Evidence map›Paper›PMID 31028215›Full record

ArticleIn vivo (Athens, Greece)

Does Decision-making in End-of-life Care Differ Between Graduating Medical Students and Experienced Physicians?

Aleksi Alminoja, Reetta P Piili, Heikki Hinkka, Riina Metsänoja, Outi Hirvonen, Kristiina Tyynelä-Korhonen, Jaana Kaleva-Kerola, Tiina Saarto, Pirkko-Liisa I Kellokumpu-Lehtinen, Juho T Lehto

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  6. Article
  7. Perception of Medical Students on the Need for End-of-Life Care: A Q-Methodology Study.International journal of environmental research and public health · 2022
    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

10 authors at 6 institutions in 1 country.

Aleksi AlminojaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Reetta P PiiliFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland reetta.piili@tuni.fi.
Heikki HinkkaRehabilitation Center Apila (ret.), Kangasala, Finland.
Riina MetsänojaFaculty of Social Sciences, Tampere University, Tampere, Finland.
Outi HirvonenDepartment of Oncology and Radiotherapy, Turku University Hospital, and Department of Clinical Oncology, University of Turku, Turku, Finland.
Kristiina Tyynelä-KorhonenCentre of Oncology, Kuopio University Hospital, Kuopio, Finland.
Jaana Kaleva-KerolaDepartment of Oncology, Mehiläinen Länsi-Pohja Ltd, Kemi, Finland.
Tiina SaartoHelsinki University Hospital, Comprehensive Cancer Center, Department of Palliative Care and Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Pirkko-Liisa I Kellokumpu-LehtinenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Juho T LehtoFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Tampere University · FIHelsinki University Hospital · FIKuopio University Hospital · FILänsi-Pohjan Sairaanhoitopiirin Kuntayhtymä · FITampere University Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAppropriate decision-making in end-of-life (EOL) care is essential for both junior and senior physicians. The aim of this study was to compare the decision-making and attitudes of medical students with those of experienced general practitioners (GP) regarding EOL-care. MATERIALS AND

methodsA questionnaire presenting three cancer patient scenarios concerning decisions and ethical aspects of EOL-care was offered to 500 Finnish GPs and 639 graduating medical students in 2015-2016.

resultsResponses were received from 222 (47%) GPs and 402 (63%) students. The GPs withdrew antibiotics (p<0.001) and nasogastric tubes (p=0.007) and withheld resuscitation (p<0.001), blood transfusions (p=0.002) and pleural drainage (p<0.001) more often than did the students. The students considered euthanasia and assisted suicide less reprehensible (p<0.001 in both) than did the GPs.

conclusionMedical students were more unwilling to withhold and withdraw therapies in EOL-care than were the GPs, but the students considered euthanasia less reprehensible. Medical education should include aspects of decision-making in EOL-care.

Indexed as

Clinical Decision-MakingPhysiciansPractice Patterns, Physicians'Students, MedicalTerminal CareAdultAgedAged, 80 and overAttitude of Health PersonnelDisease ManagementFemaleHealth Care SurveysHumansMaleMiddle AgedNeoplasmsDecision-makingeducationend-of-life caremedical studentspalliative care

Identifiers

PMID31028215
PMCPMC6559926
OpenAlexW2941139756

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.