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Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator.

Publication ,  Journal Article
Sherazi, S; Daubert, JP; Block, RC; Jeevanantham, V; Abdel-Gadir, K; DiSalle, MR; Haley, JM; Shah, AH
Published in: Mayo Clin Proc
October 2008

Clinical guidance is deficient regarding deactivation of implantable cardioverter-defibrillators (ICDs) in patients with terminal illnesses. We hypothesized that many physicians are apprehensive about discussing ICD deactivation with their dying patients. Thus, we conducted an anonymous survey of all the physicians in the Department of Medicine at Unity Health System in Rochester, NY. The survey collected information about the knowledge and preferences of these physicians regarding the medical, ethical, and legal issues involved in caring for patients with an ICD and terminal illness. Of the 204 surveys distributed, 87 (43%) were returned. Among the physicians who responded, 64 (74%) reported experience caring for a patient with an ICD and terminal illness. Forty physicians (46%) either thought it was illegal or were not sure if it was legal to deactivate an ICD in these circumstances. However, if reassured about the legality of discontinuing ICD therapy, 79 (91%) of these same respondents said that they would be willing to discuss voluntary ICD deactivation with their dying patients. With increased knowledge about managing the withdrawal of this potentially life-prolonging therapy, physicians are likely to become more skilled at caring for dying patients with an ICD.

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Published In

Mayo Clin Proc

DOI

EISSN

1942-5546

Publication Date

October 2008

Volume

83

Issue

10

Start / End Page

1139 / 1141

Location

England

Related Subject Headings

  • United States
  • Total Quality Management
  • Terminal Care
  • Survival Rate
  • Surveys and Questionnaires
  • Retrospective Studies
  • Physician-Patient Relations
  • Physician's Role
  • Middle Aged
  • Male
 

Citation

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Sherazi, S., Daubert, J. P., Block, R. C., Jeevanantham, V., Abdel-Gadir, K., DiSalle, M. R., … Shah, A. H. (2008). Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator. Mayo Clin Proc, 83(10), 1139–1141. https://doi.org/10.4065/83.10.1139
Sherazi, Saadia, James P. Daubert, Robert C. Block, Vinodh Jeevanantham, Khalid Abdel-Gadir, Michael R. DiSalle, James M. Haley, and Abrar H. Shah. “Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator.Mayo Clin Proc 83, no. 10 (October 2008): 1139–41. https://doi.org/10.4065/83.10.1139.
Sherazi S, Daubert JP, Block RC, Jeevanantham V, Abdel-Gadir K, DiSalle MR, et al. Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator. Mayo Clin Proc. 2008 Oct;83(10):1139–41.
Sherazi, Saadia, et al. “Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator.Mayo Clin Proc, vol. 83, no. 10, Oct. 2008, pp. 1139–41. Pubmed, doi:10.4065/83.10.1139.
Sherazi S, Daubert JP, Block RC, Jeevanantham V, Abdel-Gadir K, DiSalle MR, Haley JM, Shah AH. Physicians' preferences and attitudes about end-of-life care in patients with an implantable cardioverter-defibrillator. Mayo Clin Proc. 2008 Oct;83(10):1139–1141.
Journal cover image

Published In

Mayo Clin Proc

DOI

EISSN

1942-5546

Publication Date

October 2008

Volume

83

Issue

10

Start / End Page

1139 / 1141

Location

England

Related Subject Headings

  • United States
  • Total Quality Management
  • Terminal Care
  • Survival Rate
  • Surveys and Questionnaires
  • Retrospective Studies
  • Physician-Patient Relations
  • Physician's Role
  • Middle Aged
  • Male