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The different steps of our local procedure were: (1) Withdrawal of life-sustaining therapy (WLST) decision was discussed by intensive care staff including external second opinion.
In the main and nested models only whether or not the patient perceived the surgical treatment decision was discussed remained significant.
The decision was discussed with the patient if competent in 40% (everything done) to 86% (intensification of alleviation of symptoms) of cases.
When a drug was administered with the intention of hastening death, the decision was discussed in 14, 10, 19 and 4 cases out of 24, respectively.
Specifically, patients' reports on the length of the consultation with the senior physician in which the decision was discussed or even finalised may have involved some inaccuracy of measurement.
When a treatment was withdrawn for a possibly incompetent patient, the decision was discussed with other doctors in 39% of cases, with the nursing staff in 27% of cases and with the family in 50% of cases.
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Every decision is discussed and taken together in an open approach.
Jubilation was tempered with apprehension as the implications of the decision were discussed across the country.
Both of these two analyses are proven safe and the reasons behind each design decision are discussed.
Measurement difficulties stemming from ability bias, measurement error, and the potential endogeneity of the education decision are discussed, along with how some researchers address these concerns.
This decision is discussed in the last part of the paper.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com