Physicians' decisions to withhold and withdraw life-sustaining treatment

Archives of Internal Medicine
Neil J FarberE Gil Boyer

Abstract

Few data are available about physicians' decisions in regard to withholding or withdrawing life-sustaining measures. We therefore studied internists' views on this subject. We surveyed 1000 generalist and subspecialist internists about their views on withholding or withdrawing life-sustaining treatment. Thirty-two hypothetical cases were included. The effect of the demographic data on withholding or withdrawing treatment was analyzed via analysis of covariance and multiple logistic regression. Of 1000 internists, 407 (41%) completed and returned surveys. A majority of respondents (51%) were willing to withhold or withdraw treatment in all 32 scenarios; 49% were unwilling to withhold or withdraw in at least 1 scenario. Respondents were likely to withhold treatment in 14 of 16 scenarios compared with 13.7 of 16 scenarios for withdrawing treatments (P<.001). Respondents withheld or withdrew feeding tubes in 6.6 of 8 scenarios (P<.001) and antibiotics in 6.7 of 8 scenarios (P = .001) compared with ventilators (7.1 of 8 scenarios) and dialysis (7.3 of 8 scenarios). Respondents were less likely to withhold or withdraw treatments in nonterminally ill (12.9 of 16 scenarios) (P = .02) and alert patients (13.2 of 16 scenarios) (P<.001) c...Continue Reading

Citations

Feb 7, 2014·Critical Care : the Official Journal of the Critical Care Forum·Meri PoukkanenUNKNOWN FINNAKI Study Group
Sep 22, 2012·High Altitude Medicine & Biology·Peter PaalJohn Ellerton
Aug 22, 2008·Journal of Palliative Medicine·Christina BellPatricia Lanoie Blanchette
Feb 25, 2009·Critical Care Medicine·Sharon L CamhiJudith E Nelson
Jun 19, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chun-Fu LaiSheng-Jean Huang
Jan 5, 2016·Journal of Religion and Health·Grace S ChungFarr A Curlin
Sep 8, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Paul S Mueller
Jul 24, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Daniel B KramerWilliam H Maisel
Sep 22, 2009·Clinics in Geriatric Medicine·Xiaoyi YeAllen R Nissenson
Feb 17, 2009·The Journal of Emergency Medicine·Antonios D Katsetos, Ferdinando L Mirarchi
Jul 4, 2007·Journal of Pain and Symptom Management·Hilde M BuitingUNKNOWN EURELD-Consortium
Oct 10, 2015·International Journal of Cardiology·Atsushi MizunoKoichiro Niwa
Jul 31, 2010·Journal of the American Geriatrics Society·Thomas ShafferJalpa A Doshi
Dec 24, 2010·Nephrology·Robert G FassettRosalind Bull
Jan 21, 2014·Journal of Renal Care·Rosalind BullRobert G Fassett
Jul 10, 2013·International Journal of Geriatric Psychiatry·Carole ParsonsCarmel Hughes
Nov 8, 2007·Evaluation & the Health Professions·Jonathan B VanGeestVerna L Welch
Mar 4, 2014·Journal of Patient Safety·Ferdinando L MirarchiTimothy Cooney
Jan 12, 2008·British Journal of Hospital Medicine·T Vince, A Petros
Jan 12, 2019·Minerva anestesiologica·Franco CavalierePierpaolo Terragni
Mar 27, 2007·American Journal of Respiratory and Critical Care Medicine·Eric B MilbrandtDerek C Angus
Oct 1, 2020·Journal of Palliative Medicine·Yu Ah HongUNKNOWN Committee on Ethical Issues of the Korean Society of Nephrology
Sep 15, 2009·Cadernos de saúde pública·Monica de Oliveira BenarrozLeandro Augusto Barbosa
Mar 16, 2012·Deutsches Ärzteblatt International·Jana WandrowskiFlorian Steger
Jul 3, 2021·International Journal of Environmental Research and Public Health·Keren DopeltPaul Barach

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