Physicians Rarely Elicit Critically Ill Patients’ Previously Expressed Treatment Preferences in Intensive Care Units
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Clinicians often fail to adequately elicit patient treatment preferences, provide guidance about the surrogate's role, disclose likely long-term outcomes, and discuss the option of comfort-focused care.
“clinicians often fail to adequately elicit patient treatment preferences, provide guidance about the surrogate’s role, disclose likely long-term outcomes, and discuss the option of comfort-focused care (7–13).”
From Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation (2019) · cites this paper as [13]
The Discussion reports that physicians rarely elicited patients’ previously expressed treatment preferences during ICU goals-of-care conversations. The paper does not report whether clinicians provided guidance about surrogates’ roles, disclosed likely long-term outcomes, or discussed comfort-focused care. (LLM, conf=0.88)
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- Authors
- Chiarchiaro, J., Ernecoff, N. C., Scheunemann, L. P., Hough, C. L., Carson, S. S., Peterson, M. W., Anderson, W. G., Steingrub, J. S., Arnold, R. M., & White, D. B.
- Affiliations
- University of Pittsburgh (US)
- University of North Carolina at Chapel Hill (US)
- University of Washington (US)
- University of California, San Francisco (US)
- Tufts University (US)
- ORCID
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-07
- Volume
- 196
- Issue
- 2
- Pages
- 242-245
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC5519969
- OpenAlex
- W2735959631
- Cited by
- 39
- References
- 8
- Citations by year
- 2025: 2 · 2024: 5 · 2022: 3 · 2021: 8 · 2020: 12 · 2019: 5 · 2018: 4
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (KL2TR000146)
- National Institute on Aging (P30AG024827)
- National Heart, Lung, and Blood Institute (R01HL094553, T32HL007563)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Keywords
- treatment preferences, critically ill patients, intensive care unit, physician-patient communication, advance care planning, patient preferences, end-of-life care
- MeSH terms
- Adult, Aged, Communication, Female, Humans, Intensive Care Units, Male, Middle Aged, Physician-Patient Relations, Practice Patterns, Physicians', Professional-Family Relations, Prospective Studies, Surveys and Questionnaires, Respiratory Distress Syndrome, United States, Cohort Studies, Advance Directives, Critical Illness, Advance Care Planning, Qualitative Research, Patient Preference
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