Evidence map›Paper›PMID 34505038›Full record

ArticleCJC open2021

Characteristics of Clinicians Are Associated With Their Beliefs About ICD Deactivation: Insight From the DECIDE-HF Study.

Florence Landry-Hould, Blandine Mondésert, Andrew G Day, Heather J Ross, Judith Brouillette, Brian Clarke, Shelley Zieroth, Mustafa Toma, Marie-Claude Parent, Robert A Fowler and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CJC open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Florence Landry-HouldDepartment of Medicine, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Blandine MondésertDepartment of Medicine, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Andrew G DayClinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada.
Heather J RossPeter Munk Cardiac Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Judith BrouilletteDepartments of Psychiatry and Addictology, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Brian ClarkeDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Shelley ZierothSt Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada.
Mustafa TomaDivision of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Marie-Claude ParentDepartment of Medicine, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Robert A FowlerDepartment of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
John J YouDepartment of Medicine, Division of General Internal and Hospitalist Medicine, Trillium Health Partners, Mississauga, Ontario, Canada.
Anique DucharmeDepartment of Medicine, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
DECIDE-HF investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiscussing goals of care with heart failure patients is recommended but is not done systematically, due to factors such as time and personal beliefs. A recent survey showed that one-fifth of clinicians believe that implantable cardioverter defibrillator deactivation (ICDD) is unethical or constitutes physician-assisted suicide. We investigated whether individuals' characteristics are associated with these beliefs.

methodsThe Decision-Making About Goals of Care for Hospitalize

resultsWe included 760 clinicians (459 nurses, 94 fellows, and 207 cardiologists). The responses varied among professions, with the belief that ICDD is unethical considered to be important barrier by nurses (24%), fellows (10%), and staff (7%);

conclusionsSociocultural factors, region of training, and profession influence clinicians' beliefs about ICDD being unethical and representing physician-assisted suicide. These factors and beliefs must be acknowledged when facing the delicate issue of end-of-life discussion.

Identifiers

PMID34505038
PMCPMC8413241

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.