{"id":"https://openalex.org/W4293468290","doi":"https://doi.org/10.1186/s12904-022-01037-9","title":"Factors influencing terminal cancer patients\u2019 autonomous DNR decision: a longitudinal statutory document and clinical database study","display_name":"Factors influencing terminal cancer patients\u2019 autonomous DNR decision: a longitudinal statutory document and clinical database study","publication_year":2022,"publication_date":"2022-08-26","ids":{"openalex":"https://openalex.org/W4293468290","doi":"https://doi.org/10.1186/s12904-022-01037-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/36028830","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9419392"},"language":"en","primary_location":{"id":"doi:10.1186/s12904-022-01037-9","doi":"https://doi.org/10.1186/s12904-022-01037-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-022-01037-9","pdf_url":"https://bmcpalliatcare.biomedcentral.com/counter/pdf/10.1186/s12904-022-01037-9","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcpalliatcare.biomedcentral.com/counter/pdf/10.1186/s12904-022-01037-9","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062889456","display_name":"Ru-Yih Chen","orcid":"https://orcid.org/0000-0001-8019-4148","observed_orcids":["https://orcid.org/0000-0001-8019-4148"]},"institutions":[{"id":"https://openalex.org/I142974352","display_name":"National Sun Yat-sen University","ror":"https://ror.org/00mjawt10","country_code":"TW","type":"education","lineage":["https://openalex.org/I142974352"]},{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Ru-Yih Chen","raw_affiliation_strings":["Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC","Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC"],"raw_orcid":"https://orcid.org/0000-0001-8019-4148","affiliations":[{"raw_affiliation_string":"Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I142974352"]},{"raw_affiliation_string":"Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I4210152230"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100404255","display_name":"Ying\u2010Chun Li","orcid":"https://orcid.org/0000-0001-8516-970X","observed_orcids":["https://orcid.org/0000-0001-8516-970X"]},"institutions":[{"id":"https://openalex.org/I142974352","display_name":"National Sun Yat-sen University","ror":"https://ror.org/00mjawt10","country_code":"TW","type":"education","lineage":["https://openalex.org/I142974352"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Ying-Chun Li","raw_affiliation_strings":["Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC. ycli@mail.nsysu.edu.tw","Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC"],"raw_orcid":"https://orcid.org/0000-0001-8516-970X","affiliations":[{"raw_affiliation_string":"Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC. ycli@mail.nsysu.edu.tw","institution_ids":["https://openalex.org/I142974352"]},{"raw_affiliation_string":"Department of Business Management, Institute of Health Care Management, National Sun Yat-Sen University, No. 70. Lianhai Rd, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I142974352"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078507931","display_name":"Kuang-Chieh Hsueh","orcid":"https://orcid.org/0000-0002-8289-6861","observed_orcids":["https://orcid.org/0000-0002-8289-6861"]},"institutions":[{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Kuang-Chieh Hsueh","raw_affiliation_strings":["Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC"],"raw_orcid":"https://orcid.org/0000-0002-8289-6861","affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I4210152230"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063560343","display_name":"Fu-Wei Wang","orcid":"https://orcid.org/0000-0002-7480-1850","observed_orcids":["https://orcid.org/0000-0002-7480-1850"]},"institutions":[{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Fu-Wei Wang","raw_affiliation_strings":["Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC"],"raw_orcid":"https://orcid.org/0000-0002-7480-1850","affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I4210152230"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083836380","display_name":"Hong-Jhe Chen","orcid":"https://orcid.org/0000-0002-9452-562X","observed_orcids":["https://orcid.org/0000-0002-9452-562X"]},"institutions":[{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Hong-Jhe Chen","raw_affiliation_strings":["Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I4210152230"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068911370","display_name":"Tzu-Ya Huang","orcid":"https://orcid.org/0000-0001-6350-7851","observed_orcids":["https://orcid.org/0000-0001-6350-7851"]},"institutions":[{"id":"https://openalex.org/I4210152230","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210152230"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Tzu-Ya Huang","raw_affiliation_strings":["Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC"],"raw_orcid":"https://orcid.org/0000-0001-6350-7851","affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC","institution_ids":["https://openalex.org/I4210152230"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5100404255"],"corresponding_institution_ids":["https://openalex.org/I142974352"],"apc_list":{"value":2790,"currency":"USD","value_usd":2790},"apc_paid":{"value":2790,"currency":"USD","value_usd":2790},"fwci":2.8059,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.89796827,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"21","issue":"1","first_page":"149","last_page":"149"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/do-not-resuscitate-orders","display_name":"do-not-resuscitate orders","score":0.9769999980926514},{"id":"https://openalex.org/keywords/terminally-ill-cancer-patients","display_name":"terminal cancer patients","score":0.8899999856948853},{"id":"https://openalex.org/keywords/patient-autonomy","display_name":"patient autonomy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/advance-directives","display_name":"advance directives","score":0.6790000200271606},{"id":"https://openalex.org/keywords/letter-of-intent","display_name":"letter of intent","score":0.8849999904632568},{"id":"https://openalex.org/keywords/end-of-life-decision-making","display_name":"end-of-life decisions","score":0.8650000095367432},{"id":"https://openalex.org/keywords/hospice-and-palliative-care","display_name":"hospice and palliative care","score":0.8759999871253967},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.8519999980926514},{"id":"https://openalex.org/keywords/end-of-life-communication","display_name":"end-of-life communication","score":0.6769999861717224},{"id":"https://openalex.org/keywords/taiwan","display_name":"Taiwan","score":0.5929999947547913}],"concepts":[{"id":"https://openalex.org/C2778539967","wikidata":"https://www.wikidata.org/wiki/Q6535129","display_name":"Do not resuscitate","level":2,"score":0.6363577246665955},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6350741386413574},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.6190744042396545},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.5887191891670227},{"id":"https://openalex.org/C158129432","wikidata":"https://www.wikidata.org/wiki/Q7766927","display_name":"Statutory law","level":2,"score":0.5030104517936707},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.48535171151161194},{"id":"https://openalex.org/C2908741519","wikidata":"https://www.wikidata.org/wiki/Q6535129","display_name":"Do Not Resuscitate Order","level":2,"score":0.4767656922340393},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.4186493158340454},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.35865092277526855},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.32214146852493286},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09512099623680115},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016414","descriptor_name":"Resuscitation Orders","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12904-022-01037-9","doi":"https://doi.org/10.1186/s12904-022-01037-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-022-01037-9","pdf_url":"https://bmcpalliatcare.biomedcentral.com/counter/pdf/10.1186/s12904-022-01037-9","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},{"id":"pmid:36028830","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36028830","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC palliative care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9419392","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9419392/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliat Care","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:c3d106772eb44e60b1a0bd45c0826420","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c3d106772eb44e60b1a0bd45c0826420","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Palliative Care, Vol 21, Iss 1, Pp 1-9 (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12904-022-01037-9","doi":"https://doi.org/10.1186/s12904-022-01037-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12904-022-01037-9","pdf_url":"https://bmcpalliatcare.biomedcentral.com/counter/pdf/10.1186/s12904-022-01037-9","source":{"id":"https://openalex.org/S169992948","display_name":"BMC Palliative Care","issn_l":"1472-684X","issn":["1472-684X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Palliative Care","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G5151876096","display_name":null,"funder_award_id":"VGHKS107-028.","funder_id":"https://openalex.org/F4320327359","funder_display_name":"Kaohsiung Veterans General Hospital"}],"funders":[{"id":"https://openalex.org/F4320327359","display_name":"Kaohsiung Veterans General Hospital","ror":"https://ror.org/04jedda80"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4293468290.pdf","grobid_xml":"https://content.openalex.org/works/W4293468290.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W68036791","https://openalex.org/W145040320","https://openalex.org/W1970026305","https://openalex.org/W1982603220","https://openalex.org/W2003674553","https://openalex.org/W2008589684","https://openalex.org/W2011016449","https://openalex.org/W2016399239","https://openalex.org/W2030768163","https://openalex.org/W2056662408","https://openalex.org/W2057394212","https://openalex.org/W2076960681","https://openalex.org/W2084425572","https://openalex.org/W2103862075","https://openalex.org/W2104003851","https://openalex.org/W2104449920","https://openalex.org/W2105990112","https://openalex.org/W2106032162","https://openalex.org/W2108689967","https://openalex.org/W2126400056","https://openalex.org/W2132485574","https://openalex.org/W2134088030","https://openalex.org/W2148231186","https://openalex.org/W2149566104","https://openalex.org/W2152302748","https://openalex.org/W2294254407","https://openalex.org/W2507762083","https://openalex.org/W2578500152","https://openalex.org/W2740992719","https://openalex.org/W2749941047","https://openalex.org/W2955611241","https://openalex.org/W3046792016","https://openalex.org/W4301890705"],"related_works":["https://openalex.org/W2097900377","https://openalex.org/W2342619905","https://openalex.org/W1974455748","https://openalex.org/W2009668342","https://openalex.org/W2041763783","https://openalex.org/W2802962268","https://openalex.org/W2023242815","https://openalex.org/W7127056205","https://openalex.org/W1578890456","https://openalex.org/W2069837074"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Much":[1],"of":[2,5,8,34,50,79,86,125,139,194],"our":[3],"knowledge":[4],"patient":[6,92,159,234,248],"autonomy":[7,249],"DNR":[9,39,82,108,119,174,201,263],"(do-not-resuscitate)":[10],"is":[11,277],"derived":[12],"from":[13],"the":[14,32,45,91,95,117,129,137,172,182,217,241,257],"cross-sectional":[15],"questionnaire":[16],"surveys.":[17],"Using":[18,44],"signatures":[19],"on":[20,240,252],"statutory":[21,81],"documents":[22,202],"and":[23,67,73,77,94,150,155,181,215,228,243,250],"medical":[24,46,53],"records,":[25],"we":[26,57],"analyzed":[27],"longitudinal":[28],"data":[29,76],"to":[30,145,176,220,223,279],"understand":[31],"fact":[33],"terminal":[35,195,213,267],"cancer":[36,60,196,233,268],"patients'":[37],"autonomous":[38],"decision-making":[40],"in":[41,55,185],"Taiwan.":[42],"METHODS:":[43],"information":[47],"system":[48],"database":[49],"one":[51],"public":[52],"center":[54],"Taiwan,":[56],"identified":[58,105],"hospitalized":[59],"patients":[61,115,197,269],"who":[62],"died":[63],"between":[64],"Jan.":[65],"2017":[66],"Dec.":[68],"2018,":[69],"collected":[70],"their":[71,80,100,122,211,225,274],"demographic":[72],"clinical":[74],"course":[75],"records":[78],"document":[83],"types,":[84],"letter":[85],"intent":[87],"(DNR-LOI)":[88],"signed":[89,98,107],"by":[90,99,203],"personally":[93],"consent":[96],"form":[97],"close":[101,278],"relatives.":[102],"RESULTS:":[103],"We":[104,259],"1,338":[106],"documents,":[109],"754":[110],"(56.35%)":[111],"being":[112,135],"DNR-LOI.":[113],"Many":[114],"had":[116],"first":[118,173],"order":[120,175],"within":[121],"last":[123,148,183,218],"week":[124],"life":[126,226],"(40.81%).":[127],"Signing":[128],"DNR-LOI":[130],"was":[131],"positively":[132],"associated":[133,157],"with":[134,158,256,266],"under":[136],"care":[138,154,188,235],"a":[140],"family":[141],"medicine":[142],"physician":[143],"prior":[144],"death":[146,177],"at":[147],"hospitalization":[149],"having":[151,167,171],"hospice":[152],"palliative":[153],"negatively":[156],"age":[160],"\u2265":[161,168],"65":[162],"years,":[163],"no":[164,270],"formal":[165],"education,":[166],"3":[169],"children,":[170],"\u2264":[178],"29":[179],"days,":[180],"admission":[184],"an":[186],"intensive":[187],"unit.":[189],"CONCLUSIONS:":[190],"A":[191],"substantial":[192],"proportion":[193],"did":[198],"not":[199,209],"sign":[200],"themselves.":[204],"It":[205],"indicates":[206],"they":[207],"may":[208,236],"know":[210],"actual":[212],"conditions":[214],"lose":[216],"chance":[219],"grasp":[221],"time":[222],"express":[224],"values":[227],"wishes.":[229],"Medical":[230],"staff":[231],"involving":[232],"need":[237],"further":[238],"education":[239],"legal":[242],"ethical":[244],"issues":[245,265],"revolving":[246],"around":[247],"training":[251],"communicating":[253],"end-of-life":[254],"options":[255],"patients.":[258],"suggest":[260],"proactively":[261],"discussing":[262],"decision":[264],"later":[271],"than":[272],"when":[273],"estimated":[275],"survival":[276],"1":[280],"month.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":6}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2022-08-29T00:00:00"}
