RT info:eu-repo/semantics/article
T1 Clinical ethical dilemmas for vascular surgeons (The vascuethics study) : are self-interest attitudes related to profeccional seniority
A1 Clará, Alberto
A1 Ysa, A.
A1 Roman, Begoña
A1 Anglés, M.
A1 Vidal Barraquer, Francesc
A1 Vaquero Puerta, Carlos
A1 Vascuethics Study Group
K1 Cardiovascular, Sistema - Enfermedades
K1 Cirugía operatoria
K1 Médicos - Ética profesional
AB Objective. To evaluate the association between professional seniority and self-interest (PSI) attitudes in the resolution ofvascular 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): 2favouring legitimate ethical attitudes (LEA) and 1 favouring PSI. The questionnaire was self-administered and allparticipants stated their degree of agreement with each answer on a continuous Likert scale. PSI was evaluated by: (1) addingthe magnitudes of the 5 answers favouring PSI (absPSI); and (2) by comparing in each case the magnitude of the PSI answerwith 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 publichospitals 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 privatepractice; (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 inprofessional seniority there was a 3.2% increase in absPSI (p ¼ 0.007, adjusted by variables 3 and 4), and a 3.4% increase inrelPSI (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 ethicaldilemma. Both vascular surgeons and health institutions should promote the reversal of this worrying tendency.
PB Elsevier
SN 1078-5884
YR 2013
FD 2013
LK http://uvadoc.uva.es/handle/10324/3399
UL http://uvadoc.uva.es/handle/10324/3399
LA eng
NO European Journal Vascular Endovascular Surgery
NO Producción Científica
DS UVaDOC
RD 26-abr-2024