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Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea
DC Field | Value | Language |
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dc.contributor.author | 이일학 | - |
dc.contributor.author | 최지연 | - |
dc.date.accessioned | 2024-04-11T06:38:18Z | - |
dc.date.available | 2024-04-11T06:38:18Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.issn | 1793-8759 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/198848 | - |
dc.description.abstract | This study analyzed the national data on life-sustaining treatment decisions from 2018 to 2020 to find out the characteristics of South Korea’s end-of-life procedure according to the decision-making approach and process. We collected the data of 84,422 patients registered with the National Agency for Management of Life-sustaining Treatment. We divided the patients into four groups (G1, G2, G3, and G4) according to the decision-making approach. A descriptive analysis of each group was conducted using indicators such as the patient’s age, status, diagnosis, and content of forgoing life-sustaining treatment. Additionally, logistic regression analysis was performed by dividing the patients into self-determining (G1, G2) and non-self-determining patients (G3, G4). Cancer was the most common diagnosis for each group. The period from life-sustaining treatment decision to implementation was 10.76, 1.01, 0.86, and 1.19 days for G1, G2, G3, and G4, respectively. In the logistic regression analysis, the self-determination ratio was higher for 40–49 years old and lower for cardiovascular disease and gastrointestinal disease. Age was has a major impact on life-sustaining treatment decisions (LSTD), and with increase in age, the family, and not the patient, made the LSTD. The LSTD method also differed depending on the disease. The self-determination rates of patients with circulatory or digestive diseases were somewhat lower than that of those with neoplastic diseases. The period from decision-making to implementation is short for end-of-life care. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer Nature | - |
dc.relation.isPartOf | ASIAN BIOETHICS REVIEW | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Medical Humanities and Social Sciences (인문사회의학교실) | - |
dc.contributor.googleauthor | Jiyeon Choi | - |
dc.contributor.googleauthor | Heejung Jeon | - |
dc.contributor.googleauthor | Ilhak Lee | - |
dc.identifier.doi | 10.1007/s41649-023-00266-1 | - |
dc.contributor.localId | A03063 | - |
dc.relation.journalcode | J04024 | - |
dc.identifier.eissn | 1793-9453 | - |
dc.identifier.pmid | 38213986 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s41649-023-00266-1 | - |
dc.subject.keyword | Advance directives | - |
dc.subject.keyword | Autonomy | - |
dc.subject.keyword | Decision making | - |
dc.subject.keyword | End-of-life care | - |
dc.subject.keyword | Terminal care | - |
dc.contributor.alternativeName | Lee, Il Hak | - |
dc.contributor.affiliatedAuthor | 이일학 | - |
dc.citation.volume | 16 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 33 | - |
dc.citation.endPage | 46 | - |
dc.identifier.bibliographicCitation | ASIAN BIOETHICS REVIEW, Vol.16(1) : 33-46, 2024-01 | - |
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