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similar with respect to the preference rates for life-sustaining treatments compared with palliative care (46.9% vs 34.4% in the 60% survival group and 50.0% vs 40.6% in the 30% survival group; odds ratio OR, 0.90; 95% CI, 0.31-2.63). A few patients were not able to formulate a preference (6 patients (18.8%) in the 60% survival group and 3 patients (9.4%) in the 30% survival group; OR, 0.423; 95% CI, 0.08-2.10). An analysis of the patients who formulated a preference showed that an attitude that mere survival is at least as important as quality of life was associated with a preference for life-sustaining treatments (OR, 10.28; 95% CI, 2.94-35.90). Increasing maternal age (OR, 0.77; 95% CI, 0.61-0.98) and childlessness (OR, 0.12; 95% CI 0.01-0.98) were associated with a preference for palliative care. Most patients would decide together with their partners (63 of 64 98.4%) and preferred to be empowered by their physicians in the decision-making process (48 of 64 75%).
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Lingkong Zeng
Shiwen Xia
Wenhao Yuan
JAMA Pediatrics
Huazhong University of Science and Technology
Children's Hospital of Fudan University
Wuhan Children's Hospital
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Zeng et al. (Thu,) studied this question.
www.synapsesocial.com/papers/6a130af18f1bac20a09ec341 — DOI: https://doi.org/10.1001/jamapediatrics.2020.0878
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