ArticleJournal of general internal medicine2000
Patients' perceptions of physicians' recommendations for comfort care differ by patient age and gender.
Article in Journal of general internal medicine, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Physician Age and Patient Outcomes: A Systematic Review.Journal of general internal medicine · 2026Pooled it
- Predictors of time to death after terminal withdrawal of mechanical ventilation in the ICU.Chest · 2010Trial
- Mortality Conversations Between Male Veterans and Their Providers Prior to Dysvascular Lower Extremity Amputation.Annals of vascular surgery · 2023Review
- Age disparity in diagnostic evaluation of stroke patients: Embolic Stroke of Undetermined Source Global Registry Project.European stroke journal · 2016Article
- Article
- Preferences for active and aggressive intervention among patients with advanced cancer.BMC cancer · 2010Article
- The role of empirical research in bioethics.The American journal of bioethics : AJOB · 2009Article
- Are rheumatologists' treatment decisions influenced by patients' age?Rheumatology (Oxford, England) · 2006Article
- Review of evidence and explanations for suboptimal screening and treatment of dyslipidemia in women. A conceptual model.Journal of general internal medicine · 2003Review
- Cross-cultural similarities and differences in attitudes about advance care planning.Journal of general internal medicine · 2002Article
- Nursing home residence confounds gender differences in Medicare utilization an example of Simpson's paradox.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine patient characteristics associated with patient and proxy perceptions of physicians' recommendations for life-prolonging care versus comfort care, and with acceptance of such recommendations.
designCross-sectional.
settingFive teaching hospitals in Denver, Colo. PATIENTS: We studied 239 hospitalized adults believed by physicians to have a high likelihood of dying within 6 months. MEASUREMENTS AND MAIN
resultsInterviews with patients or proxies were conducted to determine perceptions of physicians' recommended goal of care and roles in decision making.
resultsPatients' mean age was 66.6 years; 44% were women. In adjusted analysis, age greater than 70 years and female gender were associated with a higher likelihood of believing that comfort care had been recommended by the physician (odds ratio [OR], 3.70; 95% confidence interval [CI], 1.89 to 7.24; OR, 1.99; 95% CI, 1.04 to 3. 84, respectively). Patients and proxies gave substantial decision-making authority to physicians: 29% responded that physicians dominate decision making, 55% that decision making is equally shared by physicians and patients, and only 16% that patients make decisions. Increasing age was associated with an increased likelihood of believing that physicians should dominate decision making (P <.005).
conclusionsAmong patients with advanced illness, perceived comfort care recommendations were related to patient age and gender, raising concern about possible gender and age bias in physicians' recommendations. Although all patients and proxies gave significant decision-making authority to physicians, older individuals were more likely to give physicians decision-making authority, making them more vulnerable to possible physician bias.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.