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Best practice
Advance Care Planning: code status documentation

Kristopher Dennis, MD, FRCPC, Research Fellow, Department of Radiation Oncology, Cancer Centre, University of Toronto;
Edward Chow, MBBS, MSc, PhD, FRCPC, Professor, Department of Radiation Oncology, University of Toronto, Staff Radiation Oncologist, Sunnybrook Odette Cancer Centre, Senior Scientist, Sunnybrook Research Institute.

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TRIAL SUMMARY: Low rates of code status documentation on admission in patients with incurable cancer

 

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Canadian Association Of Radiation Oncology (CARO)
September 7-11, 2011, Winnipeg, Manitoba.

In Brief

Already known

  • Low rates of CS discussion are linked to inappropriately high rates of aggressive and futile interventions in terminally ill patients.

What this study showed

  • Close to two-thirds of healthcare providers did not document CS in acutely ill oncology patients in a timely fashion (within 24 hours of admission).

Next steps

  • Timely CS discussion should be mandatory for inpatients with incurable disease.
  • Earlier, more effective integration of oncologic and palliative care is required for patients with incurable cancer.
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