[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427059-105":59,"doc-detail-427059-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","the-role-of-palliative-care-in-new-perioperative-dnr-orders-risk-factors-and-timing","THE ROLE OF PALLIATIVE CARE IN NEW PERIOPERATIVE DNR ORDERS: RISK FACTORS AND TIMING","","Study evaluates how palliative care consultation (PCC) relates to new do-not-resuscitate (DNR) orders in surgical patients aged 65 and older, using National Surgical Quality Improvement Program Geriatric Surgery Verification pilot data from 2015–2019. Among 44,172 patients, 2.7% received a new DNR order, most commonly on the day of surgery. PCC was strongly associated with new DNR after adjustment (OR 9.95, 95% CI 6.42–15.42), with nearly half of PCC and DNR orders placed on the same day, and many occurring shortly before death. Findings suggest earlier goals-of-care discussions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-role-of-palliative-care-in-new-perioperative-dnr-orders-risk-factors-and-timing/427059/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-role-of-palliative-care-in-new-perioperative-dnr-orders-risk-factors-and-timing/427059.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What relationship does the study examine between PCC and new DNR orders?","Question",{"text":112,"@type":113},"The study assesses whether palliative care consultation (PCC) is associated with receiving a new do-not-resuscitate (DNR) order in older surgical patients and how the timing between them varies.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When are new DNR orders and PCC most often placed?",{"text":117,"@type":113},"New DNR orders are placed preoperatively in 21% of cases, on the day of surgery in 33%, and postoperatively in 46%. Among patients with DNR and PCC, 45% have them placed on the same day, and many PCCs occur within one day prior to death.",{"name":119,"@type":110,"acceptedAnswer":120},"What is the strength of the association after adjustment?",{"text":121,"@type":113},"After adjustment, PCC is significantly associated with new DNR orders (OR 9.95; 95% CI 6.42–15.42).","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427059,1791017489,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1002 Innovation in Aging, 2025, Vol. 9, No. S2  \nof primary operation for patients 65 and older. The association between PCC and DNR was assessed including timing. There were 44,172 patients, 2.7% of which had a new DNR order. 21% were placed preoperatively, 33% the day of surgery, 46% postoperatively. Of the patients who had DNR orders placed, 32% had PCCs versus 0.5% of those who did not have DNR orders (p \u003C 0.0001) . 45% of patients with both new DNR and PCC had them placed on the same day, 10% of PCC were before new DNR, and 45% were after. 57% of PCCs were placed ≤1 day prior to death and 49% of PCCs were placed >7 and ≤30 days postoperatively. After adjustment, PCC was significantly associated with new DNR (OR 9.95; 95% CI 6.42-15.42). Almost half of PCC and new DNR orders occur on the same day. Half of PCCs are on the same day as death signifying need for earlier GOC discussions. Further research is needed to better identify risk factors for earlier PCC to inform GOC.  \nAbstract citation ID: igaf122.3379  \nTHE ROLE OF PALLIATIVE CARE IN NEW  \nPERIOPERATIVE DNR ORDERS: RISK FACTORS  \nAND TIMING  \nSarah Remer1, Marcia Russell2, Ronnie Rosenthal3, and Clifford Ko2, 1. The American College of Surgeons, Chicago, Illinois, United States, 2. David Geffen School of Medicine at UCLA, Los Angeles, California, United States, 3. Yale School of Medicine, New Haven, Connecticut, United States  \nAs the population ages, there is an increased need for comprehensive goals of care (GOC) discussions which often include Do-Not-Resuscitate (DNR) orders. DNR orders are being increasingly studied, but it remains unknown how palliative care consultation (PCC) relates in older adult surgical patients. The American College of Surgeons National Surgical Quality Improvement Program Geriatric Surgery Verification pilot program data was utilized from January 1, 2015 to December 31, 2019. The primary outcome was new DNR order within 30 days","cbCailPFUd1gfKZg","https://ap.wps.com/l/cbCailPFUd1gfKZg","pdf",44943,"English","# THE ROLE OF PALLIATIVE CARE IN NEW PERIOPERATIVE DNR ORDERS: RISK FACTORS AND TIMING\n## Data source and study period\n## Outcomes and timing of DNR and PCC\n## Statistical association and key findings\n## Implications for earlier goals-of-care discussions","[{\"question\":\"What relationship does the study examine between PCC and new DNR orders?\",\"answer\":\"The study assesses whether palliative care consultation (PCC) is associated with receiving a new do-not-resuscitate (DNR) order in older surgical patients and how the timing between them varies.\"},{\"question\":\"When are new DNR orders and PCC most often placed?\",\"answer\":\"New DNR orders are placed preoperatively in 21% of cases, on the day of surgery in 33%, and postoperatively in 46%. Among patients with DNR and PCC, 45% have them placed on the same day, and many PCCs occur within one day prior to death.\"},{\"question\":\"What is the strength of the association after adjustment?\",\"answer\":\"After adjustment, PCC is significantly associated with new DNR orders (OR 9.95; 95% CI 6.42–15.42).\"}]","THE ROLE OF PALLIATIVE CARE IN NEW PERIOPERATIVE DNR ORDERS: RISK FACTORS AND TIMING | PDF",1790642647]