patients who died as inpatients following admission to the study hospitals over a 6-month period in 2012.
main outcome measuresOdds ratios (ORs) of NBT derived from logistic regression models.
resultsOverall, 103 (12.4%) admissions involved NBTs. Admissions that involved conflict within a patient's family (OR 8.9, 95% CI 4.1 to 18.9) or conflict within the medical team (OR 6.5, 95% CI 2.4 to 17.8) had the strongest associations with NBTs in the all subsets regression model. A positive association was observed in older patients, with each 10-year increment in age increasing the likelihood of NBT by approximately 50% (OR 1.5, 95% CI 1.2 to 1.9). There was also a statistically significant hospital effect.
conclusionsThis paper presents the first statistical modelling results to assess the factors associated with NBT in hospital, beyond an intensive care setting. Our findings highlight potential areas for intervention to reduce the likelihood of NBTs.
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