Evidence map›Paper›PMID 40956642›Full record

ArticleJournal of palliative medicine2026

Characterizing Interdisciplinary U.S. Hospice Clinician Presence During Patient Self-Administration of Medical Aid in Dying Medication.

Todd D Becker, Denae J Gerasta, Grant Yoder, Daniel D Matlock, Elissa Kozlov, Stacy M Fischer, Karla T Washington

Abstract read
In one paragraph

Article in Journal of palliative medicine, 2026. 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. 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

7 authors.

Todd D BeckerDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0003-4170-1412
Denae J GerastaDepartment of Health Systems, Management, & Policy, Colorado School of Public Health, Aurora, Colorado, USA.ORCID 0000-0002-3738-5990
Grant YoderAdult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, Colorado, USA.
Daniel D MatlockAdult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, Colorado, USA.
Elissa KozlovDepartment of Health Behavior, Society and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Stacy M FischerDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Karla T WashingtonDivision of Palliative Medicine, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0002-1100-9524

Funding

Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
NCI NIH HHS T32 CA190194
6 · The paper itself

Abstract

backgroundDespite emerging as a clinical and scholarly focus in medical aid in dying (MAID)-related care, limited data exist to characterize hospice clinician presence while patients self-administer the medication to hasten their death.

objectivesTo explore (1) the proportion and (2) correlates of interdisciplinary hospice clinician presence during patient self-administration of MAID medication.

designExploratory secondary analysis of cross-sectional survey data. SETTING/SUBJECTS: Convenience sample of interdisciplinary U.S. hospice clinicians reporting permissive state and organizational MAID policy. MEASUREMENTS: We assessed the proportion of the sample ever having been present during patient self-administration of MAID medication via frequency and percentage. We examined personal, professional, organizational, and MAID-specific characteristics as correlates via multiple logistic regression analysis adjusted for small sample bias.

resultsOur sample included 100 hospice physicians, nurses, social workers, and chaplains. Descriptive results revealed that just over one-third of the sample had ever been present during patient self-administration of MAID medication. Regression results indicated that being a chaplain and working for a hospice with a policy permitting full MAID participation were each significantly associated with greater odds of ever having been present. Conversely, never having provided end-of-life care beyond information provision related to a hospice patient's use of MAID was significantly associated with lower odds of ever having been present.

conclusionsHospice clinician presence during patient self-administration of MAID medication appears relatively common and related to select professional, organizational, and MAID-specific characteristics. Improved annual state reporting practices and expanded replication efforts are warranted.

Indexed as

Hospice CareSelf AdministrationSuicide, AssistedTerminal CareAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited Statescliniciansend-of-life carehospicemedical aid in dyingmedicationself-administration

Identifiers

PMID40956642
PMCPMC12516821

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Registered trials

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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.