Perspectives on withdrawing pacemaker and implantable cardioverter- defibrillator therapies at end of life: Results of a survey of medical and legal professionals and patients

Mayo Clinic Proceedings

Volumn 85, Issue 11, 2010, Pages 981-990

  Kapa, Suraj ^a,b   Mueller, Paul S ^a   Hayes, David L ^a   Asirvatham, Samuel J ^a  

^a MAYO CLINIC   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; DEFIBRILLATOR; EUTHANASIA; FEMALE; HEALTH CARE PERSONNEL; HEALTH EDUCATION; HEALTH SURVEY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL PROFESSION; PACEMAKER; TERMINAL CARE; TREATMENT WITHDRAWAL;

EID: 78149301262     PISSN: 00256196     EISSN: None     Source Type: Journal    
DOI: 10.4065/mcp.2010.0431     Document Type: Article

References (29)

1. In re Quinlan, 70 NJ 10, 355 A.2d 647 (1976). New Jersey Supreme Court. Health Law and Bioethics: Cases in Context Web site. http://aspen.skeeydev.net /books/johnsonkrause/INREQUINLANSupremeCourtofNewJersey.doc. Accessed August 24, 2010.
2. Cruzan by Cruzan v. Director, Missouri Dept of Health, 497 US 261. 88-1503. (1990). Supreme Court of the United States. Cornell Legal Information Institute Web site. http://www.law.cornell.edu/supct/html/historics /USSC-CR-0497-0261-ZS.html. Accessed August 24, 2010.
3. Annas GJ. "Culture of life" politics at the bedside - the case of Terri Schiavo. N Engl J Med. 2005;352:1710-1715.
4. Annas GJ. The Rights of Patients: The Authoritative ACLU Guide to the Rights of Patients. 3rd ed. Carbondale, IL: Southern Illinois University Press; 2004.
5. Goldstein NE, Lampert R, Bradley E, Lynn J, Krumholz HM. Management of implantable cardioverter defibrillators in end-of-life care. Ann Intern Med. 2004;141:835-838.
6. Berger JT. The ethics of deactivating implanted cardioverter defibrillators. Ann Intern Med. 2005;142:631-634.
7. Lewis WR, Luebke DL, Johnson NJ, Harrington MD, Constantini O, Aulisio MP. Withdrawing implantable defibrillator shock therapy in terminally ill patients. Am J Med. 2006;119:892-896.
8. Mueller PS, Hook CC, Hayes DL. Ethical analysis of withdrawal of pacemaker or implantable cardioverter-defibrillator support at the end of life. Mayo Clin Proc. 2003;78:959-963.
9. Mueller PS, Jenkins SM, Bramstedt KA, Hayes DL. Deactivating implanted cardiac devices in terminally patients: practices and attitudes. Pacing Clin Electrophysiol. 2008;31:560-568.
10. Goldstein N, Bradley E, Zeidman J, Mehta D, Morrison RS. Barriers to conversations about deactivation of implantable defibrillators in seriously ill patients: results of a nationwide survey comparing cardiology specialists to primary care physicians [letter]. J Am Coll Cardiol. 2009;54(4):371-373.
11. Quill TE, Barold SS, Sussman BL. Discontinuing an implantable cardioverter defibrillator as a life-sustaining treatment. Am J Cardiol. 1994;74:205-207.
12. Wiegand DL, Kalowes PG. Withdrawal of cardiac medications and devices. AACN Adv Crit Care. 2007;18:415-425.
13. Sherazi S, Daubert JP, Block RC, et al. Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator. Mayo Clin Proc. 2008;83:1139-1141.
14. Zellner RA, Aulisio MP, Lewis WR. Should implantable cardioverterdefibrillators and permanent pacemakers in patients with terminal illness be deactivated? Deactivating permanent pacemaker in patients with terminal illness. Patient autonomy is paramount. Circ Arrhythm Electrophysiol. 2009;2(3):340-344.
15. Kay GN, Bittner GT. Should implantable cardioverter-defibrillators and permanent pacemakers in patients with terminal illness be deactivated? Deactivating implantable cardioverter-defibrillators and permanent pacemakers in patients with terminal illness. An ethical distinction. Circ Arrhythm Electrophysiol. 2009;2(3):336-339.
16. Lampert R, Hayes DL, Annas GJ, et al. HRS expert consensus statement on the management of cardiovascular implantable electronic devices (CIED) in patients nearing end of life or requesting withdrawal of therapy. Heart Rhythm Online. http://www.hrsonline.org/Policy/ClinicalGuidelines/upload/ ceids-mgmt-eol.pdf. Accessed August 24, 2010.
17. Goldstein NE, Mehta D, Siddiqui S, et al. "That's like an act of suicide" patients' attitudes toward deactivation of implantable defibrillators. J Gen Intern Med. 2008;23(suppl 1):7-12.
18. Berger JT, Gorski M, Cohen T. Advance health planning and treatment preferences among recipients of implantable cardioverter defibrillators: an exploratory study. J Clin Ethics. 2006;17:72-78.
19. Silveira MJ. When is deactivation of artificial pacing and AICD illegal, immoral and unethical? Am J Geriatr Cardiol. 2003;12:275-276.
20. Braun TC, Hagen NA, Hatfield RE, Wyse DG. Cardiac pacemakers and implantable defibrillators in terminal care. J Pain Symptom Manage. 1999; 18:126-131.
21. Vacco, Attorney General of New York, et al. v Quill et al. 521 US 793. 95-1858. (1997). Supreme Court of the United States. Cornell Legal Information Institute Web site. http://www.law.cornell.edu/supct/html/95-1858. ZS.html. Accessed August 24, 2010.
22. Meisel A, Snyder L, Quill T. Seven legal barriers to end-of-life care: myths, realities, and grains of truth. JAMA. 2000;284:2495-2501.
23. Morrison RS, Meier DE. Palliative care. N Engl J Med. 2004;350(25): 2582-2590.
24. Snyder L, Leffler C; Ethics and Human Rights Committee, American College of Physicians. Ethics manual: fifth edition. Ann Intern Med. 2005;142(7):560-582.
25. Rhymes JA, McCullough LB, Luchi RJ, Teasdale TA, Wilson N. Withdrawing very low-burden interventions in chronically ill patients. JAMA. 2000;283:1061-1063. (Pubitemid 30112224)
26. Council on Ethical and Judicial Affairs (cor). Code of Medical Ethics: Current Opinions and Annotations 2008-2009. AMA Council on Ethical and Judicial Affairs. Chicago, IL: AMA Press; 2010.
27. American Medical Association Council on Ethical and Judicial Affairs. Physician Objection to Treatment and Individual Patient Discrimination: CEJA Report 6-A-07. Chicago, IL: AMA Press. 2007:1-4.
28. Katz J. The Silent World of Doctor and Patient. Baltimore, MD: The Johns Hopkins University Press; 2002.
29. Emanuel EJ, Emanuel LL. Four models of the physician-patient relationship. JAMA. 1992;267:2221-2226.