{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T22:14:59Z","timestamp":1767910499934,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,1,16]],"date-time":"2014-01-16T00:00:00Z","timestamp":1389830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic obstructive pulmonary disease (COPD) is one of the leading causes of respiratory morbidity and mortality with limited data on palliative care and evidence of reluctance to end\u2010of\u2010life discussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The primary objective of this study was to evaluate the understanding of palliative care as an option in <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>. Moreover, we wanted to identify any barriers to resuscitation discussions in this group of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We developed a questionnaire addressing the aims of the study. Patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> were prospectively recruited into the study and completed palliative questionnaire, <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>eicester cough questionnaire, <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>org dyspnoea index and Medical Research Council dyspnoea scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient population was predominantly male (60%) with mean age of 70 years (range 43\u201387 years). The mean forced expiratory volume in 1\u2009s was 1.0 (range 0.3\u20132.3\u2009<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>). The mean body mass index of the cohort was 24.3 (standard deviation 6.7, range 14.5\u201342). Ten patients (33%) were on home oxygen. Thirteen (43%) patients understood the term non\u2010invasive ventilation, and 11 of those would consider it again if needed. Only 13% of patients knew that palliative care is an option in <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>. Eleven patients understood the term cardiopulmonary resuscitation, and only five (16%) ever had a discussion regarding resuscitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that there is extremely limited awareness of palliative care in patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>. Moreover, the barriers to the end\u2010of\u2010life discussions should be explored to improve the end\u2010of\u2010life care in this disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.12073","type":"journal-article","created":{"date-parts":[[2013,11,5]],"date-time":"2013-11-05T09:31:13Z","timestamp":1383643873000},"page":"312-320","source":"Crossref","is-referenced-by-count":15,"title":["Palliative care understanding and end\u2010of\u2010life decisions in chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"8","author":[{"given":"Ahmed","family":"Fahim","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine New Cross Hospital  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack A.","family":"Kastelik","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Respiratory Studies Castle Hill Hospital  Cottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,1,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00025905"},{"key":"e_1_2_5_3_1","unstructured":"Improving supportive and palliative care for adults with cancer. 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