+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Physicians as patients. Choices regarding their own resuscitation



Physicians as patients. Choices regarding their own resuscitation



Archives of Internal Medicine 155(12): 1289-1293



Background: Attitudes toward cardiopulmonary resuscitation have changed considerably during the last 30 years. Although physicians are routinely involved in the decision making about cardiopulmonary resuscitation for their patients, little is known about their collective preferences regarding it for themselves. Methods: A questionnaire was distributed at an internal medicine primary care review course at an urban community hospital. Of the 111 physicians registered at the meeting, 72 (65%) completed the questionnaire and serve as the basis for the results. Physicians were asked if they would want cardiopulmonary resuscitation for themselves in the presence of an acute myocardial infarction, Alzheimer's disease, and nine other advanced chronic diseases at the projected ages of 40, 60, and 80 years. Results: At all projected ages, physicians' desire for cardiopulmonary resuscitation with any advanced chronic disease was significantly less than with an acute myocardial infarction (P ltoreq .000001 except for rheumatoid arthritis). Fewer physicians wanted cardiopulmonary resuscitation at age 80 years than at 40 years for any disease (P ltoreq 002). The results did not differ when analyzed by respondents' age, gender, or primary care specialty, or the size of the community in which they practiced. Conclusions: The results of this initial survey indicate that most physicians would not want cardiopulmonary resuscitation with a variety of underlying chronic diseases and corresponding functional impairments particularly with advancing age. Conversely, with an acute myocardial infarction, all physicians surveyed would desire cardiopulmonary resuscitation at age 40 years, and many would continue to desire it with advancing age.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 009195281

Download citation: RISBibTeXText

PMID: 7778960


Related references

Choices about cardiopulmonary resuscitation in the hospital. When do physicians talk with patients?. New England Journal of Medicine 310(17): 1089-1093, 1984

Cardiopulmonary resuscitation personal choices of physicians and nurses. Boletin de la Asociacion Medica de Puerto Rico 84(4-5): 139-143, 1992

Choices of seriously ill patients about cardiopulmonary resuscitation: Correlates and outcomes. American Journal of Medicine 100(2): 128-137, 1996

Recent guidance on resuscitation: patients' choices and doctors' duties. Palliative Medicine 15(6): 449-450, 2001

Making choices: for patients and physicians. Bulletin of the American College of Surgeons 80(4): 23-30, 1995

Physicians' and patients' choices in evidence based practice. Bmj 324(7350): 1350, 2002

Are physicians biased in their choices of therapy to recommend to patients with IBD?. Inflammatory Bowel Diseases 14(Suppl. 2): S204-S205, 2008

Personal choices: communication between physicians and patients when confronting critical illness. Journal of Clinical Ethics 2(1): 57-61, 1991

Personal choices--communication among physicians and patients when confronting critical illness. Texas Medicine 87(9): 76-82, 1991

Effect of patients hiv status on physicians treatment choices and discussion of advance directives. Viii International Conference on Aids And The Iii Std World Congress Viii International Conference on Aids And The Iii Std World Congress; Harvard-Amsterdam Conference, Amsterdam, Netherlands, July 19-24, Pagination Varies Viii International Conference on Aids And The Iii Std World Congress: Amsterdam, Netherlands Paper : d513, 1992

Evidence-based choices of physicians: a comparative analysis of physicians participating in Internet CME and non-participants. Bmc Medical Education 10: 42, 2010

Development, validation, and results of a survey to measure understanding of cardiopulmonary resuscitation choices among ICU patients and their surrogate decision makers. Bmc Anesthesiology 14: 15, 2014

Patients don't present with five choices: an alternative to multiple-choice tests in assessing physicians' competence. Academic Medicine 74(5): 539-546, 1999

Multidimensional analyses to assess the relations between treatment choices by physicians and patients' characteristics: the example of COPD. Bmc Pulmonary Medicine 12: 39, 2012

Resident Physicians Choices of Anticoagulation for Stroke Prevention in Patients With Nonvalvular Atrial Fibrillation. Canadian Journal of Cardiology 32(6): 824-828, 2017