{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:16:21Z","timestamp":1790183781552,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T00:00:00Z","timestamp":1484697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NHLBI K01 HL116768"],"award-info":[{"award-number":["NHLBI K01 HL116768"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NHLBI K24HL132008"],"award-info":[{"award-number":["NHLBI K24HL132008"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine between\u2010hospital variation in interventions provided to patients with do not resuscitate (DNR) orders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources\/Setting<\/jats:title>\n                    <jats:p>United States Agency of Healthcare Research and Quality, Healthcare Cost and Utilization Project, California State Inpatient Database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      Retrospective cohort study including hospitalized patients aged 40 and older with potential indications for invasive treatments: in\u2010hospital cardiac arrest (indication for\n                      <jats:styled-content style=\"fixed-case\">CPR<\/jats:styled-content>\n                      ), acute respiratory failure (mechanical ventilation), acute renal failure (hemodialysis), septic shock (central venous catheterization), and palliative care. Hierarchical logistic regression to determine associations of hospital \u201cearly\u201d\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      rates (\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      order placed within 24\u00a0hours of admission) with utilization of invasive interventions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection\/Extraction Methods<\/jats:title>\n                    <jats:p>California State Inpatient Database, year 2011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>\n                      Patients with\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      orders at high\u2010\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      \u2010rate hospitals were less likely to receive invasive mechanical ventilation for acute respiratory failure or hemodialysis for acute renal failure, but more likely to receive palliative care than\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      patients at low\u2010\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      \u2010rate hospitals. Patients without\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      orders experienced similar rates of invasive interventions regardless of hospital\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Hospitals vary widely in the scope of invasive or organ\u2010supporting treatments provided to patients with\n                      <jats:styled-content style=\"fixed-case\">DNR<\/jats:styled-content>\n                      orders.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.12651","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T02:03:18Z","timestamp":1484704998000},"page":"1644-1661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Hospital Variation in Utilization of Life\u2010Sustaining Treatments among Patients with Do Not Resuscitate Orders"],"prefix":"10.1111","volume":"53","author":[{"given":"Allan J.","family":"Walkey","sequence":"first","affiliation":[{"name":"Department of Medicine The Pulmonary Center Division of Pulmonary and Critical Care Medicine Evans Center for Implementation and Improvement Sciences Boston University School of Medicine Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice","family":"Weinberg","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Boston University School of Public Health Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renda Soylemez","family":"Wiener","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Department of Medicine The Pulmonary Center Boston University School of Medicine Boston MA"},{"name":"Center for Healthcare Organization &amp; Implementation Research Edith Nourse Rogers Memorial VA Hospital Bedford MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin R.","family":"Cooke","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine Department of Medicine Institute for Healthcare Policy and Innovation University of Michigan Ann Arbor MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Lindenauer","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Center for Quality of Care Research, Baystate Medical Center Tufts University School of Medicine Springfield MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(20000430)19:8<1115::AID-SIM408>3.0.CO;2-X"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200107000-00002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000255248.79308.41"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2661-6"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X14522099"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50620.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000403"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0017401"},{"key":"e_1_2_6_10_1","volume-title":"Community\u2010Acquired Pneumonia: Hospital Outcomes in California, 1999\u20132001","author":"California Office of Statewide Health Planning and Development, Healthcare"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0146-x"},{"key":"e_1_2_6_12_1","unstructured":"Cutler D. 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