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Table 4 Appraisal of ethical challenges in the decision-making process for VS patients

From: Physicians’ attitudes toward medical and ethical challenges for patients in the vegetative state: comparing Canadian and German perspectives in a vignette survey

  Median (1st, 3rdquartile) on NRS (0-10)  
  All groups* (n = 332) Rank order Canadian group* (n = 200) Rank order German group* (n = 132) Rank order pvalue
Determining patient’s wishes (n = 320) 7 (5,9) 1 7 (4.5,8) 2 8 (7,10) 1 p < 0.001
Accompanying family members in decisions (n = 322) 7 (5,8) 2 6 (3,8) 4 7 (6,9) 3 p < 0.001
Finding long-term care (n = 314) 7 (4,9) 3 8 (4,9) 1 6 (4,8) 6 p = 0.007
Making prognosis and predicting recovery (n = 323) 7 (4,9) 3 7 (3,8) 3 8 (7,10) 1 p < 0.001
Evaluating resource allocation (n = 318) 7 (3,9) 4 6 (3,8) 4 7 (4,9) 4 p = 0.010
Deciding for patient in absence of surrogate (n = 321) 7 (4,9) 4 5 (2,7) 6 8 (7,10) 1 p < 0.001
Assessing medical futility (n = 319) 6 (3,8) 5 4 (2,7) 7 7 (5,8) 5 p < 0.001
Making correct diagnosis (n = 325) 6 (2,8) 6 5 (2,8) 5 7 (4,9) 4 p < 0.001
Discontinuing LST (n = 323) 6 (2,8) 6 4 (2,7) 7 8 (5,10) 2 p < 0.001
Accompanying clients through staff rotations (n = 313) 5 (3,7) 7 5 (2,7) 6 6 (3.5,8) 7 p = 0.002
Applying a decision made by surrogate (n = 318) 5 (3,7) 7 4 (2,6) 8 7 (5,8) 5 p < 0.001
Reaching an agreement as a team (n = 320) 4 (2,6) 8 3 (2,5) 10 5 (3,7) 9 p < 0.001
Multidisciplinary discussions for decisions (n = 321) 3 (1,5) 9 2 (1,4) 9 5 (3,7) 8 p < 0.001
  1. *Those who assigned the correct diagnosis to the patient in the case; Mann-Whitney-U test; average rank order according to Median, 1st and 3rd quartile on NRS (0-10).