Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

Atsuko Takayama; Atsushi Kawaguchi; Wataru Irie; Mitsunori Miyashita; Takuhiro Yamaguchi; Nobuyuki Yotani; Hitoshi Shiwaku; Japanese version of PICU-Quality of Dying and Death (PICU-QODD-J) investigators

doi:10.1097/pcc.0000000000003945

April 2, 2026Pediatric Critical Care MedicineOpen Access

Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

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Key Points

To develop and validate the PICU-QODD-J instrument for assessing end-of-life care in pediatric intensive care units in Japan.
Instrument development across eight centers in Japan.
Validation of reliability and validity metrics.
Evaluation of inter-rater reliability (IRR) in assessments.
Demonstrated good overall reliability and validity of the PICU-QODD-J instrument.
Noted low inter-rater reliability, indicating variability in assessments.
Emphasized the importance of multiple perspectives in evaluating end-of-life care.

Implication

Instrument development and validation improves end-of-life care in PICUs in Japan, suggesting a need for multiple evaluation perspectives.

Abstract

The PICU-QODD-J instrument demonstrated good reliability and validity and can be used to assess and improve end-of-life care in PICUs in Japan. However, given the low IRR, evaluations should be interpreted from multiple perspectives rather than a single assessment.

Discussion

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Cite This Study

Takayama et al. (2026) studied this question.

synapsesocial.com/papers/69d0af1c659487ece0fa50cb https://doi.org/10.1097/pcc.0000000000003945

View Full Paper

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Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

Key Points

Implication

Abstract

Discussion

Cite This Study

Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

Key Points

Implication

Abstract

Discussion

Cite This Study

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