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. 2019 Sep 11;30(11):2252–2261. doi: 10.1681/ASN.2019040385

Table 2.

Serious illness treatment preference and acceptance of common end-of-life scenarios

Common End-of-Life Scenarioa Live as Long as Possible (n=74) Try Treatments, but Do Not Suffer (n=133) Focus on Comfort (n=126)
Cannot recognize family/friends
 Difficult, but acceptable 51 (38) 23 (31) 19 (24)
 Worth living, but just barely 18 (13) 19 (25) 14 (18)
 Not worth living 14 (10) 47 (62) 51 (64)
 Can’t answer now 18 (13) 11 (15) 16 (20)
Cannot think or talk clearly
 Difficult, but acceptable 51 (38) 20 (26) 18 (23)
 Worth living, but just barely 28 (21) 27 (36) 21 (26)
 Not worth living 10 (7) 46 (61) 47 (59)
 Can’t answer now 11 (8) 8 (10) 14 (18)
Cannot respond to commands
 Difficult, but acceptable 43 (32) 16 (21) 12 (15)
 Worth living, but just barely 20 (15) 17 (22) 24 (30)
 Not worth living 19 (14) 57 (76) 50 (63)
 Can’t answer now 18 (13) 11 (14) 14 (18)
Cannot walk but can use a wheelchair
 Difficult, but acceptable 69 (51) 66 (87) 52 (65)
 Worth living, but just barely 22 (16) 21 (28) 28 (35)
 Not worth living 3 (2) 7 (9) 10 (12)
 Can’t answer now 7 (5) 5 (7) 11 (14)
Cannot go outside, must stay home
 Difficult, but acceptable 66 (49) 63 (84) 44 (56)
 Worth living, but just barely 22 (16) 26 (34) 34 (43)
 Not worth living 4 (3) 5 (7) 9 (11)
 Can’t answer now 8 (6) 6 (8) 13 (16)
In severe untreatable pain most of the time
 Difficult, but acceptable 32 (24) 14 (18) 10 (13)
 Worth living, but just barely 39 (29) 29 (39) 18 (23)
 Not worth living 16 (12) 47 (63) 52 (66)
 Can’t answer now 12 (9) 10 (13) 19 (24)
In severe discomfort most of the time
 Difficult, but acceptable 40 (29) 24 (31) 19 (24)
 Worth living, but just barely 32 (23) 39 (52) 34 (43)
 Not worth living 16 (12) 28 (37) 32 (40)
 Can’t answer now 12 (9) 9 (12) 15 (19)
Kept alive by kidney dialysis
 Difficult, but acceptable 41 (30) 42 (56) 30 (38)
 Worth living, but just barely 34 (25) 26 (34) 22 (28)
 Not worth living 5 (4) 17 (23) 33 (41)
 Can’t answer now 19 (14) 15 (20) 14 (18)
Kept alive by breathing machines
 Difficult, but acceptable 29 (21) 14 (18) 5 (6)
 Worth living, but just barely 22 (16) 18 (24) 13 (17)
 Not worth living 27 (20) 58 (76) 69 (87)
 Can’t answer now 22 (16) 11 (14) 13 (16)
Full-time care required
 Difficult, but acceptable 36 (26) 26 (35) 14 (17)
 Worth living, but just barely 24 (17) 27 (36) 26 (32)
 Not worth living 21 (15) 39 (52) 49 (61)
 Can’t answer now 19 (14) 7 (10) 12 (15)
Cannot control bladder or bowels
 Difficult, but acceptable 36 (26) 20 (27) 15 (19)
 Worth living, but just barely 31 (22) 40 (53) 27 (34)
 Not worth living 17 (12) 32 (42) 44 (55)
 Can’t answer now 17 (12) 8 (10) 14 (18)
Live in nursing home permanently
 Difficult, but acceptable 37 (27) 27 (35) 24 (30)
 Worth living, but just barely 29 (21) 28 (37) 19 (24)
 Not worth living 15 (11) 34 (45) 42 (53)
 Can’t answer now 19 (14) 11 (15) 15 (19)
Emotional or financial burden on family
 Difficult, but acceptable 30 (22) 20 (27) 9 (12)
 Worth living, but just barely 25 (18) 21 (28) 23 (29)
 Not worth living 25 (18) 47 (63) 47 (59)
 Can’t answer now 20 (15) 11 (15) 21 (26)

Numbers expressed as percent (N).

a

n=333 because of exclusion of 47 participants who were unsure of their serious illness treatment preference and two participants with missing end-of-life scenario responses.