Physician's RoleAnesOpIntraDNRNCT05883228
Anesthesiologist Perspectives/Opinions/Ethics on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans
An observational study of Physician's Role and Opinions, run by Joseph Hendrix at 1 site in United States.
Trial summary
This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management (like for example, Do Not Resuscitate (DNR)) in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Physician's Role, Opinions
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2023to Mar 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: ASA Active Member Anesthesiologists in the United States of America
Who may be able to join
- Active Member of ASA
- Anesthesiologist
- Clinical Practice in United States of America
Who cannot join
- Participant refusal
- Inability to access survey instrument
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
About this study
This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management (like for example, Do Not Resuscitate (DNR)) in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.
The understanding of the perspectives of ASA (American Society of Anesthesiologists) member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.
Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA member staff anesthesiologists and staff anesthesiologists in general on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans
Read the detailed description
Title: Anesthesiologist Perspectives on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans Introduction: This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.
Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA members on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Sample Size/Scope: All Active ASA member staff anesthesiologists and staff anesthesiologists in general in the United States of America
Face/Construct Validity:
Are the components of the measure (e.g., questions) relevant to what's being measured? Yes, the questions and structure of the questions are relevant for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Does the measurement method seem useful for measuring the variable? Yes, the questions and structure of the questions are useful for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Is the measure seemingly appropriate for capturing the variable? Yes, the questions and structure of the questions are appropriate for capturing the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
All questions and question structures are consistent and thematically similar to previous studies/research cited.
Kerry Tanner, Chapter 6 - Survey designs, Editor(s): Kirsty Williamson, Graeme Johanson, Research Methods (Second Edition), Chandos Publishing, 2018, Pages 159-192, ISBN 9780081022207, https://doi.org/10.1016/B978-0-08-102220-7.00006-6.
Geyer ED, Miller R, Kim SS, Tobias JD, Nafiu OO, Tumin D. Quality and Impact of Survey Research Among Anesthesiologists: A Systematic Review. Adv Med Educ Pract. 2020 Aug 25;11:587-599. doi: 10.2147/AMEP.S259908. PMID: 32904509; PMCID: PMC7456338.
Sousa VEC, Dunn Lopez K. Towards Usable E-Health. A Systematic Review of Usability Questionnaires. Appl Clin Inform. 2017 May 10;8(2):470-490. doi: 10.4338/ACI-2016-10-R-0170. PMID: 28487932; PMCID: PMC6241759.
Kash BA, Cheon O, Halzack NM, Miller TR. Measuring Team Effectiveness in the Health Care Setting: An Inventory of Survey Tools. Health Serv Insights. 2018 Aug 24;11:1178632918796230. doi: 10.1177/1178632918796230. PMID: 30158825; PMCID: PMC6109848.
Patient Safety/Quality of Care: The results of this survey will be utilized to inform and empower the greater understanding and implementation of practices regarding intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans for future policy matters in the field of anesthesiology.
Priority: The understanding of the perspectives of ASA member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.
- Conditions
- Physician's Role, Opinions
- Keywords
- DNR (Do Not Resuscitate), DNAR (Do Not Attempt Resuscitation), Intraoperative, Intraprocedural, Ethics, Anesthesiologist, Resuscitation
What is being measured
The primary outcome is the main question the study is designed to answer.
Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists
Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists
Measured: One year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2023
- Study startSep 2023 (estimated)
- Primary completionDec 2024 (estimated)
- Study completionMar 2025 (estimated)
Why it stopped: Pre-empted by another survey
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Physician's RoleStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Joseph Hendrix
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Joseph Hendrix, University of Texas Southwestern Medical Center
- Investigators
- Joseph Hendrix, MD, Principal investigator, University of Texas
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05883228
- Sponsor's protocol ID
- STU-2023-0329
- Other IDs
- STU-2023-0329
- Acronym
- AnesOpIntraDNR
- Status last verified
- Jul 2023
- First submitted
- 20 May 2023
- Last updated
- 1 Aug 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: This is an anonymous survey study where no individual identifying information is ever captured, stored, or analyzed at any time during the study. Only the aggregate data is captured, stored, and analyzed.
Publications
Clemency MV, Thompson NJ. "Do not resuscitate" (DNR) orders and the anesthesiologist: a survey. Anesth Analg. 1993 Feb;76(2):394-401.
PubMed 8424522Gu X, Eshkevari L, Powell T, Titus AJ, O'Guin C. Certified Registered Nurse Anesthetists' Management of the Perioperative Do-Not-Resuscitate Order: Evaluating Trends in Required Reconsideration. AANA J. 2021 Dec;89(6):491-499.
PubMed 34809754Burkle CM, Swetz KM, Armstrong MH, Keegan MT. Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists' growing compliance with patient autonomy and self determination guidelines. BMC Anesthesiol. 2013 Jan 15;13:2. doi: 10.1186/1471-2253-13-2.
PubMed 23320623Hiestand D, Beaman M. Perioperative Do-Not-Resuscitate Suspension: The Patient's Perspective. AORN J. 2019 Mar;109(3):326-334. doi: 10.1002/aorn.12612.
PubMed 30811574Baumann M, Killebrew S, Zimnicki K, Balint K. Do-Not-Resuscitate Orders in the Perioperative Environment: A Multidisciplinary Quality Improvement Project. AORN J. 2017 Jul;106(1):20-30. doi: 10.1016/j.aorn.2017.05.002.
PubMed 28662781Kim C, Keneally R. The Do Not Resuscitate (DNR) order in the perioperative setting: practical considerations. Curr Opin Anaesthesiol. 2021 Apr 1;34(2):141-144. doi: 10.1097/ACO.0000000000000974.
PubMed 33630773Baldor DJ, Smyrnios NA, Faris K, Guilarte-Walker Y, Celik U, Torres U. A Controlled Study in CPR-Survival in Propensity Score Matched Full-Code and Do-Not-Resuscitate ICU Patients. J Intensive Care Med. 2022 Oct;37(10):1363-1369. doi: 10.1177/08850666221114052. Epub 2022 Jul 11.
PubMed 35815880
Study at a glance
From the registry record, last updated by the sponsor on 1 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Anesthesiologist Perspectives/Opinions/Ethics on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans
- ClinicalTrials.gov ID
- NCT05883228
- Acronym / sponsor ID
- AnesOpIntraDNR / STU-2023-0329
- Conditions
- Physician's Role, Opinions
- Keywords
- DNR (Do Not Resuscitate), DNAR (Do Not Attempt Resuscitation), Intraoperative, Intraprocedural, Ethics, Anesthesiologist, Resuscitation
- Study type
- Observational
- Recruitment status
- WithdrawnReason stopped: Pre-empted by another survey
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Joseph HendrixUniversity, hospital or other
- Study start
- Sep 2023 (estimated)
- Primary completion
- Dec 2024 (estimated)
- Study completion
- Mar 2025 (estimated)
- First posted
- 31 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management (like for example, Do Not Resuscitate (DNR)) in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.
The understanding of the perspectives of ASA (American Society of Anesthesiologists) member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.
Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA member staff anesthesiologists and staff anesthesiologists in general on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans
Detailed description
Title: Anesthesiologist Perspectives on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans Introduction: This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.
Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA members on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Sample Size/Scope: All Active ASA member staff anesthesiologists and staff anesthesiologists in general in the United States of America
Face/Construct Validity:
Are the components of the measure (e.g., questions) relevant to what's being measured? Yes, the questions and structure of the questions are relevant for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Does the measurement method seem useful for measuring the variable? Yes, the questions and structure of the questions are useful for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
Is the measure seemingly appropriate for capturing the variable? Yes, the questions and structure of the questions are appropriate for capturing the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.
All questions and question structures are consistent and thematically similar to previous studies/research cited.
Kerry Tanner, Chapter 6 - Survey designs, Editor(s): Kirsty Williamson, Graeme Johanson, Research Methods (Second Edition), Chandos Publishing, 2018, Pages 159-192, ISBN 9780081022207, https://doi.org/10.1016/B978-0-08-102220-7.00006-6.
Geyer ED, Miller R, Kim SS, Tobias JD, Nafiu OO, Tumin D. Quality and Impact of Survey Research Among Anesthesiologists: A Systematic Review. Adv Med Educ Pract. 2020 Aug 25;11:587-599. doi: 10.2147/AMEP.S259908. PMID: 32904509; PMCID: PMC7456338.
Sousa VEC, Dunn Lopez K. Towards Usable E-Health. A Systematic Review of Usability Questionnaires. Appl Clin Inform. 2017 May 10;8(2):470-490. doi: 10.4338/ACI-2016-10-R-0170. PMID: 28487932; PMCID: PMC6241759.
Kash BA, Cheon O, Halzack NM, Miller TR. Measuring Team Effectiveness in the Health Care Setting: An Inventory of Survey Tools. Health Serv Insights. 2018 Aug 24;11:1178632918796230. doi: 10.1177/1178632918796230. PMID: 30158825; PMCID: PMC6109848.
Patient Safety/Quality of Care: The results of this survey will be utilized to inform and empower the greater understanding and implementation of practices regarding intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans for future policy matters in the field of anesthesiology.
Priority: The understanding of the perspectives of ASA member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- ASA Active Member Anesthesiologists in the United States of America
Key inclusion criteria (3 listed)
- Active Member of ASA
- Anesthesiologist
- Clinical Practice in United States of America
Key exclusion criteria (2 listed)
- Participant refusal
- Inability to access survey instrument
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists
Time frame: One year
Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Aug 2023.
- Background: PubMed 8424522Clemency MV, Thompson NJ. "Do not resuscitate" (DNR) orders and the anesthesiologist: a survey. Anesth Analg. 1993 Feb;76(2):394-401.
- Background: PubMed 34809754Gu X, Eshkevari L, Powell T, Titus AJ, O'Guin C. Certified Registered Nurse Anesthetists' Management of the Perioperative Do-Not-Resuscitate Order: Evaluating Trends in Required Reconsideration. AANA J. 2021 Dec;89(6):491-499.
- Background: PubMed 23320623Burkle CM, Swetz KM, Armstrong MH, Keegan MT. Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists' growing compliance with patient autonomy and self determination guidelines. BMC Anesthesiol. 2013 Jan 15;13:2. doi: 10.1186/1471-2253-13-2.
- Background: PubMed 30811574Hiestand D, Beaman M. Perioperative Do-Not-Resuscitate Suspension: The Patient's Perspective. AORN J. 2019 Mar;109(3):326-334. doi: 10.1002/aorn.12612.
- Background: PubMed 28662781Baumann M, Killebrew S, Zimnicki K, Balint K. Do-Not-Resuscitate Orders in the Perioperative Environment: A Multidisciplinary Quality Improvement Project. AORN J. 2017 Jul;106(1):20-30. doi: 10.1016/j.aorn.2017.05.002.
- Background: PubMed 33630773Kim C, Keneally R. The Do Not Resuscitate (DNR) order in the perioperative setting: practical considerations. Curr Opin Anaesthesiol. 2021 Apr 1;34(2):141-144. doi: 10.1097/ACO.0000000000000974.
- Background: PubMed 35815880Baldor DJ, Smyrnios NA, Faris K, Guilarte-Walker Y, Celik U, Torres U. A Controlled Study in CPR-Survival in Propensity Score Matched Full-Code and Do-Not-Resuscitate ICU Patients. J Intensive Care Med. 2022 Oct;37(10):1363-1369. doi: 10.1177/08850666221114052. Epub 2022 Jul 11.
- Individual participant dataSharing planned: No. This is an anonymous survey study where no individual identifying information is ever captured, stored, or analyzed at any time during the study. Only the aggregate data is captured, stored, and analyzed.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joseph Hendrix, MD principal investigator
University of Texas
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Physician's Role and Opinions, run by Joseph Hendrix at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 1 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists (time frame: One year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05883228, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Aug 2023.