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oai:uvadoc.uva.es:10324/33992021-11-04T09:22:38Zcom_10324_1138com_10324_931com_10324_894col_10324_1226

00925njm 22002777a 4500 dc Clará, Alberto author Ysa, A. author Roman, Begoña author Anglés, M. author Vidal Barraquer, Francesc author Vaquero Puerta, Carlos author Vascuethics Study Group author 2013 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. 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 Cardiovascular, Sistema - Enfermedades Cirugía operatoria Médicos - Ética profesional Clinical ethical dilemmas for vascular surgeons (The vascuethics study) : are self-interest attitudes related to profeccional seniority