Evidence map›Paper›PMID 41181058›Full record

ArticleHealth care science2025

Awareness, Knowledge, and Acceptance of Living Wills Among Chinese Cancer Patients: A Cross-Sectional Study.

Longxia Hu, Jiaqing Wang, Deying Hu, Yilan Liu, Yanhong Han, Wenbin Liu, Fen Teng, Xiaoping Ding, Yi Dai, Lihong Bao and 9 more

Abstract read
In one paragraph

Article in Health care science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

19 authors.

Longxia HuCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Jiaqing WangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.ORCID https://orcid.org/0000-0002-3692-5385
Deying HuDepartment of Nursing, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Yilan LiuDepartment of Nursing, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Yanhong HanDepartment of Nursing, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Wenbin LiuCollege of Medicine and Health Science Wuhan Polytechnic University Wuhan China.
Fen TengDepartment of Endocrinology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Xiaoping DingDepartment of Nursing, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Yi DaiCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Lihong BaoCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Hongling ZhangCollege of Medicine and Health Science Wuhan Polytechnic University Wuhan China.
Qingzhou ChengCollege of Medicine and Health Science Wuhan Polytechnic University Wuhan China.
Yun YangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Tingting JiaoCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Fei LuoCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Yali YangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Zixi WangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Xiaoping YangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Shengli YangCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Given the suboptimal quality of end-of-life care among patients with cancer in China, promoting living wills is critical in this population. Living wills ensure that individuals can receive the medical care they desire during the terminal phase of an illness, maintain their dignity, and ultimately achieve a good death. However, current awareness and attitudes about living wills among Chinese patients with cancer remain unclear. We administered a questionnaire survey on living wills to patients with malignant tumors to assess their most important needs and increase understanding about living wills. Methods: In this cross-sectional study using convenience sampling, inpatients with malignant tumors in Wuhan completed our questionnaire between July 2020 and June 2021. We collected patients' sociodemographic characteristics and details regarding their knowledge and attitudes about living wills. Results: Among 213 patients with malignant tumors, 114 (53.52%) had heard of living wills; 125 (58.69%) expressed their willingness to sign the "Five Wishes" living will document after learning about it through the questionnaire. Patients with malignant tumors had a high level of desire for the following living will items: the lives of family and friends return to normal as soon as possible after their death, maintaining personal hygiene and dignity, and remaining pain-free. The knowledge level of patients with malignant tumors was related to their educational level ( Conclusions: Patients with malignant tumors have a high need for comfort, cleanliness, and pain relief in the terminal stages. Patients with a higher level of education and those with poorer self-care ability had greater knowledge and acceptance of living wills. Promotion can first be targeted toward more highly educated patients and can then be gradually expanded to other groups.

Indexed as

attitudeknowledgeliving willmalignant tumorpalliative care

Identifiers

PMID41181058
PMCPMC12574422

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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.