{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T10:47:09Z","timestamp":1755600429245},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,9,19]],"date-time":"2012-09-19T00:00:00Z","timestamp":1348012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p><jats:bold>Aim:\u2003<\/jats:bold> Deaths from aspiration pneumonia in elderly patients are occasionally considered to be \u201cdeath from age\u2010related physical debility\u201d, because most aspiration pneumonias are a result of aging and lead to death without any definitive therapy. The aim of the present study was to assess physicians' attitudes toward the diagnosis of and actual description of \u201cdeath from age\u2010related physical debility\u201d on death certificates for deceased patients with aspiration pneumonia.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> This study surveyed 62 Japanese physicians including 36 pulmonologists and 26 other physicians who treat patients with pneumonia. Their attitudes regarding consideration and actually recorded \u201cdeath from age\u2010related physical debility\u201d for deceased patients with aspiration pneumonia were assessed by using anonymous questionnaires, which included the decision\u2010making process and the necessity of detailed diagnostic criteria.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> A total of 32 (52%) respondents had considered deceased patients with aspiration pneumonia to be \u201cdeath from age\u2010related physical debility\u201d, and 10 (16%) have actually stated this on the death certificate. Advanced age, bedridden status, inability of oral intake and disturbance of consciousness including dementia were major factors in their decision\u2010making. A total of 34 (55%) of the respondent physicians wanted detailed criteria to be established.<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> Physicians' attitudes toward the definition of \u201cdeath from age\u2010related physical debility\u201d vary a great deal depending on the respondent. The description in death certificates therefore might inaccurately reflect the results of current mortality statistics in Japan. <jats:bold>Geriatr Gerontol Int 2013; 13: 586\u2013590.<\/jats:bold><\/jats:p>","DOI":"10.1111\/j.1447-0594.2012.00941.x","type":"journal-article","created":{"date-parts":[[2012,9,20]],"date-time":"2012-09-20T01:55:13Z","timestamp":1348106113000},"page":"586-590","source":"Crossref","is-referenced-by-count":9,"title":["Physicians' attitudes toward the definition of \u201cdeath from age\u2010related physical debility\u201d in deceased elderly with aspiration pneumonia"],"prefix":"10.1111","volume":"13","author":[{"given":"Kosaku","family":"Komiya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisako","family":"Kushima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shintaro","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Yasuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Okabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issei","family":"Tokimatsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidehiko","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010ichi","family":"Kadota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,19]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0560.2002.56.x"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e31818247f1"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1601-5215.2002.51004.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01597.x"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103013440908"},{"key":"e_1_2_7_7_2","unstructured":"Japanese Ministry of Health Law.Statistics of mortality in Japan.2012. [Cited 7 July 2012.] Available from URL:http:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/geppo\/nengai09\/kekka3.html"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01719.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)60114-6"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01703.x"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0496"},{"key":"e_1_2_7_12_2","unstructured":"International classification of diseases (ICD\u201010). World Health Organization2010. [Cited 7 July 2012.] Available from URL:http:\/\/www.who.int\/classifications\/icd\/en\/"},{"key":"e_1_2_7_13_2","unstructured":"Japanese Ministry of Health Law.Manual to fill in a death certificate.2010."},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-7-22"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02767.x"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-1204"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0594.2012.00941.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0594.2012.00941.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T10:21:38Z","timestamp":1696328498000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0594.2012.00941.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,19]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1111\/j.1447-0594.2012.00941.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0594.2012.00941.x","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,19]]}}}