Articles with "futility" as a keyword



Futility of Up-Front Resection for Anatomically Resectable Pancreatic Cancer

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Published in 2024 at "JAMA Surgery"

DOI: 10.1001/jamasurg.2024.2485

Abstract: This study attempts to develop a futility risk model using a multi-institutional database and provide unified criteria associated with a futility likelihood below a safety threshold of 20%. read more here.

Keywords: anatomically resectable; futility; front resection; resectable pancreatic ... See more keywords

The Whys, Whens, and Hows of Futility Monitoring

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Published in 2025 at "Statistics in Medicine"

DOI: 10.1002/sim.70117

Abstract: There are different reasons to include futility monitoring in clinical trials. We often think of futility monitoring as being planned for business decisions, to limit time and money in a trial that will likely fail… read more here.

Keywords: whys whens; hows futility; futility monitoring; futility ... See more keywords

Quantifying the bias in the estimated treatment effect in randomized trials having interim analyses and a rule for early stopping for futility.

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Published in 2017 at "Statistics in medicine"

DOI: 10.1002/sim.7242

Abstract: In this paper, we consider the potential bias in the estimated treatment effect obtained from clinical trials, the protocols of which include the possibility of interim analyses and an early termination of the study for… read more here.

Keywords: futility; treatment; interim analyses; bias ... See more keywords

Medical futility regarding cardiopulmonary resuscitation in in-hospital cardiac arrests of adult patients: A Systematic Review and Meta-analysis.

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Published in 2021 at "Resuscitation"

DOI: 10.1016/j.resuscitation.2021.11.041

Abstract: AIM For some patients, survival with good neurologic function after cardiopulmonary resuscitation (CPR) is highly unlikely, thus CPR would be considered medically futile. Yet, in clinical practice, there are no well-established criteria, guidelines or measures… read more here.

Keywords: futility; adult patients; hospital; medical futility ... See more keywords

Modelling futility in the setting of fertility treatment.

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Published in 2022 at "Human reproduction"

DOI: 10.1093/humrep/deac051

Abstract: When is a fertility treatment futile? This question has great practical importance, given the role futility plays in ethical, legal and clinical discussions. Here, we outline a novel method of determining futility for IVF treatments.… read more here.

Keywords: futility; treatment; ivf treatments; fertility treatment ... See more keywords
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Getting The Balance Right: Medical Futility, Scientific Advancement, and the Role of Law.

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Published in 2020 at "Medical law review"

DOI: 10.1093/medlaw/fwaa011

Abstract: The concept of medical futility as an applied ethical framework has seen a rise and fall in its popularity over the last 30 years. It is a term used in relation to the assessment of… read more here.

Keywords: futility; law; scientific advancement; medical futility ... See more keywords

The inability to predict futility in hemorrhaging trauma patients using 4-hour transfusion volumes and rates

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Published in 2025 at "Journal of Trauma and Acute Care Surgery"

DOI: 10.1097/ta.0000000000004541

Abstract: BACKGROUND Blood shortages and utilization stewardship have motivated the trauma community to evaluate futility cutoffs during massive transfusions (MTs). Recent single-center studies have confirmed meaningful survival in ultra-MT (≥20 U) and super-MT (≥50 U), while… read more here.

Keywords: hour; transfusion volumes; futility; mortality ... See more keywords

Predicting Futility in Severely Injured Patients: Using Arrival Lab Values and Physiology to Support Evidence-Based Resource Stewardship.

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Published in 2023 at "Journal of the American College of Surgeons"

DOI: 10.1097/xcs.0000000000000563

Abstract: BACKGROUND The recent pandemic exposed a largely unrecognized threat to medical resources, including daily available blood products. Some of the most severely injured patients who arrive in extremis consume tremendous resources yet succumb shortly after… read more here.

Keywords: futility; injured patients; severely injured; physiology ... See more keywords

An evolutionary concept analysis of futility in health care

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Published in 2018 at "Journal of Advanced Nursing"

DOI: 10.1111/jan.13526

Abstract: AIM To report a concept analysis of futility in health care. BACKGROUND Each member of the healthcare team: the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current… read more here.

Keywords: concept; futility; concept analysis; futility health ... See more keywords

24 An audit into the number of patients suffering out-of-hospital cardiac arrest that are resuscitated despite a high likelihood of futility

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Published in 2017 at "Emergency Medicine Journal"

DOI: 10.1136/emermed-2017-207308.24

Abstract: Background For a significant number of patients suffering out-of-hospital cardiac arrest (OHCA) cardiopulmonary resuscitation (CPR) is likely to be futile and attempting it may be the wrong thing to do. Anticipatory care plans with do-not-attempt… read more here.

Keywords: risk; futility; high risk; patients suffering ... See more keywords
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Association of medical futility with do-not-resuscitate (DNR) code status in hospitalised patients

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Published in 2021 at "Journal of Medical Ethics"

DOI: 10.1136/medethics-2020-106977

Abstract: Guidelines recommend a ‘do-not-resuscitate’ (DNR) code status for inpatients in which cardiopulmonary resuscitation (CPR) attempts are considered futile because of low probability of survival with good neurological outcome. We retrospectively assessed the prevalence of DNR… read more here.

Keywords: dnr code; futility; code status; code ... See more keywords