End-of-life Discussions Do Not Affect Survival Rate
Published : 2011-09-29 - Updated : 2018-01-26
Author : Wiley-Blackwell
🛈 Synopsis : Study shows patients who talk with their physicians about end-of-life care have similar survival rates as patients who do not have these discussions.
Discussing and documenting patients' preferences for care at the end of life does not cause them any harm, contrary to recent claims.
A new study published today in the Journal of Hospital Medicine found that patients who talk with their physicians about end-of-life care and have an advance directive in their medical record have similar survival rates as patients who do not have these discussions and documents.
The study included 356 patients admitted at three different hospitals who had low or medium risks of dying within one year. Patients were followed from 2003 to 2009.
During the study, there were no differences in survival for patients who had an end-of-life discussion and those who had not; there also were no survival differences for those who had a living will in their medical record and those who did not.
"Our findings are reassuring. They support health care providers, who can initiate these discussions, and policy makers, who seek to reimburse these time consuming discussions," said lead researcher Stacy M. Fischer, MD of the University of Colorado School of Medicine.
"Most importantly, our findings are reassuring for patients and families who desire these discussions with their health care providers."
"The term 'death panels' has sparked considerable controversy recently. It has undermined the efforts of clinicians who provide end-of-life care by scaring patients into thinking that their lives may be cut short for their families' or society's best interest," added Fischer.
"We hope our study provides data to help inform the national debate about advance directives for key stakeholders; health care providers, policy makers, and patients and families."
Related End-of-Life - Palliative Care Documents
- 1: Proposed Changes to Medical Assistance in Dying Legislation : Canadian Government : Medical Assistance In Dying (MAID) is a complex and deeply personal issue. Article outlines reintroduced proposed changes to Canada's Criminal Code provisions on MAID.
- 2: Focuses on Aging and End-of-Life Challenges in the LGBT Community : The Hospice Foundation of America Aging and End-of-Life Challenges in the Lesbian Gay Bisexual and Transgender (LGBT) Community.
- 3: Palliative Care Findings on Caregiver Depression, LGBT Partners, Moral Distress : Major findings from the latest research on hospital palliative care according to study published in the Journal of Hospital Medicine, an official publication of the Society of Hospital Medicine.
- 4: End-of-life Discussions Do Not Affect Survival Rate : Study shows patients who talk with their physicians about end-of-life care have similar survival rates as patients who do not have these discussions.
- 5: Defining the Changing Nature of Wisdom at the End of Life : Researchers create consensus definition of wisdom as a complex trait with several inter-related components, such as compassion, emotional regulation, spirituality and tolerance.
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Journal: Disabled World. Language: English (U.S.). Author: Wiley-Blackwell. Electronic Publication Date: 2011-09-29 - Revised: 2018-01-26. Title: End-of-life Discussions Do Not Affect Survival Rate, Source: <a href=https://www.disabled-world.com/medical/palliative/discussions.php>End-of-life Discussions Do Not Affect Survival Rate</a>. Retrieved 2021-04-12, from https://www.disabled-world.com/medical/palliative/discussions.php - Reference: DW#473-8499.