Medical futility: its meaning and ethical implications

scientific article published on June 1990

Medical futility: its meaning and ethical implications is …
instance of (P31):
scholarly articleQ13442814
review articleQ7318358

External links are
P356DOI10.7326/0003-4819-112-12-949
P698PubMed publication ID2187394
P5875ResearchGate publication ID20969450

P2093author name stringJonsen AR
Schneiderman LJ
Jecker NS
P433issue12
P407language of work or nameEnglishQ1860
P921main subjectresearch ethicsQ1132684
medical ethicsQ237151
P304page(s)949-954
P577publication date1990-06-01
P1433published inAnnals of Internal MedicineQ564416
P1476titleMedical futility: its meaning and ethical implications
P478volume112

Reverse relations

cites work (P2860)
Q46729606"Choosing wisely" to reduce low-value care: a conceptual and ethical analysis
Q47740026A broader look at medical futility
Q48237554A comparative survey on potentially futile treatments between Japanese nurses and laypeople
Q37399174A family's request for complementary medicine after patient brain death
Q37186431A history of ethics and law in the intensive care unit
Q34383468A randomized trial of ethics education for medical house officers
Q48676056Abuse of durable power of attorney for health care: case report
Q42008618After Cruzan--the work to be done
Q89501647After the DNR: Surrogates Who Persist in Requesting Cardiopulmonary Resuscitation
Q36064638Aggressive surgical palliation for advanced girdle tumours
Q40621682Allocation of resources in intensive care: a transatlantic perspective
Q48006924An examination of the incidence of intubation and mechanical ventilation beyond the peri-operative period in pediatric heart transplant recipients
Q40680920Applying futility: saying no is not enough
Q47850747Ashley, Two Born as One, and the Best Interests of a Child
Q34385234At the coalface--medical ethics in practice. Futility and death in paediatric medical intensive care
Q34604336Autonomy and authority in medical futility.
Q33550729Autonomy and futility
Q47601381Avoiding family feuds: responding to surrogate demands for life-sustaining interventions
Q47583253Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development
Q34953399Beyond futility: to what extent is the concept of futility useful in clinical decision-making about CPR?
Q37280875Beyond the futility argument: the fair process approach and time-limited trials for managing dialysis conflict
Q34706673Bill C-203: a postmortem analysis of the "right-to-die" legislation that died
Q34038699Bioethics for clinicians: 16. Dealing with demands for inappropriate treatment.
Q51992870Bioethics in pediatric neuromuscular disease.
Q38063155Buddhism and medical futility
Q40680928Can we set futile care policies? Institutional and systemic challenges
Q26826921Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient
Q39894434Cardiopulmonary resuscitation and ethics
Q43010466Cardiopulmonary resuscitation for patients in a persistent vegetative state: futile or acceptable?
Q35130245Care of Terminally Ill Cancer Patients: An Intensivist's Dilemma
Q73542224Choosing appropriate medical care for the elderly
Q53653951Clinical and ethical perspectives on rationing of high-cost drugs.
Q36902558Clinical review: the role of the intensivist and the rapid response team in nosocomial end-of-life care
Q33553421Clozapine rationing in a state mental hospital: reviewing a HEC's case consultation
Q37783848Comfort Measures: Practical Care of the Dying Cancer Patient
Q84281054Comment to the paper: Palliative functional hemispherectomy for treatment of refractory status epilepticus associated with Alper's disease
Q46799822Commentary: weighing and comparing expert testimony by medical ethicists
Q51992680Competency and consent in dementia.
Q34589002Conditions and consequences of medical futility--from a literature review to a clinical model
Q53653305Conflict in the pediatric setting: clinical judgment vs. parental autonomy.
Q34187787Constructing an ethical stereotaxy for severe brain injury: balancing risks, benefits and access
Q50124827Contributions of empirical research to medical ethics
Q40985780Cost effectiveness in the intensive care unit
Q40895079Cost-effectiveness in nuclear medicine
Q39841902Death notification training for prehospital providers: a pilot study.
Q42068322Deciding not to resuscitate in Dutch hospitals
Q33559706Decision making in critically ill patients with hematologic malignancy
Q42743862Defining Medical Futility and Improving Medical Care
Q34717674Derivation of a termination-of-resuscitation guideline for emergency medical technicians using automated external defibrillators
Q33928167Determination of "futility" in emergency medicine
Q37391540Dialysis by the book? Treatment of renal failure in a 101-year-old patient
Q50125933Dilemmas in Dual Disease: Complexity and Futility in Prosthetic Valve Endocarditis and Substance Use Disorder
Q41566644Discontinuing dialysis in persistent vegetative state: the roles of autonomy, community, and professional moral agency
Q58676281Discontinuing the LVAD: ethical considerations
Q57214242Discrepancies among patients, family members, and physicians in Korea in terms of values regarding the withholding of treatment from patients with terminal malignancies
Q41446962Discussing futility with patients and families
Q36283302Do not resuscitate orders: considerations for family physicians
Q34050034Do parents or surrogates have the right to demand treatment deemed futile? An analysis of the case of Baby L.
Q34045048Do physicians disclose uncertainty when discussing prognosis in grave critical illness?
Q46332650Does professional autonomy protect medical futility judgments?
Q46040599Dr. Gordon responds
Q33468677Dying, death and bereavement: a qualitative study of the views of carers of people with heart failure in the UK.
Q57178599EAST Multicenter Trial on targeted temperature management for hanging-induced cardiac arrest
Q41872545END OF LIFE CARE DECISIONS AND THE HOSPICE MOVEMENT
Q74836085Easing the burden of decisionmaking in futile situations
Q37945281Emergency medicine and futile care: Taking the road less travelled.
Q47233204Encountering diversity: medical ethics and pluralism
Q37391240End of life issues in the intensive care units
Q34201626End-of-life care policy: An integrated care plan for the dying: A Joint Position Statement of the Indian Society of Critical Care Medicine (ISCCM) and the Indian Association of Palliative Care (IAPC).
Q45335312End-of-life decisionmaking in the Veterans Health Administration
Q41678354End-of-life decisions and practices in critically ill patients in the cardiac intensive care unit. A nationwide survey
Q48069078Enteral nutrition in end of life care: the Jewish Halachic ethics
Q37206569Epidemiology, Risk Factors, and Outcomes of Out-of-Hospital Cardiac Arrest Caused by Stroke: A Population-Based Study
Q38491987Ethical Issues in Surgical Critical Care: The Complexity of Interpersonal Relationships in the Surgical Intensive Care Unit
Q64097161Ethical Issues in the Treatment of Late-Stage Alzheimer’s Disease
Q34282558Ethical and legal issues in palliative care
Q58668797Ethical and legal issues in palliative care
Q58681501Ethical considerations
Q53595474Ethical considerations relating to terminal weaning in intensive care.
Q53574288Ethical dilemmas in the delivery room.
Q40643126Ethical dilemmas of do-not-resuscitate orders in surgery
Q40877006Ethical issues in adult resuscitation
Q40848035Ethical issues in emergency care.
Q37218049Ethical issues in the management of patients with impaired consciousness
Q53590353Ethical issues of cardiopulmonary resuscitation: current practice among emergency physicians.
Q33701204Ethical issues of resuscitation
Q34398557Ethical issues relating to the use of antimicrobial therapy in older adults
Q35119103Ethical language and decision-making for prenatally diagnosed lethal malformations
Q35132854Ethical problems in intensive care unit admission and discharge decisions: a qualitative study among physicians and nurses in the Netherlands
Q52274657Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastrostomy tube placement.
Q58667455Ethics in the ICU
Q33722842Ethics perspectives on end-of-life care
Q34051554Ethics seminars: case studies in "futility"-challenges for academic emergency medicine.
Q71060564Euthanasia by stages
Q36637947Evaluating a patient's request for life-prolonging treatment: an ethical framework
Q35182809Evidence-based ethics and the care and outcome of extremely premature infants
Q48212224Expensive care? Resource-based thresholds for potentially inappropriate treatment in intensive care.
Q34428288Experiences of Slovene ICU physicians with end-of-life decision making: a nation-wide survey
Q33935126Expert testimony by persons trained in ethical reasoning: the case of Andrew Sawatzky
Q33246301Experts' attitudes towards medical futility: an empirical survey from Japan
Q47335895Factor structure of the Beck Hopelessness Scale in individuals with advanced cancer.
Q44709838Factors associated with futile end-of-life intensive care in a cancer hospital
Q38029000Fatally flawed? A review and ethical analysis of lethal congenital malformations
Q41036041Foregoing renal dialysis: a case study and review of ethical issues. The End-Stage Renal Disease Group
Q47561352From "Longshot" to "Fantasy": Obligations to Pediatric Patients and Families When Last-Ditch Medical Efforts Fail
Q82865314Fruitful or futile: intensive care nurses' experiences and perceptions of medical futility
Q53446663Futile care in oncology: when to stop trying.
Q40286444Futile care policy. Lessons learned from three years' experience in a community hospital
Q40758504Futile medical treatment: a review of the ethical arguments and legal holdings
Q34024087Futilitarianism: knowing how much is enough in end-of-life health care.
Q57988809Futility and Fairness: A Defense of the Texas Advance Directive Law
Q37287547Futility and rationing in liver retransplantation: when and how can we say no?
Q37524855Futility and the care of surgical patients: ethical dilemmas
Q49051758Futility clarified
Q39223910Futility has no utility in resuscitation medicine
Q46136391Futility in neurosurgery: a patient-centered approach
Q78849884Futility in resuscitation from cardiac arrest: role of out-of-hospital healthcare professionals
Q53670844Futility: are goals the problem? Part Two.
Q36111448Futility: clinical decisions at the end-of-life in women with ovarian cancer
Q37433997Futility: what Cool Hand Luke can teach the surgical community
Q40734208Good life, good death, and the right to die: ethical considerations for decisions at the end of life
Q57070698Guideline-defined futility or patient-reported outcomes to assess treatment success after TAVI: what to use? Results from a prospective cohort study with long-term follow-up
Q35491810Guiding patients facing decisions about "futile" chemotherapy
Q51181899Hastening death and the boundaries of the self.
Q33578467Healthcare resource consumption in terminal care
Q72736217Helga Wanglie revisited: medical futility and the limits of autonomy
Q71776444High technology near the end of life: setting limits
Q37732246High-risk percutaneous coronary intervention in the era of public reporting: clinical and ethical considerations in the care of an elderly patient with critical left main disease and shock
Q50126019Honesty in Shared Decision Making When Last-Ditch Efforts Fail
Q34708431Hospital policies on life-sustaining treatments and advance directives in Canada.
Q41137812ICU scoring systems do not allow prediction of patient outcomes or comparison of ICU performance
Q40966758Identifying critically ill patients with acute kidney injury for whom renal replacement therapy is inappropriate: an exercise in futility?
Q35269085Identifying futility in a paediatric critical care setting: a prospective observational study
Q48252177Impact of active cancer disease on the outcome of patients undergoing transcatheter aortic valve replacement
Q53591394Implementation of guidelines for No-CPR orders by a general medicine unit in a teaching hospital.
Q97880462Increasing Importance of Ethics in Surgical Decision Making
Q46830216Institutional futility policies are inherently unfair
Q79334166Intensive care admission decisions for a patient with limited survival prospects: a questionnaire and database analysis
Q24806347International perspectives on intensive care at the end-of-life: the futility movement seems alive and well
Q34054761Is It Time to Inform This Patient that Further Antineoplastic Drug Therapy Will Not Be of Clinical Value?
Q50063412Is There Ever a Role for the Unilateral Do Not Attempt Resuscitation Order in Pediatric Care?
Q97092557Is shortening the response-to-treatment waiting time appropriate during the Covid-19 pandemic?
Q37109783Issues surrounding end-of-life decision-making
Q37835671Knowing when to stop: futility in the ICU.
Q36035771Laying Futility to Rest
Q34102105Legal aspects of withholding and withdrawing life support from critically ill patients in the United States and providing palliative care to them
Q67483199Letting vegetative patients die
Q70506393Life-prolonging treatments late in life
Q52022090Long-term care facility policies on life-sustaining treatments and advance directives in Canada.
Q41884374MRSA in The Netherlands: preventive measure raises a moral issue
Q88992138Management of the hopelessly ill patient: to stop or not to start?
Q90214205Managing Ethical Dilemmas in End-Stage Neurodegenerative Diseases
Q38159878Managing futility in critically ill patients with cardiac disease
Q43648799Matters of life and death: conversations among patients, families, and their physicians
Q70212938Measurement of the quality of life in clinical trials: in pursuit of the unapproachable?
Q92497830Mechanical ventilation in medical departments: a necessary evil, or a blessing in bad disguise?
Q71567061Medical futility
Q73453021Medical futility
Q33667887Medical futility
Q40242028Medical futility and care of dying patients.
Q39066524Medical futility and its challenges: a review study
Q43077026Medical futility and physician discretion
Q40563812Medical futility and the Texas Advance Directives Act of 1999.
Q34386765Medical futility and the social context
Q72736229Medical futility in resuscitation: value judgement and clinical judgement
Q42739138Medical futility in the era of evidence-based medicine
Q80546951Medical futility in the post-modern context
Q41078296Medical futility, treatment withdrawal and the persistent vegetative state
Q37005180Medical futility: a conceptual model.
Q48121306Medical futility: a paradigm analysis
Q36256077Medical futility: definition, determination, and disputes in critical care
Q53584414Medical futility: towards consensus on disagreement.
Q40680933Medical futility: transforming a clinical concept into legal and social policies
Q53659390Medical futility: where do we go from here?
Q44245657Medical interventions for children with trisomy 13 and trisomy 18: what is the value of a short disabled life?
Q36941639Medically Inappropriate or Futile Treatment: Deliberation and Justification
Q40871039Moving toward uniform reporting and terminology
Q34063939Negotiating natural death in intensive care
Q38239382Neonatal junctional epidermolysis bullosa: treatment conundrums and ethical decision making
Q36298506Neurological outcomes in children dead on hospital arrival
Q82978526Orthotopic liver transplantation in critically ill cirrhotic patients with multi-organ failure: a single-center experience
Q47185205Our cultures, our selves: toward an honest dialogue on race and end-of-life decisions
Q91529164Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
Q36388547Parenteral nutrition: ethical and legal considerations
Q36186811Patient autonomy and medical paternity: can nurses help doctors to listen to patients?
Q36094504Perceptions of "futile care" among caregivers in intensive care units
Q36927494Perceptions of patients on the utility or futility of end-of-life treatment
Q67723067Physician Decisions Regarding Life Support in the Intensive Care Unit
Q53646919Physician characteristics associated with decisions to withdraw life support.
Q35244273Physician refusal of requests for futile or ineffective interventions
Q43407927Physicians' attitudes towards living wills and cardiopulmonary resuscitation
Q48689601Physicians' disagreements about life-sustaining treatments: a case study
Q74757664Point and counterpoint. Should HECs initiate policies to prevent recurring bioethical dilemmas?
Q35790013Policies of withholding and withdrawal of life-sustaining treatment in critically ill patients on cardiac intensive care units in Germany: a national survey
Q52055945Postoperative futility: a clinical algorithm for setting limits.
Q34000486Predictive performance of universal termination of resuscitation rules in an Asian community: are they accurate enough?
Q44247226Prognosis is important in decisionmaking in Dutch nursing home patients with dementia and pneumonia
Q50117144Prognosis-based futility guidelines: does anyone win? SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment.
Q51131942Projecting patients' preferences from living wills: an invalid strategy for management of dementia with life-threatening illness.
Q51155595Prolonged Ventilator Dependence: Economic and Ethical Considerations
Q42839712Pulling the plug on futility
Q47352828Putting futility to use in the NICU: ethical implications of non‐survival after CPR in very low‐birth‐weight infants
Q48632101Rationing: a "decent minimum" or a "consumer driven" health care system?
Q48617706Re-reading On death & dying: what Elisabeth Kubler-Ross can teach clinical bioethics
Q39901159Reasons behind providing futile medical treatments in Iran
Q47747735Reasons doctors provide futile treatment at the end of life: a qualitative study.
Q51504785Reasons for withdrawing treatment in patients receiving intensive care.
Q37090779Relationship Between the Duration of Cardiopulmonary Resuscitation and Favorable Neurological Outcomes After Out-of-Hospital Cardiac Arrest: A Prospective, Nationwide, Population-Based Cohort Study
Q34386746Requests for "inappropriate" treatment based on religious beliefs
Q71121501Resource consumption and the extent of futile care among patients in a pediatric intensive care unit setting
Q39036933Restricting Access to ART on the Basis of Criminal Record : An Ethical Analysis of a State-Enforced "Presumption Against Treatment" With Regard to Assisted Reproductive Technologies
Q34385252Resuscitation decisions in the elderly: a discussion of current thinking
Q41956681Rethinking rescue medicine
Q79375906Sepsis and its consequences
Q53506926Should cardiopulmonary resuscitation be performed on patients with heart failure? The role of the patient in the decision-making process.
Q41871400Should patient consent be required to write a do not resuscitate order?
Q79122689Should we refuse requests for complementary therapies?
Q38870744Social, Economic, and Political Issues Affecting End-of-Life Care
Q35695899Somatosensory evoked potentials in coma prognosis.
Q58658270Special Ethical Issues in the Management of PVS Patients
Q37277730Surrogate decision makers' responses to physicians' predictions of medical futility
Q38714571TAVI or No TAVI: identifying patients unlikely to benefit from transcatheter aortic valve implantation
Q34117905Terminal nutrition: framing the debate for the withdrawal of nutritional support in terminally ill patients
Q82124935Terminating resuscitation for out-of-hospital cardiac arrest?
Q39853887Termination of Resuscitation Rules to Predict Neurological Outcomes in Out-of-Hospital Cardiac Arrest for an Intermediate Life Support Prehospital System
Q33970000Termination of life support after major trauma.
Q48195223Termination of pre-hospital resuscitation by anaesthesiologists - causes and consequences. A retrospective study.
Q33753893Termination-of-resuscitation rule for emergency department physicians treating out-of-hospital cardiac arrest patients: an observational cohort study
Q30455303Testing the medical covenant: caring for patients with advanced dementia
Q58659244The AIDS patient and the last ICU bed: scarcity, medical futility, and ethics
Q79230137The Arguments for Euthanasia and Physician-Assisted Suicide: Catholic Response
Q46054115The Baby K case: a search for the elusive standard of medical care.
Q33633366The Laing Essay 1998: Ethical issues in burn care
Q74765811The Parkland approach to demands for "futile" treatment
Q83199909The Texas Advance Directives Act of 1999: an exercise in futility?
Q53489198The Texas Advance Directives Act of 1999: politics and reality.
Q38557373The Texas Advanced Directive Law: Unfinished Business
Q48303672The best interests of persistently vegetative patients: to die rather that to live?
Q39869977The challenge of applying advance directives in hospital practice
Q34048624The do-not-resuscitate decision: the context, process, and consequences of DNR orders
Q37774286The empirical basis for determinations of medical futility.
Q41050459The ethical appropriateness of using prognostic scoring systems in clinical management.
Q40836217The ethics of medical futility.
Q40680916The futility debate: effective versus beneficial intervention
Q40909732The new obstetrics: its integration into neonatal clinical practise, teaching and research
Q53657549The option to withdraw from chronic dialysis treatment.
Q47625090The outcome of children requiring admission to an intensive care unit following bone marrow transplantation
Q46657791The peculiar genius of John Nash (review of A beautiful mind).
Q48189079The persistence of physician-parent conflicts
Q48492881The question of futility and Roger C. Bone
Q34779429The scene time interval and basic life support termination of resuscitation rule in adult out-of-hospital cardiac arrest
Q35571403The surgical intensivist as mediator of end-of-life issues in the care of critically ill patients
Q40446828To use dialysis appropriately: the emerging consensus on patient selection guidelines
Q48887229Too much of a good thing is wonderful? A conceptual analysis of excessive examinations and diagnostic futility in diagnostic radiology
Q55083956Translating futility.
Q38824841Uncertainty, conflict and consent: revisiting the futility debate in neurotrauma
Q44315488Understanding Factors Contributing to Inappropriate Critical Care: A Mixed-Methods Analysis of Medical Record Documentation
Q80546955What medical futility means to clinicians
Q53391179When Do We Stop, and How Do We Do It? Medical Futility and Withdrawal of Care
Q89035922When Religion and Medicine Clash: Non-beneficial Treatments and Hope for a Miracle
Q35917710When is medical treatment futile? A guide for students, residents, and physicians
Q95606271When predictions are used to allocate scarce health care resources: three considerations for models in the era of Covid-19
Q55404820Why I am not a futilitarian (review of When doctors say no: the battleground of medical futility).
Q37205816Withdrawal of life sustaining treatment in children in the first year of life.
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Q42951101Withdrawing Medically Futile Treatment
Q33813224Withdrawing life support and resolution of conflict with families
Q37078755Withholding and withdrawing dialysis in the intensive care unit: benefits derived from consulting the renal physicians association/american society of nephrology clinical practice guideline, shared decision-making in the appropriate initiation of an
Q43077164Withholding artificial feeding from the severely demented: merciful or immoral? Contrasts between secular and Jewish perspectives
Q47823186Withholding or starting antibiotic treatment in patients with dementia and pneumonia: prediction of mortality with physicians' judgment of illness severity and with specific prognostic models.
Q40630639Writing "no-CPR" orders: must resuscitation always be offered?
Q84707935[Chances and limitations of patients' advance decisions at the end of life]
Q77653045[Do not resuscitate orders in patients with acute stroke. What circumstances decide their use?]
Q58666216[Geriatric patients in intensive care medicine. Ethical aspects]
Q87025040[Intensive and palliative care medicine. From academic distance to caring affection]
Q84710667[Rationing health care by thresholds for clinical benefit and its acceptance by the German population]
Q58669824[The ethics of prescriptions. Conflicts of the physician and the patient, the management entity and the pharmaceutical industry]
Q57988407“Erring on the Side of Life” Is Sometimes an Error: Physicians Have the Primary Responsibility to Correct This

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