Seyed Kazem Mirinezhad, Mostafa Akbarzadeh-Khiavi, Farshad Seyednejad, Mohammad Hossein Somi
Rectal cancer survival and prognostic factors in Iranian population: A retrospective cohort study
Cancer treatment and research communications
despite making donotresuscitate comfort care decisions advance care planning terminally ill patients sometimes receive lifesustaining treatments approach end life examine factors contributing nonconcordance endoflife care advance care planning longitudinal retrospective cohort study terminally ill patients life expectancy shorter six months previously expressed preference donotresuscitate comfort care followed palliative shared care intervention instrument eight items contributing nonconcordant care developed literature review experts consensus employed expert panel reviewed electronic medical records determine factors associated nonconcordant care patient statistical analysis including descriptive statistics chisquare test examines demographic characteristics associations among enrolled 7871 patients 97 12 received nonconcordant care prevalent factor families distressed patients deteriorating condition therefore unable let go 845 followed limited understanding medical interventions among patients surrogates 381 lack patient participation decisionmaking process 258 study reveals factors related relational autonomy emotional support health literacy may contribute nonconcordance advance care planning endoflife care future developing advance care planning model emphasizes respecting relational autonomy providing emotional support enhancing health literacy could help patients receiving goal concordant holistic endoflife care