1
40
7
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
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URL Address
<a href="http://doi.org/10.1002/cncr.25045" target="_blank" rel="noreferrer">http://doi.org/10.1002/cncr.25045</a>
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Title
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Characteristics of patients who refuse do-not-resuscitate orders upon admission to an acute palliative care unit in a comprehensive cancer center.
Publisher
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Cancer
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
Subject
The topic of the resource
Female; Humans; Male; Palliative Care; Adult; Middle Aged; Patient Acceptance of Health Care; Survival Analysis; Case-Control Studies; African Americans; retrospective studies; DNAR; Cancer Care Facilities; Neoplasms/di [Diagnosis]; Neoplasms/mo [Mortality]; Resuscitation Orders; Nausea/co [Complications]; Pain/co [Complications]
Creator
An entity primarily responsible for making the resource
Parsons HA; de la Cruz MJ; Zhukovsky DS; Hui D; Delgado-Guay MO; Akitoye AE; El Osta B; Palmer JL; Palla SL; Bruera E
Description
An account of the resource
BACKGROUND: Refusal of appropriately indicated do-not-resuscitate (DNR) orders may cause harm and distress for patients, families, and the medical team. We conducted a retrospective study to determine the frequency and predictors of refusals of DNR in advanced cancer patients admitted to an acute palliative care unit., METHODS: A total of 2538 consecutive admissions were reviewed. Demographic and clinical characteristics from 200 consecutive patients with DNR orders and 100 consecutive patients who refused DNR were collected, and differences between the groups were determined by multivariate regression and recursive partitioning analysis., RESULTS: Of 2538 admissions, 2530 (99%) were appropriate for DNR discussion. Of the 2530 admissions, 2374 were unique patients, and 100 (4%) of 2374 refused DNR. Refusers had median (interquartile range, IQR) pain of 7 (4-9) versus 5 (3-8, P = .0005), nausea of 2 (0-7) versus 1 (0-4, P = .05), and dyspnea of 1 (0-5) versus 4 (0-7, P = .002) as compared with DNR nonrefusers, respectively. Patients with hematological malignancies and advance directives had a lower DNR refusal risk (odds ratio [OR], 0.38; P = .02, and OR, 0.36; P < .0001, respectively). Multivariate regression analysis revealed that patients with moderate-severe pain (OR, 3.19; P = .002) and with no advance directives (OR, 2.94; P < or = .001) had higher DNR refusal risk. There were more inpatient deaths among DNR nonrefusers (87 of 200 vs 1 of 100, P < .0001). Median (IQR) time from discharge to death was 18 (8-35) days for those with DNR orders and 85 (25-206) days for DNR refusers (P < or = .0001)., CONCLUSIONS: DNR refusal in patients admitted to the acute palliative care unit is low, more frequent in patients with more pain and nausea and no advance directives, and associated with longer survival. This study demonstrates possible predictors of complicated DNR discussions.
2010
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/cncr.25045" target="_blank" rel="noreferrer">10.1002/cncr.25045</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2010
Adult
African Americans
Akitoye AE
Backlog
Bruera E
Cancer
Cancer Care Facilities
Case-Control Studies
de la Cruz MJ
Delgado-Guay MO
DNAR
El Osta B
Female
Hui D
Humans
Journal Article
Male
Middle Aged
Nausea/co [Complications]
Neoplasms/di [Diagnosis]
Neoplasms/mo [mortality]
Pain/co [Complications]
Palla SL
Palliative Care
Palmer JL
Parsons HA
Patient Acceptance of Health Care
Resuscitation Orders
Retrospective Studies
Survival Analysis
Zhukovsky DS
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1007/s00520-005-0815-6" target="_blank" rel="noreferrer">http://doi.org/10.1007/s00520-005-0815-6</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Experience in the use of the palliative care outcome scale.
Publisher
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Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Female; Humans; Male; Great Britain; Adult; Questionnaires; Aged; Middle Aged; Pilot Projects; Cancer Care Facilities; Medical Oncology; quality of life; 80 and over; DNAR; Palliative Care/px [Psychology]; Patient Satisfaction; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Stevens A-M; Gwilliam B; A'hern R; Broadley K; Hardy J
Description
An account of the resource
GOALS OF WORK: The objective of the study is to assess the Palliative Care Outcome Scale (POS) as a potential audit tool within a specialist cancer centre. It also aims to answer the following questions: does the tool identify problem areas and demonstrate changes in quality of life over time? How well do staff and patient ratings correlate?, PATIENTS AND METHODS: The POS questionnaire was piloted at a specialist cancer centre. Thirty consecutive patients admitted to the palliative care wards and ward staff completed questionnaires on admission and twice weekly until discharge or death. A further questionnaire assessed staff attitudes., RESULTS: There was a significant improvement in overall patient POS score at 1 week (days 5-9). Four "symptoms" or issues were scored as being important for our patients: pain, other symptoms, anxiety and patient's perception of family anxiety. These all significantly improved within the first week. At the initial assessment, staff underestimated patients' pain and overestimated problems relating to information giving and patients' ability to share their feelings. There was no significant difference between staff and patient scores after 1 week. The other six areas covered by the tool were less important; this may reflect the patient population seen at our centre. Use of the tool identified areas for staff training and effectively demonstrated improvement in patient care., CONCLUSION: The POS is an outcome measure tool designed to assess physical, psychological, practical and existential aspects of quality of life. It may be useful in identifying problems in individual patients and directing care to address these needs.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s00520-005-0815-6" target="_blank" rel="noreferrer">10.1007/s00520-005-0815-6</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
80 And Over
A'hern R
Adult
Aged
Backlog
Broadley K
Cancer Care Facilities
DNAR
Female
Great Britain
Gwilliam B
Hardy J
Humans
Journal Article
Male
Medical Oncology
Middle Aged
Palliative Care/px [psychology]
Patient Satisfaction
Pilot Projects
Quality Of Life
Questionnaires
Stevens A-M
Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.ejca.2003.08.003" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.ejca.2003.08.003</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Douglas House: a 'respice' for young people
Publisher
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European Journal Of Cancer
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
Subject
The topic of the resource
Humans; Adult; England; Cancer Care Facilities; Health Facility Environment; Respite Care; adolescent; Neoplasms/therapy; hospice care
Creator
An entity primarily responsible for making the resource
Dominica FS
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ejca.2003.08.003" target="_blank" rel="noreferrer">10.1016/j.ejca.2003.08.003</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2003
2003
Adolescent
Adult
Backlog
Cancer Care Facilities
Dominica FS
England
European Journal Of Cancer
Health Facility Environment
Hospice Care
Humans
Journal Article
Neoplasms/therapy
Respite Care
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.5737/1181912x144224227" target="_blank" rel="noreferrer">http://doi.org/10.5737/1181912x144224227</a>
Dublin Core
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Title
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Mapping the journey of cancer patients through the health care system. Part 2: Methodological approaches and basic findings
Publisher
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Canadian Oncology Nursing Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
Subject
The topic of the resource
Female; Humans; Male; Aged; Middle Aged; Survival Analysis; Cancer Care Facilities; Medical Oncology; Quality of Health Care; Proportional Hazards Models; Registries; Non-U.S. Gov't; Research Support; Databases; Delivery of Health Care/organization & administration; Patient Admission/statistics & numerical data; Length of Stay/statistics & numerical data; Health Services Research/methods; Data Collection/methods; Factual/utilization; Manitoba/epidemiology; Medical Record Linkage/methods; Neoplasms/diagnosis/mortality/therapy
Creator
An entity primarily responsible for making the resource
Sloan JA; Scott-Findlay S; Nemecek A; Blood P; Trylinski C; Whittaker H; El Sayed S; Clinch J; Khoo K
Description
An account of the resource
This is the second in a series of articles from a line of research whose intent was to construct a complete history of interactions with the health care system. This paper provides details of the methods developed to collect and collate the scattered information regarding the event history (trajectory) that a cancer patient experiences in traveling through the Manitoba health care system from one year prior to diagnosis through to two years post-diagnosis. Survival data were obtained through 1994. Basic population data obtained from this work are also presented, including survival information through to four years post-diagnosis. Issues regarding standardized data recording and detail level of clinical events in the chart record are discussed. This part of the research demonstrates that diverse data sources in the health care system can be linked with a high degree of accuracy and completeness of data.
2004
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5737/1181912x144224227" target="_blank" rel="noreferrer">10.5737/1181912x144224227</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2004
Aged
Backlog
Blood P
Canadian Oncology Nursing Journal
Cancer Care Facilities
Clinch J
Data Collection/methods
Databases
Delivery of Health Care/organization & administration
El Sayed S
Factual/utilization
Female
Health Services Research/methods
Humans
Journal Article
Khoo K
Length Of Stay/statistics & Numerical Data
Male
Manitoba/epidemiology
Medical Oncology
Medical Record Linkage/methods
Middle Aged
Nemecek A
Neoplasms/diagnosis/mortality/therapy
Non-U.S. Gov't
Patient Admission/statistics & numerical data
Proportional Hazards Models
Quality Of Health Care
Registries
Research Support
Scott-Findlay S
Sloan JA
Survival Analysis
Trylinski C
Whittaker H
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=3511081" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=3511081</a>
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Title
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An alternative in terminal care: results of the National Hospice Study
Publisher
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Journal Of Chronic Diseases
Date
A point or period of time associated with an event in the lifecycle of the resource
1986
Subject
The topic of the resource
Female; Hospitalization; Male; United States; Adult; Aged; Health Services Research; Cancer Care Facilities; Outcome and Process Assessment (Health Care); quality of life; Non-U.S. Gov't; U.S. Gov't; Comparative Study; Models; Costs and Cost Analysis; Health; Insurance; Medicare/economics; Human; Theoretical; Support; Middle Age; home care services; Non-P.H.S.; Neoplasms/physiopathology/psychology/therapy; Hospices/classification/economics/organization & administration; Terminal Care/economics/organization & administration; Pain/epidemiology; Reimbursement/economics
Creator
An entity primarily responsible for making the resource
Greer DS; Mor V; Morris JN; Sherwood S; Kidder D; Birnbaum H
Description
An account of the resource
Hospice is a program of supportive services for terminally ill patients and their families, provided either at home or in designated inpatient settings, which is purported to improve patient and family quality of life at lower cost than conventional terminal care. The National Hospice Study was a multi-site, quasi-experimental study to compare the experiences of terminal cancer patients and their families in hospices with those of similar patients and families receiving conventional terminal care. The results indicate that, although care is different in hospices, e.g. lesser utilization of aggressive interventional therapy and diagnostic testing, patients' quality of life is similar in the hospice and conventional care systems with the exception of pain and symptom control, which may be better in the inpatient hospice setting. Hospice patients are more likely to die at home and their families are satisfied with that outcome. Otherwise, no consistent superiority of family outcome was associated with the hospice approach. The cost of hospice care is less than that of conventional terminal care for patients in hospices without inpatient facilities, but the cost of hospice appears to be equivalent to conventional care for patients in hospices having beds.
1986
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1986
Adult
Aged
Backlog
Birnbaum H
Cancer Care Facilities
Comparative Study
Costs And Cost Analysis
Female
Greer DS
Health
Health Services Research
home care services
Hospices/classification/economics/organization & administration
Hospitalization
Human
Insurance
Journal Article
Journal Of Chronic Diseases
Kidder D
Male
Medicare/economics
Middle Age
Models
Mor V
Morris JN
Neoplasms/physiopathology/psychology/therapy
Non-P.H.S.
Non-U.S. Gov't
Outcome And Process Assessment (health Care)
Pain/epidemiology
Quality Of Life
Reimbursement/economics
Sherwood S
Support
Terminal Care/economics/organization & administration
Theoretical
U.S. Gov't
United States
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Oncology
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Oncology 2017 List
URL Address
<a href="http://doi.org/10.1097/mph.0000000000000523" target="_blank" rel="noreferrer">http://doi.org/10.1097/mph.0000000000000523</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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The Outcome of Critically Ill Pediatric Cancer Patients Admitted to the Pediatric Intensive Care Unit in a Tertiary University Oncology Center in a Developing Country: A 5-Year Experience
Publisher
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Journal Of Pediatric Hematology/oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Developing Countries; Intensive Care Units; Academic Medical Centers; Adolescent; Cancer Care Facilities; Child; Critical Illness; Female; Hematologic Neoplasms/complications/ Mortality/therapy; Humans; Infant; Male; Multiple Organ Failure/etiology; Pediatric; Preschool; Prognosis; Respiratory Insufficiency/etiology; Retrospective Studies; Sepsis/etiology; Tertiary Care Centers; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Ali AM; Sayed HA; Mohammed MM
Description
An account of the resource
INTRODUCTION: Cancer remains a major cause of death in children, but recent advances in supportive care and progress in the use of chemotherapy have considerably improved the prognosis. The need for intensive care management in pediatric oncology patients is increasing. However, studies demonstrating their outcome in the literature are still deficient, especially in developing countries. Here, we aim to report our experience in managing patients admitted to the pediatric intensive care unit (PICU) at South Egypt Cancer Institute, a tertiary university oncology center in a developing country. PATIENTS AND METHODS: A review of all cancer patients admitted to the PICU at South Egypt Cancer Institute between January 2007 and December 2011 and an evaluation of prognostic factors that may correlate to their short-term outcome were performed. RESULTS: A total of 550 pediatric oncology patients were admitted to the PICU on 757 occasions. Hematological malignancies represented 73.6% of the cases. The median duration of PICU stay was 5 days. Sepsis and respiratory failure were the most frequent indications for PICU admission. The overall survival at the time of discharge from the PICU was 60%. Several factors were found to significantly affect the outcome of patients admitted to the PICU, including the underlying disease, the reason for admission, the intervention used, and the number of failing organs at the time of admission to the PICU. CONCLUSIONS: The prognosis of patients admitted to the PICU in developing countries is still behind those in developed ones. Late referral, especially of patients presenting with respiratory failure, sepsis, and multiorgan failure usually, requires urgent intervention with inotropic support, oxygen therapy, and mechanical ventilation and is significantly associated with poor outcomes, especially in patients with hematological malignancies.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/mph.0000000000000523" target="_blank" rel="noreferrer">10.1097/mph.0000000000000523</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Academic Medical Centers
Adolescent
Ali AM
Cancer Care Facilities
Child
Critical Illness
Developing Countries
Female
Hematologic Neoplasms/complications/ Mortality/therapy
Humans
Infant
Intensive Care Units
Journal Of Pediatric Hematology/oncology
Male
Mohammed MM
Multiple Organ Failure/etiology
Oncology 2017 List
Pediatric
Preschool
Prognosis
Respiratory Insufficiency/etiology
Retrospective Studies
Sayed HA
Sepsis/etiology
Tertiary Care Centers
Treatment Outcome
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Oncology
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Oncology 2017 List
URL Address
<a href="http://doi.org/10.1089/jpm.2008.0172" target="_blank" rel="noreferrer">http://doi.org/10.1089/jpm.2008.0172</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Race does not influence do-not-resuscitate status or the number or timing of end-of-life care discussions at a pediatric oncology referral center
Publisher
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Journal Of Palliative Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
Subject
The topic of the resource
African Continental Ancestry Group; Cancer Care Facilities; Decision Making; European Continental Ancestry Group; Pediatrics; Resuscitation Orders; Terminal Care; Adolescent; Child; Female; Humans; Infant; Male; Medical Audit; Preschool; United States
Creator
An entity primarily responsible for making the resource
Baker JN; Rai S; Liu W; Srivastava K; Kane JR; Zawistowski CA; Burghen EA; Gattuso JS; West N; Althoff J; Funk A; Hinds PS
Description
An account of the resource
BACKGROUND: End-of-life care (EOLC) discussions and decisions are common in pediatric oncology. Interracial differences have been identified in adult EOLC preferences, but the relation of race to EOLC in pediatric oncology has not been reported. We assessed whether race (white, black) was associated with the frequency of do-not-resuscitate (DNR) orders, the number and timing of EOLC discussions, or the timing of EOLC decisions among patients treated at our institution who died. METHODS: We reviewed the records of 380 patients who died between July 1, 2001 and February 28, 2005. Chi(2) and Wilcoxon rank-sum tests were used to test the association of race with the number and timing of EOLC discussions, the number of DNR changes, the timing of EOLC decisions (i.e., DNR order, hospice referral), and the presence of a DNR order at the time of death. These analyses were limited to the 345 patients who self-identified as black or white. RESULTS: We found no association between race and DNR status at the time of death (p = 0.57), the proportion of patients with DNR order changes (p = 0.82), the median time from DNR order to death (p = 0.51), the time from first EOLC discussion to DNR order (p = 0.12), the time from first EOLC discussion to death (p = 0.33), the proportion of patients who enrolled in hospice (p = 0.64), the time from hospice enrollment to death (p = 0.2) or the number of EOLC discussions before a DNR decision (p = 0.48). CONCLUSION: When equal access to specialized pediatric cancer care is provided, race is not a significant factor in the presence or timing of a DNR order, enrollment in or timing of enrollment in hospice, or the number or timing of EOLC discussions before death.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1089/jpm.2008.0172" target="_blank" rel="noreferrer">10.1089/jpm.2008.0172</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2009
Adolescent
African Continental Ancestry Group
Althoff J
Baker JN
Burghen EA
Cancer Care Facilities
Child
Decision Making
European Continental Ancestry Group
Female
Funk A
Gattuso JS
Hinds PS
Humans
Infant
Journal of Palliative Medicine
Kane JR
Liu W
Male
Medical Audit
Oncology 2017 List
Pediatrics
Preschool
Rai S
Resuscitation Orders
Srivastava K
Terminal Care
United States
West N
Zawistowski CA