2024-03-29T12:31:59Zhttp://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/33992021-11-04T09:22:38Zcom_10324_1138com_10324_931com_10324_894col_10324_1226
Clinical ethical dilemmas for vascular surgeons (The vascuethics study) : are self-interest attitudes related to profeccional seniority
Clará, Alberto
Ysa, A.
Roman, Begoña
Anglés, M.
Vidal Barraquer, Francesc
Vaquero Puerta, Carlos
Vascuethics Study Group
Cardiovascular, Sistema - Enfermedades
Cirugía operatoria
Médicos - Ética profesional
Producción Científica
Objective. To evaluate the association between professional seniority and self-interest (PSI) attitudes in the resolution of
vascular ethical dilemmas (VED).
Design. Cross-sectional.
Subjects. Vascular surgeons (residents included) from the 28 vascular teaching departments of Spain.
Measurements. Multidisciplinary team-designed questionnaire of 5 VED. Each VED had 3 different answers (attitudes): 2
favouring legitimate ethical attitudes (LEA) and 1 favouring PSI. The questionnaire was self-administered and all
participants stated their degree of agreement with each answer on a continuous Likert scale. PSI was evaluated by: (1) adding
the magnitudes of the 5 answers favouring PSI (absPSI); and (2) by comparing in each case the magnitude of the PSI answer
with that of the 2 LEA (relPSI).
Statistics. Linear regression adjusted by confounding factors.
Results. Two hundred and fifty-three vascular surgeons from the 26 participating teaching vascular departments of public
hospitals completed the questionnaire (87.5% surgeons/department). Surgeon characteristics were: (1) median age 37 years;
(2) 187 (74%) male; (3) 59 (23%) brought up with a health professional relative; (4) 94 (38%) had additional private
practice; (5) 133 (65%) professed religious beliefs; and (6) 1–10 years of experience in 116 (47%), 11–20 years in 58 (24%),
21–30 years in 57 (23%), and .30 years in 15 (6%). The multivariate analysis disclosed that for every 10-years rise in
professional seniority there was a 3.2% increase in absPSI (p ¼ 0.007, adjusted by variables 3 and 4), and a 3.4% increase in
relPSI (p ¼ 0.002, adjusted by variable 5).
Conclusions. Professional seniority is associated with a slight increase in pro-PSI attitudes in cases of vascular ethical
dilemma. Both vascular surgeons and health institutions should promote the reversal of this worrying tendency.
2013-08-30T10:28:34Z
2013-08-30T10:28:34Z
2013
info:eu-repo/semantics/article
European Journal Vascular Endovascular Surgery
1078-5884
http://uvadoc.uva.es/handle/10324/3399
10.1016/j.ejvs.2004.02.018
525
533
European Journal Vascular Endovascular Surgery
27
eng
http://www.sciencedirect.com on
Attribution-NonCommercial-NoDerivs 3.0 Unported
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/
application/pdf
Elsevier
https://uvadoc.uva.es/bitstream/10324/3399/6/vaquero25.pdf.jpg
Hispana
TEXT
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UVaDOC. Repositorio Documental de la Universidad de Valladolid
http://uvadoc.uva.es/handle/10324/3399