Outcomes of ICU patients with and without perceptions of excessive care: a comparison between cancer and non-cancer patients

Dominique Benoit, Esther E.N. van der Zee, Michael Darmon, An A.K.L. Reyners, Victoria Metaxa, Djamel Mokart, Alexander Wilmer, Pieter Depuydt, Andreas Hvarfner, Katerina Rusinova, Jan G.Zijlstra, François Vincent, Dimitrios Lathyris, Anne-Pascale Meert, Jacques Devriendt, Emma Uyttersprot, Erwin Jo E.J.O. Kompanje, Ruth R.D. Piers and Elie Azoulay

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Abstract: Background: Whether Intensive Care Unit (ICU) clinicians display unconscious bias towards cancer patients is unknown. The aim of this study was to compare the outcomes of critically ill patients with and without perceptions of excessive care (PECs) by ICU clinicians in patients with and without cancer. Methods: This study is a sub-analysis of the large multicentre DISPROPRICUS study. Clinicians of 56 ICUs in Europe and the United States completed a daily questionnaire about the appropriateness of care during a 28-day period. We compared the cumulative incidence of patients with concordant PECs, treatment limitation decisions (TLDs) and death between patients with uncontrolled and controlled cancer, and patients without cancer. Results: Of the 1641 patients, 117 (7.1%) had uncontrolled cancer and 270 (16.4%) had controlled cancer. The cumulative incidence of concordant PECs in patients with uncontrolled and controlled cancer versus patients without cancer was 20.5%, 8.1%, and 9.1% (p

Keywords: Bias; Cancer; Critical care; ICU; Perception of care; Prognostication; Treatment limitation (search for similar items in EconPapers)
Date: 2021-12
New Economics Papers: this item is included in nep-isf and nep-ore
Note: SCOPUS: ar.j
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Published in: Annals of intensive care (2021) v.11 n° 1

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