Andrew S. Epstein|Angelo E. Volandes|Ling Y. Chen|Kristen Gary|Yuelin Li|Patricia Agre|Tomer T. Levin|Diane Lauren Reidy|Raymond D. Meng|Neil H. Segal|Kenneth H. Yu|Ghassan K. Abou?Alfa|Yelena Y. Janjigian|David P. Kelsen|Eileen M. O’Reilly
A Randomized Controlled Trial of a Cardiopulmonary Resuscitation Video in Advance Care Planning for Progressive Pancreas and Hepatobiliary Cancer Patients
Memorial Sloan Kettering Cancer Center|Massachusetts General Hospital|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center|Memorial Sloan Kettering Cancer Center
cardiopulmonary resuscitation cpr important advance directive ad topic patients progressive cancer however discussions challengingthis study investigates whether video educational information cpr engenders broader advance care planning acp discoursepatients progressive pancreas hepatobiliary cancer randomized educational cpr video similar cpr narrative primary endpoint difference acp documentation one month posttest arms secondary endpoints included study impressions pre postintervention knowledge preferences cpr mechanical ventilation longitudinal patient outcomesfiftysix subjects consented analyzed rates acp documentation either formal ads documented discussions 40 video arm 1230 compared 15 narrative arm 426 or36 95 ci 09180 p007 postintervention knowledge higher arms posttest preferences cpr changed video arm narrative arm preferences regarding mechanical ventilation change either arm majority subjects arms reported information helpful comfortable discuss recommended others deaths occurred video arm compared narrative arm subjects died hospice settings video armthis pilot randomized trial addressing downstream acp effects video versus narrative decision tools demonstrated trend towards acp documentation video subjects trend well video effects subject ongoing study