A Call for a Patient Preference Predictor.
Journal
Critical care medicine
ISSN: 1530-0293
Titre abrégé: Crit Care Med
Pays: United States
ID NLM: 0355501
Informations de publication
Date de publication:
01 06 2021
01 06 2021
Historique:
entrez:
20
5
2021
pubmed:
21
5
2021
medline:
16
9
2021
Statut:
ppublish
Résumé
When patients lose the capacity to make their own decisions, current practice relies on their family and loved ones to try to identify the treatment course the patient would have chosen for themselves. The fact that this approach has remained essentially unchanged for over 40 years raises the question of whether it successfully provides care that is consistent with patients' treatment preferences. Published studies on the outcomes and impact of surrogate decision-making. All identified articles. Review by the author. Surrogates frequently are not able to identify the treatment preferences of decisionally incapacitated patients and can experience significant distress as a result of making decisions for them. Revisions to existing practice are needed to increase the extent to which surrogates are able to identify the treatment preferences of decisionally incapacitated patients. One possibility is to assess whether predicting patients' treatment preferences based on the preferences of similar patients might increase the extent to which patients are treated consistent with their preferences and thereby reduce the burden on their surrogates.
Identifiants
pubmed: 34011832
doi: 10.1097/CCM.0000000000004949
pii: 00003246-202106000-00001
pmc: PMC8148088
mid: NIHMS1668487
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
877-880Subventions
Organisme : Intramural NIH HHS
ID : Z99 CL999999
Pays : United States
Informations de copyright
Copyright © 2021 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
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