Abstract：
:The effect of do-not-resuscitate (DNR) orders on physicians' decisions to provide life-prolonging treatments other than cardiopulmonary resuscitation (CPR) for patients near the end of life was explored using a cross-sectional mailed survey. Each survey presented three patient scenarios followed by 10 treatment decisions. Participants were residents and attending physicians who were randomly assigned surveys in which all patient scenarios included or did not include a DNR order. Response to three case scenarios when a DNR order was present or absent were measured. Response from 241 of 463 physicians (52%) was received. Physicians agreed or strongly agreed to initiate fewer interventions when a DNR order was present versus absent (4.2 vs 5.0 (P =.008) in the first scenario; 6.5 vs 7.1 (P =.004) in the second scenario; and 5.7 vs 6.2 (P =.037) in the third scenario). In all three scenarios, patients with DNR orders were significantly less likely to be transferred to an intensive care unit, to be intubated, or to receive CPR. In some scenarios, the presence of a DNR order was associated with a decreased willingness to draw blood cultures (91% vs 98%, P =.038), central line placement (68% vs 80%, P =.030), or blood transfusion (75% vs 87%, P =.015). The presence of a DNR order may affect physicians' willingness to order a variety of treatments not related to CPR. Patients with DNR orders may choose to forgo other life-prolonging treatments, but physicians should elicit additional information about patients' treatment goals to inform these decisions.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Beach MC,Morrison RSdoi
10.1046/j.1532-5415.2002.50620.xsubject
Has Abstractpub_date
2002-12-01 00:00:00pages
2057-61issue
12eissn
0002-8614issn
1532-5415pii
jgs50620journal_volume
50pub_type
临床试验,杂志文章,随机对照试验abstract：OBJECTIVES:To determine the relation between the C/T(-13910) single-nucleotide polymorphism residing 13,910 base pairs from the 5' end of the lactase gene associated with lactase persistence and the occurrence of bone fractures in elderly people. DESIGN:Population-based study. SETTING:Vantaa 85+ population-based stud...
journal_title：Journal of the American Geriatrics Society
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更新日期：2005-01-01 00:00:00
abstract：OBJECTIVES:To investigate whether changes in death certificate coding and reporting practices explain part or all of the recent increase in the rate of fatal falls in adults aged 65 and older in the United States. DESIGN:Trends in coding and reporting practices of fatal falls were evaluated under mortality coding sche...
journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of the American Geriatrics Society
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更新日期：2007-07-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1977.tb00290.x
更新日期：1977-04-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
doi：10.1111/j.1532-5415.1966.tb03069.x
更新日期：1966-05-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1982.tb05662.x
更新日期：1982-09-01 00:00:00
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doi：10.1111/j.1532-5415.2010.02975.x
更新日期：2010-08-01 00:00:00
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doi：10.1046/j.1532-5415.2003.51062.x
更新日期：2003-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1046/j.1532-5415.2002.50510.x
更新日期：2002-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1532-5415.1998.tb03809.x
更新日期：1998-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.2011.03413.x
更新日期：2011-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.15256
更新日期：2018-03-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
doi：10.1111/j.1532-5415.2004.52171.x
更新日期：2004-04-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1998.tb01073.x
更新日期：1998-05-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
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更新日期：2011-11-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1982.tb01987.x
更新日期：1982-11-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/j.1532-5415.1998.tb01047.x
更新日期：1998-03-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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更新日期：1986-04-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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更新日期：2010-11-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/j.1532-5415.1993.tb02042.x
更新日期：1993-02-01 00:00:00
abstract：OBJECTIVE:The study describes the prevalence of medical nursing home practice. Further, it examines the extent to which physician characteristics and local county health care resources predict nursing home involvement. This information is relevant to evaluating and devising strategies that address the future provision ...
journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1997.tb02958.x
更新日期：1997-08-01 00:00:00
abstract：OBJECTIVES:To evaluate national trends in electrocardiogram (EKG) monitoring in Veterans Affairs (VA) beneficiaries prescribed high-dose citalopram before and after the 2011-12 Food and Drug Administration (FDA) safety warnings. DESIGN:Interrupted time-series analyses. SETTING:National VA healthcare system data linke...
journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.15420
更新日期：2018-08-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
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更新日期：2019-11-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.13381
更新日期：2015-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.16343
更新日期：2020-05-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2013-08-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1111/j.1532-5415.2011.03319.x
更新日期：2011-03-01 00:00:00
