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Table 4 Opinions on impediment of terminal state diagnosis and speaking bad news

From: Experience and perspectives of end-of-life care discussion and physician orders for life-sustaining treatment of Korea (POLST-K): a cross-sectional study

 

n (%)†

Total (n = 181)

Attending (n = 94)

Resident (n = 87)

Terminal state diagnosis

Uncertainty of disease course

119 (34.1)

66 (36.3)

53 (31.7)

Ambiguity of terminal state diagnosis criteria

105 (30.1)

51 (28.0)

54 (32.3)

Discomfort with legal responsibility

58 (16.6)

29 (15.9)

29 (17.4)

Unawareness of the terminal state diagnosis

37 (10.6)

12 (6.6)

25 (15.0)

Consideration of terminal diagnosis as unnecessary due to the possibility of giving up on treatment

15 (4.3)

11 (6.0)

4 (2.4)

Others

15 (4.3)

13 (7.1)

2 (1.2)

Total

349 (100.0)

182 (100.0)

167 (100.0)

Speaking bad news

Patient’s disappointment and frustration

100 (27.9)

54 (29.2)

46 (26.4)

Family members’ opposition

91 (25.3)

46 (24.9)

45 (25.9)

Fear that the patient would think the worst case

55 (15.3)

28 (15.1)

27 (15.5)

Feeling of giving up

41 (11.4)

16 (8.6)

25 (14.4)

Time constraint

25 (7.0)

13 (7.0)

12 (6.9)

Patient’s request for maintenance of treatment

19 (5.3)

10 (5.4)

9 (5.2)

Patient’s incomprehension of the condition

9 (2.5)

7 (3.8)

2 ( 1.1)

The risk of breaking rapport

9 (2.5)

4 (2.2)

5 (2.9)

Others

10 (2.8)

7 (3.8)

3 (1.7)

Total

359 (100.0)

185 (100.0)

174 (100.0)

  1. †Multiple responses (two of the most significant items were selected), missing data excluded