Evidence map›Paper›PMID 35018562›Full record

ArticleJournal of general internal medicine2022

Physicians' Attitudes and Experiences with Medical Aid in Dying in Colorado: a "Hidden Population" Survey.

Eric G Campbell, Vinay Kini, Julie Ressalam, Bridget S Mosley, Dragana Bolcic-Jankovic, Hillary D Lum, Elizabeth R Kessler, Matthew DeCamp

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Factors That Influence Access to Medical Assistance in Dying Services: An Integrative Review.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

8 authors at 3 institutions in 1 country.

Eric G CampbellDepartment of Medicine, Division of General Internal Medicine, University of Colorado Anschutz School of Medicine, Aurora, USA. Eric.g.campbell@cuanschutz.edu.
Vinay KiniDepartment of Medicine, Division of Cardiology, University of Colorado Anschutz School of Medicine, Aurora, USA.
Julie RessalamCenter for Bioethics and Humanities, University of Colorado, Aurora, USA.
Bridget S MosleyDepartment of Medicine, Division of Cardiology, University of Colorado Anschutz School of Medicine, Aurora, USA.
Dragana Bolcic-JankovicCenter for Survey Research, University of Massachusetts (Boston), Boston, USA.
Hillary D LumDepartment of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, USA.
Elizabeth R KesslerDepartment of Medicine, Division of Oncology, University of Colorado School of Medicine, Aurora, USA.
Matthew DeCampDepartment of Medicine, Division of General Internal Medicine, University of Colorado Anschutz School of Medicine, Aurora, USA.
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USBoston University · US

Funding

Optimizing Quality in Noninvasive Cardiovascular TestingK23HL143208 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI KINI, VINAY · 2019 to 2023
$880k
NHLBI NIH HHS K23 HL143208
6 · The paper itself

Abstract

backgroundApproximately 20% of the US population live in states where MAiD is a legal, though highly contentious, practice. Little generalizable data exists on the experiences of MAiD providers who comprise a small, and intentionally hidden, population.

objectiveTo examine the nature, extent, and consequences of physicians' participation in MAiD.

designAn anonymous, multi-wave, mailed survey (RR= 55%).

participantsAn enriched sample (n=583) of Colorado physicians caring for potential MAiD patients. MAIN MEASURES: Physician willingness, preparedness, and participation in a continuum of MAiD activities. Other outcomes include the effects of providing MAiD and the barriers physicians face related to MAiD. KEY

resultsOverall, 81.1% of respondents were willing to discuss MAiD with a patient, 88.3% to refer for MAiD, 46.3% to be a consultant, and 28.1% to be an attending. Fewer felt prepared to discuss MAiD (54.4%), provide a MAiD referral (62.8%), be a consultant (30.7%), or be an attending (18.0%). More than half of respondents (52.3%) had discussed MAiD with a patient, 27.3% provided a MAiD referral, 12.8% had been a MAiD consultant, and 8.5% had been a MAiD attending. Among MAiD consultants and attendings, 75% reported that their most recent MAiD case was emotionally fulfilling and professionally rewarding, though 75% also reported that it was time consuming and 46.9% reported that it was ethically challenging. Common barriers to physician participation in MAiD include lack of knowledge about MAiD (46.8%), the emotional (45.6%) and time (41.7%) investments, and ethical concerns (41.7%).

conclusionsMany physicians in our sample are both willing and prepared to discuss MAiD with patients and to provide MAiD referrals. Fewer are prepared and willing to serve as an attending or consultant and fewer have provided these services. MAID consultants and attendings largely report the experience to be emotionally fulfilling and professionally rewarding, but all respondents reported multiple barriers to participation.

Indexed as

PhysiciansSuicide, AssistedAttitude of Health PersonnelCanadaColoradoHumansSurveys and Questionnairesmedical aid in the dyingphysician assisted deathphysician assisted suicide

Identifiers

PMID35018562
PMCPMC8751472
OpenAlexW4205739592

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.