Evidence map›Paper›PMID 37674893›Full record

ReviewJournal of hospice and palliative care2022

Comparing Perceptions, Determinants, and Needs of Patients, Family Members, Nurses, and Physicians When Making Life-Sustaining Treatment Decisions for Patients with Hematologic Malignancies.

Semi Kim, Eun Hye Ham, Dong Yeon Kim, Seung Nam Jang, Min Kyeong Kim, Hyun Ah Choi, Yun A Cho, Seung A Lee, Min Jeong Yun

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of hospice and palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. An international study of clinical, demographic, and competence-related determinants of communication with professionals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Semi KimDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0833-1096
Eun Hye HamDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-1514-4619
Dong Yeon KimDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9500-5792
Seung Nam JangDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2811-167X
Min Kyeong KimDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-5570-9098
Hyun Ah ChoiDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4621-7793
Yun A ChoDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4437-9326
Seung A LeeDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3430-6537
Min Jeong YunDepartment of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0232-0257
The Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This descriptive study compared the perceptions, determinants, and needs of patients, family members, nurses, and physicians regarding life-sustaining treatment decisions for patients with hematologic malignancies in the hematology-oncology department of a tertiary hospital in Seoul, Korea. Methods: In total, 147 subjects were recruited, gave written consent, and provided data by completing a structured questionnaire. Data were analyzed using analysis of variance, the chi-square test, and the Fisher exact test. Results: Nurses (F=3.35) and physicians (F=3.57) showed significantly greater familiarity with the Act on Decisions on Life-Sustaining Treatment than patients (F=2.69) and family members (F=2.59); (F=19.58, P<0.001). Many respondents, including 19 (51.4%) family members, 16 (43.2%) physicians, and 11 (29.7%) nurses, agreed that the patient's opinion had the greatest effect when making life-sustaining treatment decisions. Twelve (33.3%) patients answered that mental, physical, and financial burdens were the most important factors in life-sustaining treatment decisions, and there was a significant difference among the four groups (P<0.001). Twenty-four patients (66.7%), 27 (73.0%) family members, and 21(56.8%) nurses answered that physicians were the most appropriate people to provide information regarding life-sustaining treatment decisions. Unexpectedly, 19 (51.4%) physicians answered that hospice nurse practitioners were the most appropriate people to talk to about life-sustaining treatment (P<0.001). Conclusion: It is of utmost importance that the patient and physician determine when life-sustaining treatment should be withdrawn, with the patient making the ultimate decision. Doctors and nurses have the responsibility to provide detailed information. The goal of end-of-life planning is to ensure patients' dignity and respect their values.

Indexed as

CommunicationDecision makingHematologic neoplasmsLife support carePalliative carePerceptionsTerminal care

Identifiers

PMID37674893
PMCPMC10180005
OpenAlexW4220959125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.