The Journal of family practice
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Meta Analysis
Prearrest predictors of survival following in-hospital cardiopulmonary resuscitation: a meta-analysis.
The success rate of cardiopulmonary resuscitation (CPR) varies with the patient population studied. Prearrest variables have been used to identify groups of patients with a particularly low rate of survival following CPR. The purpose of this study was to use the technique of meta-analysis to identify prearrest variables associated with a decreased rate of survival to the time of discharge following CPR of hospitalized patients. ⋯ The identification of prearrest variables that are associated with decreased survival following CPR will assist clinicians when they counsel their patients regarding do-not-resuscitate (DNR) orders. In addition, the further refinement of a predictive tool such as the modified Pre-Arrest Morbidity Index can help clinicians to identify patients for whom CPR is futile. Such an instrument must be validated on an independent data set before it can be considered for clinical application.
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Publication is an important factor in academic promotion. The purpose of this study was to describe the journals in which articles by a sample of tenure-track family practice faculty members in university-based programs were published. ⋯ Overall, the works of family practice faculty are published in a wide range of journals. With an increasing number of journals, the decision of where to submit manuscripts will become even more complex. Furthermore, the greater the number of journals, the greater the need for family practice faculty to produce quality research.
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Comparative Study
Care of cancer patients in a home-based hospice program: a comparison of oncologists and primary care physicians.
The purpose of this study was to describe a group of patients cared for in a home-based hospice program and to determine if there was a difference in patients' experiences dependent on whether the attending physician was a primary care physician or an oncologist. ⋯ Primary care physicians as well as oncologists provide effective cancer care and pain control in this home-based hospice program. The hospice interdisciplinary team can be a valuable resource for physicians in supplying information on appropriate narcotics dosages and routes of administration for their dying patients.