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Table 2 Qualitative coding framework, themes, and quantitative results

From: How well do documented goals-of-care discussions for patients with stage IV cancer reflect communication best practices?

THEME
n(%)
Total
N = 206
Documented in ACP Note
N = 84
Not Documented in ACP Note
N = 122
p-value
Section 1: Documentation of Prognosis & Disease Stage Understanding
 Assess illness understanding 183 (89) 76 (90) 107 (88) 0.54
 Life expectancy 46 (22) 19 (23) 27 (22) 0.93
 What will happen in the future 21 (10) 7 (8) 14 (11) 0.47
Section 2: Documentation of Decision Alternatives, including Broad Goals of Care & Treatment Options
 Explore goals and values 171 (83) 76 (90) 95 (78) 0.02*
  Broad goals of care (includes longevity, function, comfort) & QoL 141 (68) 67 (80) 74 (61) < 0.01*
  Personal Goals (e.g., family, location/home, events) 87 (42) 36 (43) 51 (42) 0.88
  Tradeoffs (including risks/benefits) 58 (28) 20 (24) 38 (31) 0.25
 Explore patient treatment preferences 201 (98) 81 (96) 120 (98) 0.38
  Hospice 128 (62) 52 (62) 76 (62) 0.96
  Cancer treatment 127 (62) 48 (57) 79 (65) 0.27
  Code status 105 (51) 64 (76) 41 (34) < 0.01*
  ICU/life support/machines 79 (38) 37 (44) 42 (34) 0.16
  Surrogate decision making 10 (5) 7 (8) 3 (2) 0.05
 Discuss uncertainty (medical) 8 (4) 3 (4) 5 (4) 0.85
 Make recommendations/treatment no longer an option 82 (40) 34 (40) 4 (39) 0.87
 Address emotional/spiritual needs 31 (15) 6 (7) 27 (22) < 0.01*
Section 3: Documentation of Decision Making
 Document a clear decision/plan 170 (83) 70 (83) 100 (82) 0.80
 Document ongoing decision making process 46 (22) 24 (29) 22 (18) 0.07
 Provide information about options with unclear next steps; no documentation of shared decision making 8 (4) 2 (2) 6 (5) 0.36