The luck of the draw: Physician-related variability in end-of-life decision-making in intensive care

Intensive Care Medicine

Volumn 39, Issue 6, 2013, Pages 1128-1132

  Wilkinson, Dominic J C ^a,b   Truog, Robert D ^c,d  

^a UNIVERSITY OF ADELAIDE   (Australia)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c BOSTON CHILDREN S HOSPITAL   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Clinical ethics; Decision making; Intensive care; Terminal care ethics; Withholding treatment

Indexed keywords

ARTICLE; ETHICAL DECISION MAKING; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LIFE SUSTAINING TREATMENT; MORTALITY; PATIENT; PATIENT CARE; PHYSICIAN; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PSYCHOLOGICAL ASPECT; RELIGION; RESUSCITATION; TEAMWORK; TERMINAL CARE; TREATMENT WITHDRAWAL;

ADVANCE DIRECTIVES; ATTITUDE OF HEALTH PERSONNEL; DECISION MAKING; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; PATIENT PREFERENCE; PHYSICIAN'S PRACTICE PATTERNS; PRACTICE GUIDELINES AS TOPIC; TERMINAL CARE; WITHHOLDING TREATMENT;

EID: 84878013251     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-013-2871-6     Document Type: Article

References (25)

1. Wennberg JE (2011) Time to tackle unwarranted variations in practice. BMJ 342:687-690. doi: 10.1136/bmj.d1513
2. Frost D, Cook D, Heyland D, Fowler R (2011) Patient and healthcare professional factors influencing end-of-life decision-making during critical illness: a systematic review. Crit Care Med 39:1174-1189. doi: 10.1097/CCM.0b013e31820eacf2
3. Azoulay E, Metnitz B, Sprung CL, Timsit JF, Lemaire F, Bauer P, Schlemmer B, Moreno R, Metnitz P (2009) End-of-life practices in 282 intensive care units: data from the SAPS 3 database. Intensive Care Med 35:623-630. doi: 10.1007/s00134-008-1310-6
4. Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T (2003) End-of-life practices in European intensive care units: the Ethicus study. JAMA 290:790-797
5. Lofmark R, Nilstun T, Cartwright C, Fischer S, van der Heide A, Mortier F, Norup M, Simonato L, Onwuteaka-Philipsen BD, EURELD Consortium (2008) Physicians' experiences with end-of-life decision-making: survey in 6 European countries and Australia. BMC Med 6:4. doi: 10.1186/1741-7015-6-4
6. de Leeuw R, Cuttini M, Nadai M, Berbik I, Hansen G, Kucinskas A, Lenoir S, Levin A, Persson J, Rebagliato M, Reid M, Schroell M, de Vonderweid U, EURONIC study group (2000) Treatment choices for extremely preterm infants: an international perspective. J Pediatr 137:608-616
7. Randolph AG, Zollo MB, Egger MJ, Guyatt GH, Nelson RM, Stidham GL (1999) Variability in physician opinion on limiting pediatric life support. Pediatrics 103:e46
8. Needle JS, Mularski RA, Nguyen T, Fromme EK (2012) Influence of personal preferences for life-sustaining treatment on medical decision making among pediatric intensivists. Crit Care Med 40:2464-2469. doi: 10.1097/CCM. 0b013e318255d85b
9. Barnato AE, Hsu HE, Bryce CL, Lave JR, Emlet LL, Angus DC, Arnold RM (2008) Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility study. Crit Care Med 36:3156-3163. doi: 10.1097/CCM. 0b013e31818f40d2
10. Gresiuk CS, Joffe AR (2011) Variability in the pediatric intensivists' threshold for withdrawal/limitation of life support as perceived by bedside nurses: a multicenter survey study. Ann Intensive Care 1:31. doi: 10.1186/2110-5820-1-31
11. Larochelle MR, Rodriguez KL, Arnold RM, Barnato AE (2009) Hospital staff attributions of the causes of physician variation in end-of-life treatment intensity. Palliat Med 23:460-470. doi: 10.1177/0269216309103664
12. Poulton B, Ridley S, Mackenzie-Ross R, Rizvi S (2005) Variation in end-of-life decision making between critical care consultants. Anaesthesia 60:1101-1105
13. Garland A, Connors AF (2007) Physicians' influence over decisions to forego life support. J Palliat Med 10:1298-1305. doi: 10.1089/jpm.2007.0061
14. Sprung CL, Maia P, Bulow HH, Ricou B, Armaganidis A, Baras M, Wennberg E, Reinhart K, Cohen SL, Fries DR, Nakos G, Thijs LG (2007) The importance of religious affiliation and culture on end-of-life decisions in European intensive care units. Intensive Care Med 33:1732-1739. doi: 10.1007/s00134-007-0693-0
15. Catlin AJ (2010) Variability in the limitation of life support in pediatrics continues. J Clin Ethics 20:327-329
16. Garland A, Shaman Z, Baron J, Connors AF Jr (2006) Physician-attributable differences in intensive care unit costs: a single-center study. Am J Respir Crit Care Med 174:1206-1210. doi: 10.1164/rccm.200511-1810OC
17. White DB, Brody B (2011) Would accommodating some conscientious objections by physicians promote quality in medical care? JAMA 305:1804-1805. doi: 10.1001/jama.2011.575
18. Lantos JD, Meadow W (2009) Variation in the treatment of infants born at the borderline of viability. Pediatrics 123:1588-1590. doi: 10.1542/peds.2009- 0030
19. Schenker Y, Tiver GA, Hong SY, White DB (2012) Association between physicians' beliefs and the option of comfort care for critically ill patients. Intensive Care Med 38:1607-1615. doi: 10.1007/s00134-012-2671-4
20. Epstein RM, Peters E (2009) Beyond information: exploring patients' preferences. JAMA 302:195-197. doi: 10.1001/jama.2009.984
21. Brush DR, Rasinski KA, Hall JB, Alexander GC (2012) Recommendations to limit life support: a national survey of critical care physicians. Am J Respir Crit Care Med 186:633-639. doi: 10.1164/rccm.201202-0354OC
22. Kon AA (2010) The shared decision-making continuum. JAMA 304:903-904. doi: 10.1001/jama.2010.1208
23. Downey L, Au DH, Curtis JR, Engelberg RA (2012) Life-sustaining treatment preferences: matches and mismatches between patients' preferences and clinicians' perceptions. J Pain Symp Manag. doi: 10.1016/j.jpainsymman.2012.07. 002
24. Madrigal VN, Carroll KW, Hexem KR, Faerber JA, Morrison WE, Feudtner C (2012) Parental decision-making preferences in the pediatric intensive care unit. Crit Care Med 40:2876-2882. doi: 10.1097/CCM.0b013e31825b9151
25. Degner LF, Sloan JA (1992) Decision making during serious illness: what role do patients really want to play? J Clin Epidemiol 45:941-950