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3707, 3718, 3732, 3736, 3765, 4409], 'mean': [3], 'age': [4], 'of': [5, 30, 42, 46, 62, 79, 100, 123, 174, 200, 253, 268, 280, 321, 330, 335, 358, 381, 404, 418, 433, 462, 467, 511, 527, 534, 584, 587, 592, 604, 621, 627, 757, 793, 807, 818, 829, 845, 859, 866, 904, 916, 936, 943, 954, 956, 1026, 1073, 1105, 1110, 1220, 1243, 1265, 1336, 1357, 1394, 1397, 1444, 1484, 1503, 1512, 1524, 1528, 1572, 1576, 1638, 1794, 1813, 1865, 1883, 1990, 1993, 2128, 2151, 2156, 2173, 2184, 2191, 2197, 2207, 2267, 2273, 2298, 2306, 2323, 2344, 2355, 2365, 2367, 2407, 2415, 2470, 2473, 2478, 2536, 2569, 2589, 2662, 2706, 2727, 2801, 2840, 2943, 2967, 3000, 3047, 3087, 3112, 3133, 3160, 3180, 3197, 3221, 3242, 3260, 3270, 3313, 3324, 3328, 3331, 3334, 3337, 3345, 3358, 3406, 3464, 3556, 3578, 3605, 3627, 3646, 3676, 3680, 3689, 3695, 3735, 4411, 4518], 'incident': [6, 31], 'dialysis': [7, 32, 72, 85, 103, 144, 163, 176, 214, 245, 558, 860, 1134, 1141, 2324, 2496, 2516, 2692, 3557, 3575, 3869, 4078, 4236, 4410], 'patients': [8, 33, 43, 65, 77, 90, 101, 110, 124, 243, 646, 734, 917, 937, 951, 1155, 1564, 2434, 3558], 'was': [9], '68.44': [10], 'years': [11], 'in': [12, 64, 105, 120, 265, 294, 298, 368, 414, 475, 694, 754, 1136, 1181, 1193, 1239, 1291, 1412, 1550, 1566, 1608, 1650, 1654, 1677, 1744, 1780, 1869, 2084, 2121, 2221, 2234, 2245, 2281, 2328, 2341, 2435, 2455, 2559, 2694, 2774, 2844, 3033, 3082, 3127, 3147, 3309, 3320, 3377, 3385, 3448, 3459, 3467, 3585, 3629, 3641, 3717, 3761, 4064], '2012,': [13], 'and': [14, 39, 114, 179, 274, 319, 350, 374, 496, 570, 590, 618, 634, 681, 703, 735, 928, 959, 987, 997, 1062, 1091, 1127, 1176, 1208, 1214, 1244, 1256, 1268, 1304, 1312, 1320, 1326, 1360, 1365, 1376, 1379, 1429, 1447, 1482, 1516, 1544, 1547, 1554, 1580, 1592, 1616, 1673, 1716, 1777, 1830, 1845, 1851, 1855, 1891, 1902, 1905, 1930, 1971, 2075, 2141, 2214, 2263, 2271, 2384, 2391, 2446, 2481, 2491, 2529, 2565, 2581, 2595, 2606, 2614, 2647, 2679, 2686, 2714, 2794, 2814, 2877, 2956, 2970, 3003, 3008, 3024, 3084, 3109, 3122, 3136, 3157, 3172, 3228, 3231, 3240, 3258, 3282, 3340, 3347, 3361, 3364, 3379, 3391, 3426, 3439, 3455, 3483, 3494, 3498, 3608, 3657, 3667, 3702, 3725, 3756, 3777, 3791, 3804, 3810, 3823, 3836, 3855, 3867, 3874, 3886, 3890, 3905, 3909, 3924, 3939, 3951, 3955, 3965, 3971, 3991, 4000, 4013, 4025, 4029, 4032, 4042, 4059, 4076, 4083, 4087, 4098, 4102, 4131, 4135, 4144, 4148, 4163, 4176, 4188, 4201, 4205, 4218, 4222, 4225, 4234, 4241, 4245, 4271, 4275, 4286, 4307, 4319, 4323, 4330, 4337, 4356, 4360, 4369, 4379, 4397, 4414, 4417, 4424, 4434, 4440, 4458, 4462, 4473, 4494, 4498, 4507], 'continues': [15], 'to': [16, 154, 159, 165, 170, 180, 232, 312, 364, 484, 640, 648, 721, 732, 782, 821, 880, 969, 978, 1010, 1030, 1170, 1217, 1293, 1333, 1344, 1464, 1562, 1568, 1734, 1755, 1802, 1880, 1897, 1920, 1925, 1984, 2004, 2037, 2057, 2067, 2081, 2109, 2115, 2132, 2169, 2201, 2230, 2252, 2317, 2330, 2351, 2442, 2639, 2669, 2682, 2696, 2719, 2744, 2759, 2784, 2825, 2850, 2856, 2862, 2913, 2975, 2989, 3005, 3011, 3035, 3072, 3094, 3099, 3119, 3164, 3177, 3184, 3217, 3253, 3276, 3370, 3433, 3486, 3504, 3521, 3525, 3533, 3541, 3547, 3573, 3587, 3612, 3616, 3651, 3664, 4248, 4421, 4520], 'increase': [17, 119, 2340], 'annually': [18], '1.': [19], 'Diabetic': [20], 'nephropathy': [21], 'has': [22, 145, 189, 323, 408, 518, 1190, 1472, 1494, 1703, 2064, 2337, 2373, 2395, 2557, 2587], 'been': [23, 190, 287, 305, 324, 410, 519, 1179, 1191, 2338, 2539], 'most': [25], 'common': [26, 3614], 'original': [27], 'renal': [28], 'disease': [29, 958, 1578], 'for': [34, 59, 89, 152, 192, 242, 339, 557, 658, 767, 803, 870, 1000, 1154, 1274, 1369, 1380, 1408, 1421, 1432, 1438, 1467, 1480, 1627, 1683, 1689, 1958, 2072, 2325, 2432, 2609, 2634, 2703, 2964, 3039, 3103, 3262, 3619, 3643, 3750, 3753, 3759, 3926, 3978, 4002, 4050, 4056, 4062, 4121, 4150, 4260, 4294, 4343, 4387, 4405, 4408, 4447, 4481], 'past': [36], '15': [37], 'years,': [38], 'number': [41, 122, 357, 591, 2343], 'with': [44, 91, 246, 260, 406, 631, 696, 743, 831, 882, 946, 952, 1172, 1286, 1331, 1508, 1610, 1707, 1769, 1827, 1878, 2009, 2138, 2210, 2255, 2315, 2399, 2476, 2498, 2512, 2593, 2688, 2852, 3053, 3256, 3306, 3375, 3420, 3453, 3471, 3514, 3602, 3655, 3840, 4105], 'complications': [45, 953, 2477, 2588], 'serious': [47, 832], 'comorbidities,': [48, 203], 'such': [49, 476, 1173, 1188, 1404, 1664, 1935, 2410, 2577, 2745, 2802, 2932, 3224, 3350], 'as': [50, 326, 613, 800, 1583, 1585, 1662, 1665, 1725, 1748, 1788, 1861, 2454, 2526, 2578, 2897, 3210, 3225, 3250, 3287, 3294, 3304, 3351, 3394, 3396, 3491, 3496, 3567, 3687, 3722, 3745, 4118, 4364, 4366], 'cardiovascular': [51, 202], 'disease,': [52, 2592], 'showed': [53, 107], 'a': [54, 69, 94, 148, 155, 168, 182, 207, 225, 327, 356, 423, 438, 463, 473, 477, 501, 505, 551, 563, 568, 571, 619, 718, 723, 791, 801, 808, 925, 939, 966, 970, 1197, 1476, 1496, 1600, 1636, 1704, 1712, 1719, 1766, 1796, 1804, 1839, 1909, 1964, 2010, 2031, 2147, 2154, 2171, 2189, 2235, 2265, 2289, 2320, 2353, 2381, 2405, 2411, 2619, 2746, 2765, 2803, 2898, 2926, 2933, 3013, 3059, 3318, 3338, 3450, 3510, 3523, 3554, 3568, 3624, 3674, 3743, 3841, 3898, 3913, 4106, 4116, 4141, 4249], 'remarkable': [55], 'increase.': [56], 'A': [57, 1791], 'survey': [58, 95], 'cause': [61], 'death': [63, 1034, 1059, 1199, 1258, 2597, 3489, 3550, 3562], 'who': [66, 125, 1120, 1156, 1668, 1702, 1710, 1717, 1737, 1763, 2617, 2672, 2710, 2751, 2808, 2871, 3264], 'died': [67, 78], 'within': [68], 'year': [70], 'after': [71, 2961, 3045], 'initiation': [73, 1396], 'revealed': [74], 'that': [75, 84, 108, 115, 143, 386, 457, 486, 531, 598, 739, 785, 854, 900, 912, 990, 1070, 1097, 1301, 1315, 1327, 1390, 1475, 1635, 1699, 1733, 1761, 2060, 2096, 2737, 2798, 2941, 3186, 3488, 3499, 3506, 3519, 3538, 3581, 3622, 3670, 3775, 3787, 3800, 3819, 3834, 3851, 3864, 3884, 3900, 3915, 3935, 3949, 3961, 3987, 4011, 4023, 4038, 4073, 4094, 4127, 4159, 4174, 4186, 4199, 4214, 4231, 4269, 4282, 4303, 4317, 4328, 4352, 4377, 4395, 4430, 4456, 4469, 4490, 4505], '10.7%': [76], 'malignant': [80, 2591], 'tumors;': [81], 'this': [82, 249, 369, 452, 454, 528, 1499, 1730, 1758, 2046, 2102, 2845, 3246], 'suggests': [83], 'is': [86, 117, 218, 256, 428, 445, 447, 482, 490, 530, 596, 693, 772, 852, 907, 975, 1035, 1060, 1143, 1151, 1205, 1299, 1384, 1535, 1548, 1641, 1751, 1889, 1908, 1955, 1963, 1982, 2100, 2149, 2167, 2182, 2227, 2250, 2288, 2302, 2348, 2440, 2500, 2506, 2637, 2667, 2722, 2735, 2848, 2973, 3247, 3274, 3284, 3292, 3302, 3490, 3502, 3535, 3551, 3576, 3610, 3715, 3729, 4103, 4246], 'initiated': [87, 391, 1495], 'even': [88, 2960, 3466], 'tumors.': [92], 'Furthermore,': [93, 748, 1341, 2187], 'on': [96, 210, 317, 398, 425, 581, 774, 857, 863, 878, 1354, 1424, 1441, 1456, 1622, 1806, 1810, 2925, 3342, 3704, 3843], 'physical': [98], 'activity': [99], 'receiving': [102], 'conducted': [104], '2010': [106], '5.6%': [109], 'were': [111, 376, 1461], 'completely': [112, 257], 'bedridden,': [113], 'there': [116, 1150, 1907, 1962, 2287, 2336], 'an': [118, 219, 419, 434, 458, 512, 515, 650, 769, 960, 1071, 1202, 1552, 1666, 1700, 1946, 1986, 2014, 2025, 2069, 2107, 2339, 2416, 2776, 2894, 2915, 2923, 2977, 3746, 4119], 'cannot': [126, 134, 1157, 1937, 2028, 2193, 2601, 2607, 2892, 2945], 'be': [127, 390, 472, 522, 539, 548, 579, 625, 663, 729, 762, 798, 861, 875, 923, 965, 1078, 1307, 1324, 1339, 1351, 1487, 1606, 1786, 1800, 1938, 1943, 2002, 2021, 2029, 2035, 2049, 2082, 2159, 2194, 2219, 2243, 2279, 2313, 2419, 2451, 2651, 2731, 2946, 3116, 3145, 3215, 3298, 3354, 3368, 3383, 3402, 3418, 3431, 3583, 3599, 3710], 'discharged': [128], 'from': [129, 147, 262, 307, 504, 636, 919, 1015, 1246, 1631, 1998, 2161, 2175, 2357, 2409, 2984, 2991, 3673, 3764, 3928, 3980, 4004, 4067, 4152, 4262, 4296, 4345, 4389, 4449, 4483], 'hospital': [131, 136], 'because': [132, 942, 1393, 1989, 2196, 2364, 2469, 2568, 2664, 3549], 'they': [133, 546, 740, 746, 3507], 'visit': [135, 2202], 'regularly': [137], '2.': [138], 'These': [139, 3697], 'recent': [140], 'trends': [141], 'demonstrate': [142], 'transformed': [146], 'life-saving': [149], 'treatment': [150, 235, 240, 559, 828, 1213, 1337, 1545, 1581, 1808, 1854, 1901, 2074, 2120, 2134, 3037], 'aiming': [151], 'rehabilitation': [153], 'life-sustaining': [156], 'treatment.': [157, 271, 1885], 'According': [158, 1009, 1754, 2988, 3163], 'these': [160, 1756], 'changes': [161], 'surrounding': [162], 'treatment,': [164], 'set': [166], 'up': [167], 'panel': [169], 'discuss': [171, 2851], 'future': [173, 2086], 'providing': [177, 3090], 'system': [178], 'establish': [181, 2976, 3617], 'managing': [183], 'principle': [184], 'at': [185, 282, 290, 394, 437, 562, 892, 1145, 2090, 2259, 2690, 3731], 'terminal': [187, 284, 883, 905, 920, 980, 1002, 1027, 1075, 1111, 1147, 1287, 1505, 1679, 3469, 3512, 3565], 'stage': [188, 285, 906, 981, 1076, 1112, 1506, 3269], 'called': [191], 'by': [193, 412, 541, 550, 666, 810, 835, 896, 962, 982, 1080, 1201, 1309, 1362, 1373, 1417, 1451, 1645, 1693, 1817, 1858, 2016, 2045, 2078, 2508, 2574, 2623, 2677, 2684, 3089, 3356, 3635, 4110, 4253], 'our': [194, 775], "society's": [195], 'members.': [196, 1727, 1790], 'presence': [199, 417, 2472], 'severe': [201, 2570, 2624], 'hemodialysis': [204, 217, 255, 281, 332, 388, 714, 759, 1485, 1884, 2431, 2444, 2448, 2462, 2537, 2564, 2645, 2648, 2663, 2675, 2721, 2729, 2944, 3048, 3454, 4399], 'itself': [205, 715, 2449, 2649], 'places': [206], 'heavy': [208], 'burden': [209], 'hemodynamics,': [211], 'thus': [212], 'making': [213, 422, 1551, 1795, 2152, 2185, 2307, 2775], 'difficult.': [215, 908], 'Maintenance': [216], 'intermittent': [220], 'therapy': [221, 1135], '(usually': [222], 'three': [223, 2995], 'times': [224], 'week);': [226], 'therefore,': [227, 1489], 'medical': [229, 296, 439, 464, 469, 478, 494, 535, 552, 555, 629, 638, 659, 668, 679, 812, 827, 992, 1056, 1084, 1212, 1311, 1358, 1364, 1375, 1558, 1612, 1819, 1823, 1843, 1914, 1973, 1995, 2007, 2053, 2119, 2223, 2240, 2247, 2284, 2656, 2768, 2787, 2829, 2908, 2929, 2958, 2968, 2986, 3001, 3050, 3068, 3142, 3442, 3476, 3806, 3808, 3967, 3969, 4133, 4206, 4358, 4362, 4436, 4438], 'team': [230, 465, 495, 556, 600, 680, 993, 1378, 1559, 1824, 1844, 1915, 1974, 2054, 2769, 2788, 2830, 2909, 2930, 3069, 3143, 3443, 3477], 'tries': [231], 'extend': [233], 'interval': [236], 'or': [237, 293, 392, 508, 814, 950, 1116, 1161, 1348, 1540, 1603, 1648, 1741, 1774, 1875, 2062, 2098, 2112, 2143, 2304, 2378, 2393, 2429, 2510, 2542, 2603, 2626, 2716, 2739, 2761, 2817, 2833, 2858, 2865, 2879, 2889, 2901, 2953, 3026, 3075, 3106, 3124, 3138, 3235, 3311, 3409, 3415, 3422, 3563, 3692], 'shorten': [238], 'time': [241, 984], 'practicing': [244], 'difficulty.': [247], 'From': [248], 'perspective,': [250], 'temporary': [251], 'interruption': [252], 'maintenance': [254, 713], 'different,': [258], 'compared': [259], 'weaning': [261], 'ventilator': [263], 'support,': [264], 'sense': [267, 3615], 'requiring': [269], 'continuous': [270, 2483, 2631], 'However,': [272, 430, 480, 594, 2733, 3290, 3553], 'discussions': [273, 1316, 2963], 'announcements': [275], 'against': [276], 'withholding': [277, 318, 373, 1481], 'and/or': [278, 1772, 2294, 2629], 'withdrawal': [279, 320, 375, 1483], 'have': [286, 304, 345, 352, 362, 1102, 1178, 1764, 2538, 2618, 2711, 2752, 2874, 3206, 4515], 'sporadically': [288], 'reported': [289, 306], 'academic': [291, 309, 3762, 4065, 4145], 'meetings': [292, 4066], 'some': [295, 876, 1182], 'journals': [297], 'but': [300, 779, 932, 1387, 1657, 2023, 2756, 2887, 3202], 'no': [301, 488, 1187, 1395, 2374, 2389, 2809, 4516], 'definitive': [302], 'criteria': [303], 'Japanese': [308, 337, 786, 1017, 1419, 1453, 1518, 1695], 'circles': [310], 'related': [311, 3252, 4361, 4420], 'nephrology.': [313], '"The': [314, 1681], 'study': [315], 'subgroup': [316], 'dialysis"': [322], 'established': [325, 411, 520, 1192, 1765], 'subsidiary': [328], 'organization': [329, 3747], 'guidelines': [333, 1177, 1248, 1466, 3618, 3633], 'commission': [334], 'Society': [338, 849, 1455, 1697], 'Dialysis': [340, 1491], 'Therapy': [341], '(JSDT).': [342], 'External': [343], 'members': [344, 603, 737, 1119, 1640, 1661, 1750, 3645, 3679], 'also': [346, 624, 761, 2278, 3430], 'joined': [347], 'discussion,': [349], 'we': [351, 361, 780, 3659], 'discussed': [353, 3600], 'issue': [355], 'times.': [359], 'Finally,': [360], 'come': [363], 'present': [365, 3684], 'proposal': [367, 455, 529], 'report.': [370], 'The': [371, 524, 554, 654, 885, 909, 1470, 1533, 1557, 1620, 1842, 2042, 2052, 2130, 2269, 2786, 3049, 3097, 3399, 3441, 3571, 3631], 'terms': [372], 'consolidated': [377], 'into': [378, 3280], 'one': [379, 443, 468, 1083, 3577], 'definition': [380, 903, 1025, 1040, 1109, 1502, 1637], '"forgoing."': [382], '"Forgoing"': [383], 'implicitly': [384], 'implies': [385], 'can': [389, 578, 716, 741, 874, 1041, 1121, 1210, 1391, 1598, 2463, 2546, 2820, 2882, 2921, 3214, 3417, 3508, 3671], 'reinitiated': [393], 'any': [395, 1342, 2088, 2091, 2366, 3104, 3690], 'time,': [396], 'depending': [397, 3703], 'situation.': [400], 'Although': [401], 'right': [403, 2066, 2114, 2131, 2783], 'dying': [405], 'dignity': [407], 'not': [409, 538, 789, 976, 1101, 1144, 1166, 1260, 1401, 1604, 1642, 1895, 2228, 2349, 2427, 2501, 2873, 3205, 3560, 4512], 'law': [413, 787, 1655], 'ethics': [420, 426, 435, 459, 516, 1947, 1950, 1987, 2012, 2018, 2978], 'committee': [421, 436, 460, 517, 1951, 1988, 2019, 2033, 2047, 2979], 'suggestion': [424], 'issues': [427, 3597], 'desirable.': [429], 'establishment': [432], 'clinic': [440], 'where': [441, 514, 1252, 2346, 2461, 2487, 2554, 3413], 'only': [442], 'physician': [444], 'working': [446, 3649, 3682], 'realistically': [448], 'impossible.': [449], 'To': [450, 3191, 3297], 'overcome': [451], 'obstacle,': [453], 'recommends': [456, 1760], 'composed': [461], 'instead': [466], 'doctor': [470, 543], 'could': [471, 922, 2450, 2650], 'substitution': [474], 'clinic.': [479], 'it': [481, 595, 851, 974, 1298, 1981, 2226, 2347, 2439, 2636, 2734, 2847, 2972, 3283, 3291, 3301, 3609], 'needless': [483], 'say': [485, 783], 'if': [487, 1139, 1906, 2024, 2188, 2815], 'agreement': [489, 2895, 2924], 'reached': [491], 'between': [492, 924, 1317, 2291], "patient/patient's": [498], 'family,': [499, 1663, 2955, 3056, 3140], 'then': [500], 'second': [502], 'opinion': [503, 2900], 'third': [506], 'party': [507], 'cooperation': [510, 1609], 'institution': [513, 589], 'should': [521, 537, 547, 560, 623, 662, 728, 760, 797, 994, 1077, 1306, 1323, 1338, 1350, 1486, 1560, 1605, 1785, 1799, 1825, 1849, 1916, 1942, 2001, 2034, 2048, 2055, 2136, 2158, 2218, 2242, 2277, 2312, 2418, 2730, 2770, 2789, 2910, 3009, 3057, 3070, 3115, 3144, 3353, 3367, 3382, 3401, 3429, 3444, 3478], 'sought.': [523], 'basic': [525], 'policy': [526, 657, 2966, 2999, 3038], 'decisions': [533, 1160, 1164, 1371, 2117], 'practice': [536, 660, 2969, 3002], 'made': [540, 549, 862, 1353, 1372, 2044, 2314], 'alone;': [544], 'instead,': [545], 'team11': [553], 'involve,': [561], 'minimum,': [564], 'attending': [566], 'doctor,': [567], 'nurse,': [569], 'clinical': [572, 3632], 'engineering': [573], 'technologist,': [574], 'while': [575, 1037, 1821, 2779], 'other': [576, 609, 671, 1092, 1999, 2359, 3110], 'individuals': [577, 1736, 2358], 'included': [580], 'basis': [583, 865, 1356, 1812], 'scale': [586], 'staff.': [593, 669], 'recommended': [597, 853, 989, 1069, 1300, 2168, 2251, 2736, 2849, 2974], 'include': [601, 1042, 3218], 'multiple': [602, 1953], 'each': [605, 811, 871], 'profession.': [606], 'If': [607, 1886, 1934, 1980, 2146, 2225, 2286, 2423, 2918], 'possible,': [608], 'healthcare': [610, 1093, 1288, 1321], 'practitioners': [611], '(such': [612], 'social': [614, 3229, 3427], 'workers,': [615], 'dieticians,': [616], 'pharmacists,': [617], 'person-in-charge': [620], 'welfare)': [622], 'part': [626], 'team.': [630, 1367, 2987], 'sufficient': [632, 2962], 'support': [633, 1153, 2912, 3366, 3428], 'information': [635, 1303, 1587, 1815, 2562, 3708, 3714], 'staff': [639], 'patient,': [642, 1615, 1709, 1968, 2412, 2951, 3007, 3607], 'thereby': [643], 'enabling': [644], 'themselves': [647], 'make': [649, 995, 1158, 1599, 1803, 1917, 2760, 2863], 'accurate,': [651], 'autonomous': [652, 1159], 'decision.': [653, 1556, 2748, 2917], "patient's": [655, 719, 1006, 1048, 1124, 1130, 1329, 1382, 1574, 1590, 1618, 1671, 1833, 1840, 1847, 1899, 1923, 1928, 2177, 2212, 2257, 2283, 2295, 2467, 2520, 2531, 2549, 2725, 2747, 2782, 2792, 2823, 2885, 3017, 3055, 3064, 3150, 3435], 'self-determined': [656], 'pattern': [661], 'fully': [664, 1536], 'respected': [665], 'words,': [672], 'collaborative': [673], 'decision-making': [674, 691, 1478, 1783, 1834, 2712, 2754, 2804, 2812, 2875, 2937], 'processes': [675], 'involving': [676], 'both': [677, 2919], 'patient': [683, 1064, 1099, 1142, 1319, 1534, 1597, 1676, 1771, 1792, 1829, 1860, 1872, 1888, 2059, 2080, 2106, 2140, 2148, 2181, 2293, 2301, 2327, 2362, 2372, 2505, 2556, 2586, 2600, 2666, 2773, 2854, 3023, 3121, 3135, 3400, 3447, 3458, 3531, 3545], 'are': [684, 911, 1165, 1259, 1400, 1723, 1738, 1742, 2757, 2762, 2902, 3265, 3699], 'considered': [685, 3216, 3584], 'important': [686, 3611], '(shared': [687], 'decision': [688, 856, 1106, 1330, 1343, 1805, 1929, 1977, 2311, 2718, 2726, 2778, 2797, 2841, 3032], 'making).': [689], 'This': [690, 1067, 3713], 'process': [692, 1479, 1784, 2661, 2702, 2839], 'compliance': [695], 'Renal': [698, 1228], 'Physicians': [699], 'Association': [700, 1230, 1420, 1527], 'Guidelines': [701, 824, 1431, 1492, 1624, 1682], '3': [702], 'Salzburg': [705], 'Declaration': [706], '4.': [707], 'addition,': [709, 1729, 3474], 'under': [710, 2087], 'certain': [711, 2436], 'conditions,': [712], 'impair': [717], 'ability': [720], 'lead': [722], 'dignified': [724, 1198, 1257, 3495], 'life.': [725, 3243], 'Such': [726], 'conditions': [727], 'specifically': [730, 2540], 'presented': [731, 1232, 1944, 3716], 'family': [736, 1118, 1639, 1652, 1726, 1746, 1749, 1776, 1789, 1848, 1893, 1924, 1969, 2178, 2213, 2233, 2258, 2296, 2386, 2545, 2741, 2819, 2881, 2891, 3028, 3126, 3436, 3501], 'so': [738], 'deal': [742, 881, 1171, 1285], 'them': [744], 'when': [745, 1033, 1058, 1114, 1162, 1961, 2179, 2447, 2543], 'occur.': [747], 'available': [750], 'palliative': [751, 3113, 3359, 3380], 'care': [752, 1215, 1313, 1366, 1377, 1856, 1903, 2076, 3004, 3060, 3092, 3114, 3438, 3518, 3621], 'options': [753, 1546, 1809, 2135, 3580], 'event': [756, 2095], 'forgoing': [758, 858, 1882, 2535, 2705, 2728, 2942, 3046], 'presented.': [763], 'One': [764], 'example': [765], 'style': [766, 792], 'getting': [768], 'advance': [770, 1203, 1222, 1254, 1867, 1911, 2070, 3128], 'directive': [771, 809, 1204, 1223, 1255, 1868, 2071], 'provided': [773, 1308, 1816, 2083], "members'": [776], 'strong': [777], 'request,': [778], 'dare': [781], 'again': [784], 'does': [788, 1100, 1894, 3204], 'define': [790], 'advanced': [794], 'directive.': [795], 'It': [796, 2166, 2249, 3273], 'used': [799], 'template': [802], 'processing': [804], 'preparation': [806, 3648], 'facility': [813], 'institution.': [815], 'case': [817, 2940], 'children,': [819], 'according': [820, 1216, 2855], '"Discussion': [823], 'concerning': [825], 'children': [830], 'disease"': [833], 'created': [834, 1271, 1463, 1692, 1957, 2036], 'Pediatric': [836, 848], 'Terminal': [837, 893, 1276, 1409, 1628], 'Medical': [838, 1018, 1277, 1410, 1519, 1629, 4347], 'Care': [839, 1013, 1278, 1411, 3043], 'Guideline': [840], 'Working': [841], 'Group': [842], 'Ethics': [843], 'Committee': [844], 'Japan': [847, 1526, 4324], '5,': [850, 1426], 'maximum': [868, 3662], 'benefit': [869], 'patient.': [872, 3096, 3372, 3516], 'There': [873], 'indecision': [877], 'how': [879], 'patients22': [884], '"Guideline': [886], 'Commentary': [887], 'regarding': [888, 1625, 1978, 2118, 2533, 2563, 3237], 'Decision-making': [890, 1626, 2701], 'Process': [891, 1435, 1686], 'Care"': [894, 1630], 'released': [895], 'MHLW': [898, 988, 1514, 1633], 'described': [899, 1732, 2220, 3303], 'accurate': [902], 'reasons': [910], 'estimated': [914, 934], 'survival': [915, 935], 'suffering': [918], 'cancer': [921], 'few': [926, 967, 971], 'days': [927, 3412], '2–3': [929], 'months': [930, 968], 'maximum,': [931], 'having': [938, 2630], 'poor': [940], 'prognosis': [941], 'chronic': [944], 'illness': [945], 'repeated': [947], 'acute': [948], 'exacerbations,': [949], 'after-effects': [955], 'cerebrovascular': [957, 2579], 'affliction': [961], 'senility': [963], 'might': [964], 'years.': [972], 'Thus,': [973], 'adequate': [977], 'determine': [979], 'until': [985], 'death,': [986, 3332], 'appropriate': [996, 1302], 'valid': [998], 'judgment': [999, 1602, 1798], 'stage,': [1003, 1148], 'evaluating': [1004], 'condition': [1007, 2522, 2657, 3019], 'individually.': [1008], '"Terminal': [1012], 'Guidelines"': [1014], "Association's": [1019], '10th': [1020, 1521], 'Bioethics': [1021, 1529], 'Meeting,': [1022], 'narrow': [1024], 'phase': [1028, 3470, 3566], 'refers': [1029, 3176], 'period': [1032, 1044, 3513], 'imminent,': [1036], 'broad': [1039, 1660], 'during': [1045, 1436, 1687, 2494, 2514, 2643, 3437], 'which': [1046, 1284, 1870, 3539], 'well-being': [1049], 'progressively': [1050], 'worsens': [1051], 'despite': [1052], 'best': [1054, 3590], 'possible': [1055, 2229, 2350, 3497, 3591, 3691], 'care,': [1057, 1297, 2971, 3360, 3393], 'inevitable': [1061, 2596], 'awaits': [1065], 'death.': [1066, 3348], 'guideline': [1068, 1189, 1731, 1759], 'assessment': [1072], 'decided': [1079, 1644], 'more': [1081, 1659, 3299], 'than': [1082, 2360, 3537], 'members,': [1085, 1970], 'including': [1086, 3153], 'primary': [1088], 'physician,': [1089], 'nurses,': [1090], 'practitioners.': [1094], 'cases': [1096, 1960, 2345, 2460, 2486, 2553], 'capacity': [1104, 2876], 'making,': [1107], 'starts': [1113], 'his': [1115, 1539, 1773, 1874, 2111, 2142, 2715, 2738, 2816, 2832, 2857, 2864, 2878, 2888, 2952, 3025, 3074, 3123, 3137, 3408, 3421], 'her': [1117, 1541, 1775, 1876, 2113, 2144, 2717, 2740, 2818, 2834, 2859, 2866, 2880, 2890, 2954, 3027, 3076, 3125, 3139, 3410, 3423], 'presume': [1122, 2821, 2883], 'wish': [1125, 2532, 2550, 2824], 'understand': [1126], 'accept': [1128], 'condition.': [1131], 'undergoing': [1132], 'long-term': [1133, 2566], 'Japan.': [1137, 1194, 3630], 'Even': [1138, 2843], 'sometimes': [1149, 3285], 'inadequate': [1152], 'their': [1163, 1932, 2215, 2905, 3030, 3271, 3653], 'respected.': [1167, 1340, 2732], 'order': [1169, 1292, 1567, 2329, 2695, 3586, 3642], 'situations,': [1174], 'recommendations': [1175, 2043], 'prepared': [1180, 1416, 1910, 3634], 'countries': [1183], '6,': [1184], '7;': [1185], 'however,': [1186], 'America,': [1196], 'enforced': [1200], 'legally': [1206, 1261], 'recognized,': [1207], 'citizens': [1209], 'receive': [1211], 'contents': [1219, 1864], '8.': [1224], '2010,': [1226], 'Physician': [1229], '(RPA)': [1231], 'revised': [1234], '(2nd': [1235], 'edition)': [1236], '"Shared': [1237], 'Decision-Making': [1238, 1279, 1434, 1685], 'Appropriate': [1241], 'Initiation': [1242], 'Withdrawal': [1245], 'Dialysis"': [1247], '3.': [1249], 'stipulated,': [1262], 'Ministry': [1264], 'Health,': [1266], 'Labor': [1267], 'Welfare': [1269], '(MHLW)': [1270], '"Guidelines': [1273], 'Process"': [1280], '(May': [1281], '21,': [1282], '2007),': [1283], '9.': [1289], 'Here,': [1290], 'implement': [1294], 'better': [1295, 3536], 'end-of-life': [1296, 1468, 3161, 3592, 3620], 'explanation': [1305], 'teams,': [1314], 'workers': [1322], 'held,': [1325], 'regard': [1332, 1879, 2316, 3034], 'plan': [1335, 3044, 3098], 'initiate,': [1345], 'withhold,': [1346], 'change,': [1347], 'withdraw': [1349], 'carefully': [1352, 1565], 'validity': [1359], 'pertinence': [1361], 'Respect': [1368, 1838], 'intentions': [1383], 'explicitly': [1385, 3117], 'described,': [1386], 'legal': [1388], 'responsibilities': [1389], 'arise': [1392, 3672], 'life-prolonging': [1398], 'treatments': [1399], 'discussed.': [1402], 'Under': [1403], 'circumstances,': [1405], 'Proposal': [1407, 1531, 1836, 2123, 2421, 3041], 'Emergency': [1413], 'Medicine': [1414, 1423], '(Guidelines,': [1415], 'Acute': [1422], 'November': [1425], '2007': [1427], '10)': [1428], 'Caring': [1437, 1688], 'Elderly—Focusing': [1440], 'Introduction': [1443], 'Artificial': [1445], 'Hydration': [1446], 'Nutritional': [1448], 'Supplementation': [1449], '(created': [1450], 'Geriatrics': [1454, 1696], 'June': [1457], '27,': [1458], '2012': [1459], '11)': [1460], 'independently': [1462], 'provide': [1465, 1850, 2911, 3100, 3484, 3522], 'care.': [1469, 3398, 3593], 'JSDT': [1471, 3637], 'now': [1473], 'determined': [1474], 'shared': [1477, 1782], 'established;': [1488], 'Commission': [1493], 'deliberation.': [1497], 'proposal,': [1500], 'conforms': [1507], 'official': [1510], 'view': [1511, 3344], '9': [1515], 'Association,': [1520], 'Annual': [1522], 'Meeting': [1523], '12.': [1530], '1:': [1532], 'informed': [1537, 1553, 2216, 2916], 'about': [1538, 1588, 1975, 2309, 2764, 2904], 'diagnosis,': [1542], 'prognosis,': [1543], 'assisted': [1549], 'voluntary': [1555], 'listen': [1561], 'evaluate': [1569], 'extent': [1571], 'grasp': [1575], 'state': [1579], 'options,': [1582], 'well': [1584, 3395, 4365], 'gather': [1586], 'lifestyle': [1591], 'familial': [1593], 'environment.': [1594], 'Whether': [1595], 'sound': [1601, 1797], 'evaluated': [1607], 'team,': [1613, 1820, 2959, 3051], 'family.33': [1619], '"Commentary': [1621], 'declared': [1634], 'solely': [1643], 'blood': [1646, 1739, 2375, 2401, 4402], 'relatives': [1647, 1740], 'recorded': [1649, 1743, 2280], 'register': [1653, 1747], 'alone,': [1656], 'includes': [1658, 3199], 'individual': [1667, 1701], 'gains': [1669], 'trust': [1672], 'supports': [1674], 'stage.': [1680], 'Elderly"': [1691], 'defined': [1698, 3249], 'deep': [1705, 1767], 'connection': [1706, 1768], 'shares': [1711], 'life': [1713, 1720, 2383, 2452, 2468, 2652, 3182, 3310, 3346, 3452, 3465, 3628], 'close': [1714], 'together,': [1715], 'spends': [1718], 'supporting': [1721, 3727], 'him/her': [1722, 2162, 2332, 3079], 'eligible': [1724], 'denote': [1735], 'merely': [1752], 'formality.': [1753], 'exemplifications,': [1757], 'those': [1762, 2709, 2750, 2807, 2870, 3263], 'actively': [1778], 'participate': [1779], 'treated': [1787], 'capable': [1793, 2150, 2303], 'allowed': [1801], 'collaborate': [1826], 'respect': [1831, 1926, 2795], 'process.': [1835, 2805, 2938], '2:': [1837], 'autonomy': [1841], 'continue': [1852], 'requested': [1857, 1900, 2077], 'per': [1862], 'indicated': [1873], 'intention': [1877, 2793], 'incapacitated': [1890], 'agree': [1896], 'plan,': [1904], 'directive,': [1912], 'every': [1918, 2515, 2691], 'effort': [1919, 3663], 'persuade': [1921], 'obtain': [1931, 2170, 2264, 2352], 'consent.': [1933, 2268], 'consent': [1936, 2129, 2157, 2174, 2192, 2217, 2276, 2356, 2408, 2743], 'obtained,': [1939], 'matter': [1941], 'before': [1945, 2163], 'committee55': [1948], 'An': [1949], 'comprising': [1952, 2039, 2980], 'specialists': [1954, 1997, 2982], 'separately': [1956], 'exceptional': [1959], 'disagreement': [1965, 2290], 'among': [1966, 2949], 'dialysis.': [1979, 2165, 2334], 'difficult': [1983, 2441, 2638, 3275], 'create': [1985], 'limitations': [1992], 'institution,': [1996], 'institutions': [2000, 2008], 'invited': [2003], 'participate.': [2005], 'At': [2006], 'standing': [2011], 'committee,': [2013, 2993], 'investigation': [2015], 'would': [2020, 3529, 3543], 'desirable,': [2022], 'interim': [2026], 'meeting': [2027], 'scheduled,': [2030], 'relevant': [2032, 2239], 'investigate.': [2038], 'several': [2040, 2981], 'specialists.': [2041], 'adhered': [2050], 'to.': [2051], 'communicate': [2056], 'he': [2061, 2097, 2377, 2392, 3414], 'she': [2063, 2099, 2379, 2394, 3416], 'prepare': [2068], 'circumstances': [2089, 2241], 'time.': [2092], 'incapacitated,': [2101], 'will': [2103], 'afford': [2104], 'opportunity': [2108, 2262], 'exercise': [2110], 'take': [2116], 'advance.': [2122], '3:': [2124], 'Acquire': [2125], 'letter': [2127, 2155, 2172, 2190, 2266, 2354, 2406], 'decide': [2133], 'lie': [2137], 'family.': [2145, 3424], 'decisions,': [2153], 'obtained': [2160, 2195], 'starting': [2164], 'incapable': [2183, 2305], 'decisions.': [2186, 2868], "family's": [2199, 2275, 2835, 2899], 'inability': [2200], 'hospital,': [2204], 'details': [2206, 2272], 'all': [2208, 2400, 3219, 3726], 'communication': [2209, 2254], 'records.': [2224, 2248], 'contact': [2231, 2398], 'timely': [2236], 'manner,': [2237], 'written': [2244], 'initiate': [2253, 2428], 'earliest': [2261], 'date': [2270], 'history.': [2285], '(irrespective': [2297], 'whether': [2299], 'decisions)': [2308], 'what': [2310], 'dialysis,': [2318, 4406], 'consider': [2319, 3561], 'time-limited': [2321], 'trial': [2322], 'let': [2331], 'experience': [2333], 'Recently,': [2335], 'himself/herself': [2363], 'following': [2369, 2457, 3766], 'circumstances:': [2370], 'relatives,': [2376], 'led': [2380], 'solitary': [2382], 'registry': [2387], 'provides': [2388], 'details,': [2390], 'broken': [2396], 'off': [2397], 'relatives.': [2402], 'When': [2403, 2438, 2518, 2584, 2598, 3015, 3021], 'obtaining': [2404], 'importance': [2414], 'advancedirective': [2417], 'communicated.': [2420], '4:': [2422], 'appropriate,': [2424], 'forgo': [2425, 2720, 2826, 3574], '(i.e.,': [2426], 'discontinue)': [2430], 'situations.': [2437], 'perform': [2443], 'safely': [2445], 'threatening,': [2453], 'situations:': [2458], 'further': [2464], 'jeopardize': [2465], 'multi-organ': [2474, 2620], 'failure': [2475, 2621], 'cardiovascular/respiratory': [2479], 'problems': [2480, 3669], 'profound': [2482, 2632], 'hypotension': [2484], 'keeping': [2488], 'vascular': [2489], 'access': [2490], 'extracorporeal': [2492, 2641, 2699], 'circulation': [2493, 2642], 'session': [2497, 2517, 2693], 'safety': [2499], 'feasible,': [2502], 'unless': [2503], 'restrained': [2507], 'instruments': [2509, 2685], 'sedation': [2511, 2687], 'narcoleptics': [2513, 2689], 'general': [2521, 3018], 'becomes': [2523], 'extremely': [2524], 'poor,': [2525], 'listed': [2527], 'below,': [2528, 3724], 'expressed,': [2541], 'assume': [2547], 'definitely:': [2551], 'difficulty': [2558], 'understanding': [2560], 'necessary': [2561], 'self-care': [2567], 'brain': [2571], 'dysfunction': [2572], 'caused': [2573], 'various': [2575], 'factors,': [2576, 3201], 'diseases': [2580], 'head': [2582], 'injury': [2583], 'incurable': [2590], 'imminent': [2594], 'eat': [2602], 'drink': [2604], 'anymore': [2605], 'survive': [2608], 'long': [2610], 'without': [2611], 'artificial': [2612, 4412, 4415], 'hydration': [2613], 'nutrition': [2615], 'Those': [2616, 2654], 'complicated': [2622], 'circulatory': [2625], 'respiratory': [2627], 'disorders': [2628], 'hypotension,': [2633], 'whom': [2635], 'maintain': [2640, 2697], 'session,': [2646], 'threatening.': [2653], 'whose': [2655], 'precludes': [2658], 'technical': [2660], 'unable': [2668, 2758], 'cooperate': [2670], '(e.g.,': [2671], 'pulls': [2673], 'out': [2674, 2800], 'needles': [2676], 'themselves)': [2678], 'needs': [2680], 'cofines': [2681], 'bed': [2683], 'safe': [2698], 'circulation.': [2700], 'hemodialysis.': [2707, 3040, 3472], 'For': [2708, 2749, 2806, 2869], 'capacity,': [2713, 2755, 2813], 'definitive,': [2723], 'give': [2742], 'unsure': [2763, 2903], 'decision,': [2766, 2836, 2906, 2927, 2934], 'assist': [2771, 3456], 'independent': [2777], 'respecting': [2780], 'live.': [2785], 'share': [2790], 'emerges': [2799], 'longer': [2810], 'possess': [2811], 'hemodialysis,': [2827], 'respects': [2831, 2931], 'sharing': [2837, 2935], 'making.': [2842], 'case,': [2846], 'residual': [2860], 'capability': [2861], 'own': [2867, 3031], 'do': [2872, 3559], 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'counts_by_year': [{'year': 2024, 'cited_by_count': 2}, {'year': 2023, 'cited_by_count': 2}, {'year': 2022, 'cited_by_count': 2}, {'year': 2021, 'cited_by_count': 8}, {'year': 2020, 'cited_by_count': 3}, {'year': 2019, 'cited_by_count': 3}, {'year': 2018, 'cited_by_count': 4}, {'year': 2017, 'cited_by_count': 3}, {'year': 2016, 'cited_by_count': 2}], 'updated_date': '2024-12-11T05:33:07.256783', 'created_date': '2016-06-24'}