Seriously ill patients’ willingness to trade survival time to avoid high treatment intensity at the end of life

Article

RUBIN, Emily B. | BUEHLER, Anna | HALPERN, Scott D.

Patients with serious illnesses are often asked whether they would prioritize relief of pain and suffering or longevity if these 2 goals were to come into conflict. A significant majority state that they would prioritize relief of pain and suffering. However, it is difficult for clinicians and family caregivers to operationalize such preferences without knowing the limits of these preferences or how much time alive patients would be willing to sacrifice in the service of their palliative goals. We sought to quantify trade-offs between survival time and avoidance of intensive care near the end of life among seriously ill hospitalized patients.

http://dx.doi.org/10.1001/jamainternmed.2020.0681

Voir la revue «JAMA internal medicine»

Autres numéros de la revue «JAMA internal medicine»

Consulter en ligne

Suggestions

Du même auteur

Seriously ill patients’ willingness to ...

Article indépendant | RUBIN, Emily B. | JAMA internal medicine

Patients with serious illnesses are often asked whether they would prioritize relief of pain and suffering or longevity if these 2 goals were to come into conflict. A significant majority state that they would prioritize relief of...

Seriously ill patients’ willingness to trade ...

Article indépendant | RUBIN, Emily B. | JAMA internal medicine

Patients with serious illnesses are often asked whether they would prioritize relief of pain and suffering or longevity if these 2 goals were to come into conflict. A significant majority state that they would prioritize relief of...

Changes in orders for life-sustaining treatme...

Article | LEUNG, Krystle M. | JOURNAL OF PALLIATIVE MEDICINE | n°12 | vol.25

Background: Growing numbers of acute critical illness survivors experience chronic critical illness (CCI) marked by prolonged dependence on life support, delirium, and/or disability. There is minimal recent data on treatment limit...

De la même série

Decision-making for hospitalized incarcerated...

Article | BATBOLD, Sarah | JAMA internal medicine | n°1 | vol.184

Importance: Incarcerated patients admitted to the hospital face threats to their rights to privacy and self-determination in medical decision-making. Little is known about medical decision-making processes for hospitalized incarce...

Association of hospice profit status with fam...

Article | ANHANG PRICE, Rebecca | JAMA internal medicine | n°4 | vol.183

IMPORTANCE: Expansive growth in the US hospice market has been driven almost exclusively by an increase in for-profit hospices. Prior research found that, in contrast to not-for-profit hospices, for-profit hospices focus on delive...

Hospital culture and intensity of end-of-life...

Article | DZENG, Elizabeth | JAMA internal medicine | n°8 | vol.183

IMPORTANCE: There is substantial institutional variability in the intensity of end-of-life care that is not explained by patient preferences. Hospital culture and institutional structures (eg, policies, practices, protocols, resou...

Risk factors associated with all-cause 30-day...

Article | PANAGIOTOU, Orestis A. | JAMA internal medicine | n°4 | vol.181

Importance: The coronavirus disease 2019 (COVID-19) pandemic has severely affected nursing homes. Vulnerable nursing home residents are at high risk for adverse outcomes, but improved understanding is needed to identify risk facto...

An advance care planning video decision suppo...

Article | MITCHELL, Susan L. | JAMA internal medicine | n°7 | vol.178

Importance: Better advance care planning (ACP) can help promote goal-directed care in patients with advanced dementia. Objectives: To test whether an ACP video (vs usual care) has an effect on documented advance directives, level ...

Chargement des enrichissements...