Evidence map›Paper›PMID 30848419›Full record

ArticleJournal of bioethical inquiry2019

Withholding Treatment From the Dying Patient: The Influence of Medical School on Students' Attitudes.

Aviad Rabinowich, Iftach Sagy, Liane Rabinowich, Lior Zeller, Alan Jotkowitz

Abstract read
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In one paragraph

Article in Journal of bioethical inquiry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Clinical characteristics of rhegmatogenous retinal detachment in patients over 90 years in a tertiary center in Germany: 90-TOSG report 2.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Observational
  2. Article
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 at 1 institution in 1 country.

Aviad RabinowichJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben Gurion University of the Negev, 1 Ben-Gurion Boulevard, Israel, P.O.B. 653, Beer-Sheva, Israel. aviadrabi@gmail.com.ORCID http://orcid.org/0000-0002-9406-6523
Iftach SagyJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben Gurion University of the Negev, 1 Ben-Gurion Boulevard, Israel, P.O.B. 653, Beer-Sheva, Israel.
Liane RabinowichLiver Unit, Department of Gastroenterology, Tel-Aviv Medical Center, Weizmann St 6, Tel Aviv-Yafo, Israel.
Lior ZellerJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben Gurion University of the Negev, 1 Ben-Gurion Boulevard, Israel, P.O.B. 653, Beer-Sheva, Israel.
Alan JotkowitzJoyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben Gurion University of the Negev, 1 Ben-Gurion Boulevard, Israel, P.O.B. 653, Beer-Sheva, Israel.
Ben-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine motives and attitudes towards life-sustaining treatments (LSTs) by clinical and preclinical medical students.

methodsThis was a scenario-based questionnaire that presented patients with a limited life expectancy. The survey was distributed among 455 medical students in preclinical and clinical years. Students were asked to rate their willingness to perform LSTs and rank the motives for doing so. The effect of medical education was then investigated after adjustment for age, gender, religion, religiosity, country of origin, and marital status.

resultsPreclinical students had a significantly higher willingness to perform LSTs in all cases. This was observed in all treatments offered in cases of a metastatic oncologic patient and an otherwise healthy man after a traumatic brain injury (TBI). In the case of an elderly woman on long-term care, preclinical students had higher willingness to supply vasopressors but not perform an intubation, feed with a nasogastric tube, or treat with a continuous positive air-pressure ventilator. Both preclinical and clinical students had high willingness to perform resuscitation on a twelve-year-old boy with a TBI. Differences in motivation factors were also seen. DISCUSSION: Preclinical students had a greater willingness to treat compared to clinical students in all cases and with most medical treatments offered. This is attributed mainly to changes along the medical curriculum. Changes in reasons for supplying LSTs were also documented.

Indexed as

Attitude of Health PersonnelAdultAge FactorsBlood TransfusionBrain Injuries, TraumaticCardiopulmonary ResuscitationEducation, Medical, UndergraduateEnteral NutritionFemaleHumansIntubation, IntratrachealMaleMarital StatusMotivationNeoplasmsReligionBioethicsEnd-of-life issuesLife-sustaining treatmentMedical education

Identifiers

PMID30848419
OpenAlexW2922314064

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.