Percutaneous Feeding Tubes in Individuals with Advanced Dementia: Are Physicians "Choosing Wisely"?
Percutaneous Feeding Tubes in Individuals with Advanced Dementia: Are Physicians "Choosing Wisely"?
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DOI：
10.1111/jgs.15125
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发表时间：
2018-01-01
影响因子：
6.3
通讯作者：
Wolf-Klein, Gisele
中科院分区：
文献类型：
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作者：
Gieniusz, Marzena;Sinvani, Liron;Wolf-Klein, Gisele
目的评估医生对美国内科医学委员会/美国老年医学会（ABIM/AGS）明智地选择经皮内镜胃造口术（PEG）治疗晚期痴呆患者的知识和看法。设计多中心、混合模式、匿名问卷。在纽约有三家三级医院和四家社区医院。参与者：内科医生（N=168）。测量：医生对晚期痴呆患者PEG管的认识和看法。结果99%的医生报告曾照顾过晚期痴呆患者；95%的人参与了PEG决策过程；38%的人不确定ABIM/ agschoolsing wise的建议是支持还是反对晚期痴呆患者使用PEG管。同意有足够证据反对晚期痴呆患者植入PEG的医生更有可能知道ABIM/AGSChoosing明智的建议(71%对28%，P
ObjectivesTo evaluate physician knowledge and perceptions about the American Board of Internal Medicine/American Geriatrics Society (ABIM/AGS) Choosing Wisely recommendations regarding percutaneous endoscopic gastrostomy (PEG) in individuals with advanced dementia.DesignMulticenter, mixed-mode, anonymous questionnaire.SettingThree tertiary and four community hospitals in New York.ParticipantsInternal medicine physicians (N=168).MeasurementsPhysician knowledge and perceptions regarding PEG tubes in individuals with advanced dementia.ResultsNinety-nine percent of physicians reported having cared for someone with advanced dementia; 95% had been involved in the PEG decision-making process; 38% were unsure whether the ABIM/AGSChoosing Wisely recommendations advise for or against PEG tubes in advanced dementia. Physicians who agreed that there is enough evidence to recommend against PEG placement for individuals with advanced dementia were more likely to know the ABIM/AGSChoosing Wisely recommendations (71% vs 28%, P