Seriously Ill Patients' Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life

doi:10.1001/jamainternmed.2020.0681

. 2020 Jun 1;180(6):907-909.

doi: 10.1001/jamainternmed.2020.0681.

Seriously Ill Patients' Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life

Emily B Rubin¹, Anna Buehler², Scott D Halpern³

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston.
² University of California, San Diego School of Medicine, San Diego.
³ The Palliative and Advanced Illness Research Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.

PMID: 32250436
PMCID: PMC7136854
DOI: 10.1001/jamainternmed.2020.0681

Seriously Ill Patients' Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life

Emily B Rubin et al. JAMA Intern Med. 2020.

. 2020 Jun 1;180(6):907-909.

doi: 10.1001/jamainternmed.2020.0681.

Authors

Emily B Rubin¹, Anna Buehler², Scott D Halpern³

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston.
² University of California, San Diego School of Medicine, San Diego.
³ The Palliative and Advanced Illness Research Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.

PMID: 32250436
PMCID: PMC7136854
DOI: 10.1001/jamainternmed.2020.0681

Abstract

This cohort study quantifies trade-offs between survival time and avoidance of intensive care near the end of life among seriously ill hospitalized patients.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

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References

1. Connors AF, Dawson NV, Desbiens NA, et al. ; The SUPPORT Principal Investigators . A controlled trial to improve care for seriously ill hospitalized patients: the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). JAMA. 1995;274(20):1591-1598. doi:10.1001/jama.1995.03530200027032 - DOI - PubMed
1. Milnes S, Corke C, Orford NR, Bailey M, Savulescu J, Wilkinson D. Patient values informing medical treatment: a pilot community and advance care planning survey. BMJ Support Palliat Care. 2019;9(3):e23-e23. doi:10.1136/bmjspcare-2016-001177 - DOI - PMC - PubMed
1. Rubin EB, Buehler AE, Cooney E, Gabler NB, Mante AA, Halpern SD. Intuitive vs deliberative approaches to making decisions about life support: a randomized clinical trial. JAMA Netw Open. 2019;2(1):e187851. doi:10.1001/jamanetworkopen.2018.7851 - DOI - PMC - PubMed
1. Fried TR, Van Ness PH, Byers AL, Towle VR, O’Leary JR, Dubin JA. Changes in preferences for life-sustaining treatment among older persons with advanced illness. J Gen Intern Med. 2007;22(4):495-501. doi:10.1007/s11606-007-0104-9 - DOI - PMC - PubMed

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[1] Connors AF, Dawson NV, Desbiens NA, et al. ; The SUPPORT Principal Investigators . A controlled trial to improve care for seriously ill hospitalized patients: the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). JAMA. 1995;274(20):1591-1598. doi:10.1001/jama.1995.03530200027032 - DOI - PubMed

[2] Connors AF, Dawson NV, Desbiens NA, et al. ; The SUPPORT Principal Investigators . A controlled trial to improve care for seriously ill hospitalized patients: the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). JAMA. 1995;274(20):1591-1598. doi:10.1001/jama.1995.03530200027032 - DOI - PubMed

[3] Milnes S, Corke C, Orford NR, Bailey M, Savulescu J, Wilkinson D. Patient values informing medical treatment: a pilot community and advance care planning survey. BMJ Support Palliat Care. 2019;9(3):e23-e23. doi:10.1136/bmjspcare-2016-001177 - DOI - PMC - PubMed

[4] Milnes S, Corke C, Orford NR, Bailey M, Savulescu J, Wilkinson D. Patient values informing medical treatment: a pilot community and advance care planning survey. BMJ Support Palliat Care. 2019;9(3):e23-e23. doi:10.1136/bmjspcare-2016-001177 - DOI - PMC - PubMed

[5] Rubin EB, Buehler AE, Cooney E, Gabler NB, Mante AA, Halpern SD. Intuitive vs deliberative approaches to making decisions about life support: a randomized clinical trial. JAMA Netw Open. 2019;2(1):e187851. doi:10.1001/jamanetworkopen.2018.7851 - DOI - PMC - PubMed

[6] Rubin EB, Buehler AE, Cooney E, Gabler NB, Mante AA, Halpern SD. Intuitive vs deliberative approaches to making decisions about life support: a randomized clinical trial. JAMA Netw Open. 2019;2(1):e187851. doi:10.1001/jamanetworkopen.2018.7851 - DOI - PMC - PubMed

[7] Fried TR, Van Ness PH, Byers AL, Towle VR, O’Leary JR, Dubin JA. Changes in preferences for life-sustaining treatment among older persons with advanced illness. J Gen Intern Med. 2007;22(4):495-501. doi:10.1007/s11606-007-0104-9 - DOI - PMC - PubMed

[8] Fried TR, Van Ness PH, Byers AL, Towle VR, O’Leary JR, Dubin JA. Changes in preferences for life-sustaining treatment among older persons with advanced illness. J Gen Intern Med. 2007;22(4):495-501. doi:10.1007/s11606-007-0104-9 - DOI - PMC - PubMed

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Seriously Ill Patients' Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life

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Seriously Ill Patients' Willingness to Trade Survival Time to Avoid High Treatment Intensity at the End of Life

Authors

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Abstract

Conflict of interest statement

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