Evidence map›Paper›PMID 22762966›Full record

ArticleJournal of pain and symptom management2012

Dignity in end-of-life care: results of a national survey of U.S. physicians.

Ryan M Antiel, Farr A Curlin, Katherine M James, Daniel P Sulmasy, Jon C Tilburt

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Patient Dignity Question: Feasible, dignity-conserving intervention in a rural hospice.Canadian family physician Medecin de famille canadien · 2019
    Article
  3. Muslim physicians and palliative care: attitudes towards the use of palliative sedation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ryan M AntielDepartment of General Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. Antiel.ryan@mayo.edu
Farr A Curlin
Katherine M James
Daniel P Sulmasy
Jon C Tilburt

Funding

Mayo Clinic Center for Translational Science ActivitiesKL2RR024151 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$15.3M
NCRR NIH HHS 1 KL2 RR024151NCRR NIH HHS KL2 RR024151
6 · The paper itself

Abstract

contextDebates persist about the relevance of "dignity" as an ethical concept in U.S. health care, especially in end-of-life care.

objectivesTo describe the attitudes and beliefs regarding the usefulness and meaning of the concept of dignity and to examine judgments about a clinical scenario in which dignity might be relevant.

methodsTwo thousand practicing U.S. physicians, from all specialties, were mailed a survey. Main measures included physicians' judgments about an end-of-life clinical scenario (criterion variable), attitudes about the concept of dignity (predictors), and their religious characteristics (predictors).

resultsResponses were received from 1032 eligible physicians (54%). Nine (90%) of 10 physicians reported that dignity was relevant to their practice. After controlling for age, gender, region, and specialty, physicians who judged that the case patient had either some dignity or full dignity, and who agreed that dignity is given by a creator, were all positively associated with believing that the patient's life was worth living (odds ratio [OR] 10.2, 95% confidence interval [CI] 5.8-17.8, OR 20.5, 95% CI 11.4-36.8, OR 4.7, 95% CI 3.1-7.0, respectively). Respondents who strongly agreed that "all living humans have the same amount of dignity" were also more likely to believe that the patient's life was worth living (OR 1.8, 95% CI 1.2-2.7). Religious characteristics also were associated with believing that the case patient's life was worth living (OR 4.1, 95% CI 2.4-7.2, OR 3.2, 95% CI 1.6-6.3, OR 9.2, 95% CI 4.3-19.5, respectively).

conclusionU.S. physicians view the concept of dignity as useful. Those views are associated with their judgments about common end-of-life scenarios in which dignity concepts may be relevant.

Indexed as

PhysiciansRight to DieAdultAgedAttitude of Health PersonnelAttitude to DeathFemaleHealth Care SurveysHumansMaleMiddle AgedReligionTerminal CareUnited States

Identifiers

PMID22762966
PMCPMC3967404

What OpenQuestion holds

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Registered trials

None linked

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.