Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions.

PubWeight™: 5.35‹?› | Rank: Top 1%

🔗 View Article (PMC 2629638)

Published in Ann Intern Med on January 20, 2009

Authors

Douglas B White1, Mitchell H Katz, John M Luce, Bernard Lo

Author Affiliations

1: Program in Medical Ethics, School of Medicine, University of California-San Francisco, 521 Parnassus Avenue, San Francisco, CA 94143-0903, USA. dwhite@medicine.ucsf.edu

Articles citing this

A modified sequential organ failure assessment score for critical care triage. Disaster Med Public Health Prep (2010) 2.28

Literature review and global consensus on management of acute radiation syndrome affecting nonhematopoietic organ systems. Disaster Med Public Health Prep (2011) 1.93

Persons with disabilities as an unrecognized health disparity population. Am J Public Health (2015) 1.61

The ethics and reality of rationing in medicine. Chest (2011) 1.24

Extracorporeal life support for pandemic influenza: the role of extracorporeal membrane oxygenation in pandemic management. J Extra Corpor Technol (2010) 0.86

Variations in the length of stay of intensive care unit nonsurvivors in three Scandinavian countries. Crit Care (2010) 0.85

Critical care resource allocation: trying to PREEDICCT outcomes without a crystal ball. Crit Care (2013) 0.84

Worst case: rethinking tertiary triage protocols in pandemics and other health emergencies. Crit Care (2010) 0.84

Ethical issues and the allocation of scarce resources during a public health emergency. Ann Intern Med (2009) 0.81

Priority setting of ICU resources in an influenza pandemic: a qualitative study of the Canadian public's perspectives. BMC Public Health (2012) 0.79

Pandemic ventilator rationing and appeals processes. Health Care Anal (2011) 0.78

Pandemic influenza: implications for preparation and delivery of critical care services. J Intensive Care Med (2011) 0.77

Currents in contemporary ethics. Should health care providers get treatment priority in an influenza pandemic? J Law Med Ethics (2010) 0.77

Surge Capacity and Capability. A Review of the History and Where the Science is Today Regarding Surge Capacity during a Mass Casualty Disaster. Front Public Health (2014) 0.76

Clinical review: Considerations for the triage of maternity care during an influenza pandemic--one institution's approach. Crit Care (2010) 0.75

Ethical issues and the allocation of scarce resources during a public health emergency. Ann Intern Med (2009) 0.75

Ethical issues and the allocation of scarce resources during a public health emergency. Ann Intern Med (2009) 0.75

Valuing lives: Allocating scarce medical resources during a public health emergency and the Americans with Disabilities Act (perspective). PLoS Curr (2011) 0.75

Ethical issues and the allocation of scarce resources during a public health emergency. Ann Intern Med (2009) 0.75

Allocating scarce life support in a public health emergency. Indian J Med Ethics (2010) 0.75

Ethical issues and the allocation of scarce resources during a public health emergency. Ann Intern Med (2009) 0.75

Articles cited by this

Avian influenza A (H5N1) infection in humans. N Engl J Med (2005) 12.95

Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA (2001) 10.03

Assessing the generalizability of prognostic information. Ann Intern Med (1999) 8.04

Limits to health care: fair procedures, democratic deliberation, and the legitimacy problem for insurers. Philos Public Aff (1997) 7.46

Accountability for reasonableness. BMJ (2000) 7.05

Public health ethics: mapping the terrain. J Law Med Ethics (2002) 5.29

Public health. Who should get influenza vaccine when not all can? Science (2006) 4.97

The Model State Emergency Health Powers Act: planning for and response to bioterrorism and naturally occurring infectious diseases. JAMA (2002) 4.60

Intergenerational equity: an exploration of the 'fair innings' argument. Health Econ (1997) 4.28

The doctor's master. N Engl J Med (1984) 3.15

Development of a triage protocol for critical care during an influenza pandemic. CMAJ (2006) 2.78

Allocation of ventilators in a public health disaster. Disaster Med Public Health Prep (2008) 2.64

Concept of operations for triage of mechanical ventilation in an epidemic. Acad Emerg Med (2006) 2.45

Consensus statement of the Society of Critical Care Medicine's Ethics Committee regarding futile and other possibly inadvisable treatments. Crit Care Med (1997) 1.95

Assessing priorities for allocation of donor liver grafts: survey of public and clinicians. BMJ (1998) 1.88

Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL. Chest (2008) 1.77

Augmentation of hospital critical care capacity after bioterrorist attacks or epidemics: recommendations of the Working Group on Emergency Mass Critical Care. Crit Care Med (2005) 1.61

Pro/Con debate: lung allocation should be based on medical urgency and transplant survival and not on waiting time. Chest (2005) 1.46

Public health strategies for pandemic influenza: ethics and the law. JAMA (2006) 1.41

Value and role of intensive care unit outcome prediction models in end-of-life decision making. Crit Care Clin (2004) 1.37

Mass casualty management of a large-scale bioterrorist event: an epidemiological approach that shapes triage decisions. Emerg Med Clin North Am (2002) 1.31

Medical countermeasures for pandemic influenza: ethics and the law. JAMA (2006) 1.26

Fair process in patient selection for antiretroviral treatment in WHO's goal of 3 by 5. Lancet (2005) 1.25

Hospital preparedness for pandemic influenza. Biosecur Bioterror (2006) 1.19

Terrorism and the ethics of emergency medical care. Ann Emerg Med (2001) 1.17

Who should manage care? The case for patients. Kennedy Inst Ethics J (1997) 1.05

How do I judge my outcome when I do not know the outcome of others? The psychology of the fair process effect. J Pers Soc Psychol (1997) 1.05

The dynamics and ethics of triage: rationing care in hard times. Mil Med (2005) 0.99

Waiting for medical care: is it who you know that counts? CMAJ (1999) 0.94

Articles by these authors

Seroconversion following nonoccupational postexposure prophylaxis against HIV. Clin Infect Dis (2005) 4.27

Clinical implementation of the ARDS network protocol is associated with reduced hospital mortality compared with historical controls. Crit Care Med (2005) 3.86

Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine. Crit Care Med (2008) 3.85

Expanding the paradigm of the physician's role in surrogate decision-making: an empirically derived framework. Crit Care Med (2010) 3.54

The impact of health information on the Internet on health care and the physician-patient relationship: national U.S. survey among 1.050 U.S. physicians. J Med Internet Res (2003) 3.48

Use of postexposure prophylaxis against HIV infection following sexual exposure does not lead to increases in high-risk behavior. AIDS (2004) 3.46

The impact of health information on the internet on the physician-patient relationship: patient perceptions. Arch Intern Med (2003) 3.35

Bioethics consultation in the private sector. Hastings Cent Rep (2002) 3.01

Prognostication during physician-family discussions about limiting life support in intensive care units. Crit Care Med (2007) 2.96

Rationing critical care beds: a systematic review. Crit Care Med (2004) 2.86

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. Am J Respir Crit Care Med (2015) 2.86

Can we stop ordering prostate-specific antigen screening tests? JAMA Intern Med (2013) 2.67

The uncommon case of Jahi McMath. Chest (2015) 2.65

New ISSCR guidelines underscore major principles for responsible translational stem cell research. Cell Stem Cell (2008) 2.61

Decisions to limit life-sustaining treatment for critically ill patients who lack both decision-making capacity and surrogate decision-makers. Crit Care Med (2006) 2.61

Long-term opioid treatment of nonmalignant pain: a believer loses his faith. Arch Intern Med (2010) 2.59

Are physicians' recommendations to limit life support beneficial or burdensome? Bringing empirical data to the debate. Am J Respir Crit Care Med (2009) 2.46

Healthy men should not take statins. JAMA (2012) 2.45

Quality indicators for end-of-life care in the intensive care unit. Crit Care Med (2003) 2.42

Associations between substance use and sexual risk among very young men who have sex with men. Sex Transm Dis (2006) 2.40

Surrogate decision-makers' perspectives on discussing prognosis in the face of uncertainty. Am J Respir Crit Care Med (2008) 2.40

Simplifying consent for HIV testing is associated with an increase in HIV testing and case detection in highest risk groups, San Francisco January 2003-June 2007. PLoS One (2008) 2.32

Association between rates of HIV testing and elimination of written consents in San Francisco. JAMA (2007) 2.32

Continuing increases in sexual risk behavior and sexually transmitted diseases among men who have sex with men: San Francisco, Calif, 1999-2001, USA. Am J Public Health (2002) 2.30

"It's not just what the doctor tells me:" factors that influence surrogate decision-makers' perceptions of prognosis. Crit Care Med (2010) 2.25

Last-resort options for palliative sedation. Ann Intern Med (2009) 2.19

Intensive care of human immunodeficiency virus-infected patients during the era of highly active antiretroviral therapy. Am J Respir Crit Care Med (2002) 2.12

Chronic disorders of consciousness following coma: Part one: medical issues. Chest (2013) 1.98

The roles and experiences of nonaffiliated and non-scientist members of institutional review boards. Acad Med (2003) 1.94

Strategies for culturally effective end-of-life care. Ann Intern Med (2002) 1.77

Physicians should administer low-dose corticosteroids selectively to septic patients until an ongoing trial is completed. Ann Intern Med (2004) 1.76

Clinical decision-making: Patients' preferences and experiences. Patient Educ Couns (2006) 1.67

Patient-centered communication: do patients really prefer it? J Gen Intern Med (2004) 1.63

Recommendations for informed consent forms for critical care clinical trials. Crit Care Med (2005) 1.60

Discussing overall prognosis with the very elderly. N Engl J Med (2011) 1.60

Obtaining consent for future research with induced pluripotent cells: opportunities and challenges. PLoS Biol (2009) 1.58

Development of an e-mail database of US intensive care physicians. J Crit Care (2007) 1.58

Preventable readmission--is it in the eye of the beholder? JAMA Intern Med (2014) 1.56

Hope, truth, and preparing for death: perspectives of surrogate decision makers. Ann Intern Med (2008) 1.54

Opioids for chronic pain. Arch Intern Med (2011) 1.52

How can we know so little about physician referrals? Arch Intern Med (2012) 1.49

Trends in causes of death among persons with acquired immunodeficiency syndrome in the era of highly active antiretroviral therapy, San Francisco, 1994-1998. J Infect Dis (2002) 1.49

A multicenter study of key stakeholders' perspectives on communicating with surrogates about prognosis in intensive care units. Ann Am Thorac Soc (2015) 1.46

Rationing in the intensive care unit. Crit Care Med (2006) 1.45

Direct-to-consumer advertising: physicians' views of its effects on quality of care and the doctor-patient relationship. J Am Board Fam Pract (2004) 1.45

Human subjects issues and IRB review in practice-based research. Ann Fam Med (2005) 1.44

Nonconsented human immunodeficiency virus testing among critically ill patients: intensivists' practices and the influence of state laws. Arch Intern Med (2007) 1.42

Viagra, methamphetamine, and HIV risk: results from a probability sample of MSM, San Francisco. Sex Transm Dis (2007) 1.40

Doubt and belief in physicians' ability to prognosticate during critical illness: the perspective of surrogate decision makers. Crit Care Med (2008) 1.39

Healthy Young Adults: description and use of an innovative health insurance program. J Adolesc Health (2007) 1.39

The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendations. Am J Respir Crit Care Med (2004) 1.36

Navigating language barriers under difficult circumstances. Ann Intern Med (2008) 1.32

The language of prognostication in intensive care units. Med Decis Making (2008) 1.29

The challenges of IRB review and human subjects protections in practice-based research. Med Care (2002) 1.29

Risk behaviors and HIV incidence among repeat testers at publicly funded HIV testing sites in San Francisco. J Acquir Immune Defic Syndr (2002) 1.28

Life support for patients without a surrogate decision maker: who decides? Ann Intern Med (2007) 1.27

Survey of u.s. Human research protection organizations: workload and membership. J Empir Res Hum Res Ethics (2008) 1.26

Untapped potential: IRB guidance for the ethical research use of stored biological materials. IRB (2004) 1.24

International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med (2005) 1.22

Answers and questions about ethics consultations. JAMA (2003) 1.21

Direct-to-consumer advertising: public perceptions of its effects on health behaviors, health care, and the doctor-patient relationship. J Am Board Fam Pract (2004) 1.19

Coping with headaches. JAMA Intern Med (2014) 1.14

IRB Chairs' Perspectives on Genomics Research Involving Stored Biological Materials: Ethical Concerns and Proposed Solutions. J Empir Res Hum Res Ethics (2008) 1.14

Calculating expected years of life lost for assessing local ethnic disparities in causes of premature death. BMC Public Health (2008) 1.12

The public health response to epidemic syphilis, San Francisco, 1999-2004. Sex Transm Dis (2005) 1.08

Characterization of sexually transmitted disease clinic patients with recent human immunodeficiency virus infection. J Infect Dis (2002) 1.07

Cost-effectiveness of postexposure prophylaxis after sexual or injection-drug exposure to human immunodeficiency virus. Arch Intern Med (2004) 1.06

HPV vaccine and adolescents' sexual activity. BMJ (2006) 1.05

Clinical decision-making: physicians' preferences and experiences. BMC Fam Pract (2007) 1.05

Choices physicians would make if they were the parents of a child with hypoplastic left heart syndrome. Am J Cardiol (2003) 1.04

Survey of U.S. Boards that Review Mental Health-related Research. J Empir Res Hum Res Ethics (2008) 1.04

Failing the acid test: benefits of proton pump inhibitors may not justify the risks for many users. Arch Intern Med (2010) 1.02

Impact of housing on the survival of persons with AIDS. BMC Public Health (2009) 1.01

IRBs and ethically challenging protocols: views of IRB chairs about useful resources. IRB (2010) 1.00

'She gave it her best shot right away': patient experiences of biomedical and patient-centered communication. Patient Educ Couns (2005) 1.00

Simplifying consent increases HIV testing and new case detection: the San Francisco experience. Am J Public Health (2009) 0.99

Is there a proven link between anal cancer screening and reduced morbidity or mortality? Ann Intern Med (2009) 0.98

Responsible oversight of human stem cell research: the California Institute for Regenerative Medicine's medical and ethical standards. PLoS Med (2007) 0.97

Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ (2008) 0.95

Reasons for nonenrollment in a clinical trial of acute lung injury. Chest (2008) 0.95

The certificate of confidentiality application: a view from the NIH Institutes. IRB (2004) 0.95

The effectiveness of patient-delivered partner therapy and chlamydial and gonococcal reinfection in San Francisco. Sex Transm Dis (2010) 0.95

Research Participants' Perceptions of the Certificate of Confidentiality's Assurances and Limitations. J Empir Res Hum Res Ethics (2007) 0.94

Lessons from an HIV transmission pair. J Infect Dis (2007) 0.94

Palliative care in the intensive care unit: barriers, advances, and unmet needs. Crit Care Clin (2004) 0.93

A content analysis of forms, guidelines, and other materials documenting end-of-life care in intensive care units. J Crit Care (2004) 0.93

When previously expressed wishes conflict with best interests. JAMA Intern Med (2013) 0.92

Protecting subjects with decisional impairment in research: the need for a multifaceted approach. Am J Respir Crit Care Med (2004) 0.92

Legal barriers to implementing recommendations for universal, routine prenatal HIV testing. J Law Med Ethics (2004) 0.91

Strengthening community consultation in critical care and emergency research. Crit Care Med (2006) 0.90

Human immunodeficiency virus is (once again) a primary care disease. Arch Intern Med (2011) 0.90

Clinical trial design issues raised during recombinant DNA advisory committee review of gene transfer protocols. Hum Gene Ther (2006) 0.89

Perceptions of conflict of interest disclosures among peer reviewers. PLoS One (2011) 0.88

How do patients view the role of the primary care physician in inpatient care? Dis Mon (2002) 0.87