Show simple item record

dc.creatorBito, Seijien
dc.creatorAsai, Atsushien
dc.date.accessioned2016-01-08T23:20:53Zen
dc.date.available2016-01-08T23:20:53Zen
dc.date.created2007-06-19en
dc.date.issued2007-06-19en
dc.identifierdoi:10.1186/1472-6939-8-7en
dc.identifier.bibliographicCitationBMC Medical Ethics 2007 June 19; 8(7): 9 p. [Online] Accessed: http://www.biomedcentral.com/1472-6939/8/7 [2007 July 20]en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Attitudes+and+behaviors+of+Japanese+physicians+concerning+withholding+and+withdrawal+of+life-sustaining+treatment+for+end-of-life+patients:+results+from+an+Internet+survey&title=BMC+Medical+Ethics+&volume=8&issue=7&date=2007-06&au=Bito,+Seiji;+Asai,+Atsushien
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6939-8-7en
dc.identifier.urihttp://timetravel.mementoweb.org/memento/2007/http://www.biomedcentral.com/1472-6939/8/7en
dc.identifier.urihttp://hdl.handle.net/10822/963870en
dc.description.abstractBACKGROUND: Evidence concerning how Japanese physicians think and behave in specific clinical situations that involve withholding or withdrawal of medical interventions for end-of-life or frail elderly patients is yet insufficient. METHODS: To analyze decisions and actions concerning the withholding/withdrawal of life-support care by Japanese physicians, we conducted cross-sectional web-based internet survey presenting three scenarios involving an elderly comatose patient following a severe stroke. Volunteer physicians were recruited for the survey through mailing lists and medical journals. The respondents answered questions concerning attitudes and behaviors regarding decision-making for the withholding/withdrawal of life-support care, namely, the initiation/withdrawal of tube feeding and respirator attachment. RESULTS: Of the 304 responses analyzed, a majority felt that tube feeding should be initiated in these scenarios. Only 18% felt that a respirator should be attached when the patient had severe pneumonia and respiratory failure. Over half the respondents felt that tube feeding should not be withdrawn when the coma extended beyond 6 months. Only 11% responded that they actually withdrew tube feeding. Half the respondents perceived tube feeding in such a patient as a "life-sustaining treatment," whereas the other half disagreed. Physicians seeking clinical ethics consultation supported the withdrawal of tube feeding (OR, 6.4; 95% CI, 2.5-16.3; Pen
dc.formatArticleen
dc.languageenen
dc.sourceeweb:307784en
dc.subjectAttitudesen
dc.subjectClinical Ethicsen
dc.subjectComaen
dc.subjectConsultationen
dc.subjectEthicsen
dc.subjectEthics Consultationen
dc.subjectInterneten
dc.subjectLifeen
dc.subjectMethodsen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectSurveyen
dc.subjectTube Feedingen
dc.subject.classificationProlongation of Life and Euthanasiaen
dc.subject.classificationHealth Care Programs for the Ageden
dc.titleAttitudes and Behaviors of Japanese Physicians Concerning Withholding and Withdrawal of Life-Sustaining Treatment for End-of-Life Patients: Results From an Internet Surveyen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


This item appears in the following Collection(s)

Show simple item record


Georgetown University Seal
©2009—2022 Bioethics Research Library
Box 571212 Washington DC 20057-1212
202.687.3885