A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006

Jen Shi Chen, Hung Ming Wang, Shiao Chi Wu, Tsang Wu Liu, Yen Ni Hung, Siew Tzuh Tang

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.

Original languageEnglish
Pages (from-to)1388-1393
Number of pages6
JournalResuscitation
Volume80
Issue number12
DOIs
Publication statusPublished - Dec 2009
Externally publishedYes

Fingerprint

Cardiopulmonary Resuscitation
Cross-Sectional Studies
Population
Neoplasms
Physicians
Demography
Widowhood
Hematologic Neoplasms
Esophageal Neoplasms
Head and Neck Neoplasms
Heart Arrest
Comorbidity
Prostatic Neoplasms
Teaching
Cohort Studies
Retrospective Studies
Odds Ratio
Delivery of Health Care

Keywords

  • Administrative database analysis
  • Cardiopulmonary resuscitation (CPR)
  • End-of-life care
  • Population-based study
  • Quality of care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006. / Chen, Jen Shi; Wang, Hung Ming; Wu, Shiao Chi; Liu, Tsang Wu; Hung, Yen Ni; Tang, Siew Tzuh.

In: Resuscitation, Vol. 80, No. 12, 12.2009, p. 1388-1393.

Research output: Contribution to journalArticle

Chen, Jen Shi ; Wang, Hung Ming ; Wu, Shiao Chi ; Liu, Tsang Wu ; Hung, Yen Ni ; Tang, Siew Tzuh. / A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006. In: Resuscitation. 2009 ; Vol. 80, No. 12. pp. 1388-1393.
@article{bfb66262a2ab4369b42ea17590799c66,
title = "A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006",
abstract = "Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18{\%} to 8.63{\%}, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.",
keywords = "Administrative database analysis, Cardiopulmonary resuscitation (CPR), End-of-life care, Population-based study, Quality of care",
author = "Chen, {Jen Shi} and Wang, {Hung Ming} and Wu, {Shiao Chi} and Liu, {Tsang Wu} and Hung, {Yen Ni} and Tang, {Siew Tzuh}",
year = "2009",
month = "12",
doi = "10.1016/j.resuscitation.2009.08.015",
language = "English",
volume = "80",
pages = "1388--1393",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",
number = "12",

}

TY - JOUR

T1 - A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006

AU - Chen, Jen Shi

AU - Wang, Hung Ming

AU - Wu, Shiao Chi

AU - Liu, Tsang Wu

AU - Hung, Yen Ni

AU - Tang, Siew Tzuh

PY - 2009/12

Y1 - 2009/12

N2 - Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.

AB - Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.

KW - Administrative database analysis

KW - Cardiopulmonary resuscitation (CPR)

KW - End-of-life care

KW - Population-based study

KW - Quality of care

UR - http://www.scopus.com/inward/record.url?scp=70449704064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70449704064&partnerID=8YFLogxK

U2 - 10.1016/j.resuscitation.2009.08.015

DO - 10.1016/j.resuscitation.2009.08.015

M3 - Article

C2 - 19804934

AN - SCOPUS:70449704064

VL - 80

SP - 1388

EP - 1393

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

IS - 12

ER -