Between 1987 and 1996, the concept of "medical futility" wasdebated in the medical community with a vehemence that few philosophicalconcepts elicit. Before 1987, the concept was virtually unrecognized.Interest in the concept peaked in 1995, when 134 articles onthe topic were published, and has subsequently waned; a Medlinesearch of the key word "futility" for the year 1999 yieldedonly 31 articles.
The movement to establish a policy on futile treatment was anattempt to convince society that physicians could use theirclinical judgment or epidemiologic skills to determine whethera particular treatment would be futile in . . . [Full Text of this Article]
Attempts to Define Futility
Empirical Assessments of Futility
Patients' Autonomy versus Physicians' Autonomy
Developing a Process to Resolve Disputes over Futility
Conclusions
References
Related Letters:
The Rise and Fall of the Futility Movement
Schneiderman L. J., Heilig S., Fine R. L., Mayo T. W., Wold E. R., Galanakis E., Helft P. R., Siegler M., Lantos J.
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N Engl J Med 2000;
343:1575-1577, Nov 23, 2000.
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