ArticleAfrican health sciences2013
Care of terminally-ill patients: an opinion survey among critical care healthcare providers in the Middle East.
Article in African health sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07243041 (A Prospective Study Exploring Factors Affecting ICU Transitions and Handling of Code Status - Insights Into Physician and Family Communication in a Muslim Patient Population), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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.
A Prospective Study Exploring Factors Affecting ICU Transitions and Handling of Code Status - Insights Into Physician and Family Communication in a Muslim Patient Population
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What helps or hinders effective end-of-life care in adult intensive care units in Middle Eastern countries? A systematic review.BMC palliative care · 2024Guideline
- A systematic review of religious beliefs about major end-of-life issues in the five major world religions.Palliative & supportive care · 2017Pooled it
- Assessment of bioethics education, ethical awareness, and training needs among physicians in Jordan.Global bioethics = Problemi di bioetica · 2026Article
- Do not attempt cardiopulmonary resuscitation decision-making process: scoping review.BMJ supportive & palliative care · 2025Article
- Review
- Physician perspectives on the DNR order in Turkey: A survey of physicians in Internal Medicine.African health sciences · 2023Article
- Survey of End-of-Life Care in Intensive Care Units in Ain Shams University Hospitals, Cairo, Egypt.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Physicians' approach to end of life care: comparison of two tertiary care university hospitals in Lebanon.BMC medical education · 2021Article
- Article
- Pediatricians' Perceptions Toward Do Not Resuscitate: A Survey in Saudi Arabia and Literature Review.Advances in medical education and practice · 2020Article
- Between quality of life and hope. Attitudes and beliefs of Muslim women toward withholding and withdrawing life-sustaining treatments.Medicine, health care, and philosophy · 2018Review
- Ethical Dilemmas at the End of Life: Islamic Perspective.Journal of religion and health · 2017Review
- Infections and non-communicable diseases that just refuse to go away.African health sciences · 2013Article
- The end-of-life care in the emergency department setting with respect to the Middle East countries and comparison with the Western countries.Turkish journal of emergency medicineReview
- The Concept of Do Not Resuscitate for Students in King Abdulaziz University Hospital.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundModern medicine has allowed physicians to support the dying terminally-ill patient with artificial means. However, a common dilemma faced by physicians in general, and intensivist in particular is when to limit or withdraw aggressive intervention.
objectiveTo study the effect of training background and seniority on Do-not to resuscitate (DNR) decisions in the Middle East.
methodsAnonymous questionnaire sent to members of the Pan Arab Society of Critical Care.
resultsThe response rate was 46.2%. Most of the responders were Muslim (86%) and consultants (70.9%). Majority of the responders were trained in western countries. Religion played a major role in 59.3% for making the DNR decision. DNR was considered equivalent to comfort care by 39.5%. In a futile case scenario, Do Not Escalate Therapy was preferred (54.7%). The likelihood of a patient, once labeled DNR, being clinically neglected was a concern among 46.5%. Admission of DNR patients to the ICU was acceptable for 47.7%. Almost one-half of the responders (46.5%) wanted physicians to have the ultimate authority in the DNR decision. Training background was a significant factor affecting the interpretation of the term no code DNR (P< 0.008).
conclusionTraining background and level of seniority in critical care provider does not impact opinion on most of end of life issues related to care of terminally-ill patients. However, DNR is considered equivalent to comfort care among majority of Middle Eastern trained physicians.
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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.