Intuition vs. Deliberation in Medical Decision Making
Completed · Not applicable
Conditions studied: Decision Making About Life-sustaining Treatment in Patients With Serious Cardiac, Respiratory and Oncological Conditions Likely to Limit Life Expectancy
In brief
The purpose of this study is to determine whether there are systematic differences between the decisions patients make intuitively versus deliberatively about life-sustaining medical therapies. The targeted population is inpatients at the Hospital of the University of Pennsylvania with serious medical problems. The study will involve facilitated interviews with patients using a survey instrument developed in Qualtrics.
Key facts
- Study ID
- NCT02487810
- Run by
- University of Pennsylvania
- People needed
- 200
- Starts
- 2015-07-01
- Expected to finish
- 2016-03-01
- Last updated by the study team
- 2019-07-19
Who can join
Age: 60 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 60 and older
- Currently an inpatient at Hospital of the University of Pennsylvania
- Speaks and reads fluently in English
- Either
- Has one of the following medical conditions:
- Chronic obstructive pulmonary disease with at least severe airflow obstruction on most recent spirometry and/or eligible for long-term oxygen therapy
- Incurable interstitial lung disease with at least severe restriction on most recent pulmonary function tests and/or eligible for long-term oxygen therapy
- Congestive heart failure with NYHA Class III or higher and current hospitalization related to heart failure
- Acute myeloid leukemia
- Stage IV lymphoma
- Stage IIIB or Stage IV non-small cell lung cancer, cholangiocarcinoma, renal cell carcinoma, breast cancer, uterine cancer, cervical cancer, ovarian cancer, colorectal cancer, gastric cancer, pancreatic cancer, prostate cancer, urothelial cancer
- Stage C or D hepatocellular carcinoma
- Mesothelioma or any malignancy metastatic to the pleura; or
- Is hospitalized on oncology, pulmonary or cardiology service and has been hospitalized at least one other time during the last year on the same service
- Stable vital signs
You may not qualify if…
- Notation of code status limitation in electronic medical record
- Cognitive impairment to the point unable to give informed consent
- Current feeding tube placement
- Current tracheostomy
- Severe pain, shortness of breath or other uncontrolled symptoms
- Actively undergoing evaluation for solid organ transplant
- First hospitalization after diagnosis of serious illness
Where it is running
- Hospital of the University of Pennsylvania — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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