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End-of-Life Discussions and Aggressiveness of Care Received Near Death 

End-of-Life Discussions and Aggressiveness of Care Received Near Death
Chapter:
End-of-Life Discussions and Aggressiveness of Care Received Near Death
Author(s):

Yael Schenker

, and Justin Yu

DOI:
10.1093/med/9780190658618.003.0037
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date: 28 June 2022

This chapter summarizes Mack and colleagues’ 2012 Associations Between End-of-Life (EOL) Discussion Characteristics and Care Received Near Death, which investigates the relationship between EOL discussion characteristics and the aggressiveness of EOL medical care received by patients with advanced cancer (stage IV lung or colorectal cancer). It reviews the frequency of which EOL discussions occur in this population and explores EOL discussion characteristics including timing, location, and involved providers. It then examines how these characteristics are associated with various markers of aggressive EOL care such as chemotherapy in last 14 days of life (DOL), acute or intensive care unit care in last 30 DOL, and initiation of hospice in last seven DOL.

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