User profiles for James Downar
James DownarUniversity of Ottawa Verified email at toh.ca Cited by 5045 |
Early experience with medical assistance in dying in Ontario, Canada: a cohort study
J Downar, RA Fowler, R Halko, LD Huyer, AD Hill… - Cmaj, 2020 - Can Med Assoc
BACKGROUND: Medical assistance in dying (MAiD) was legalized across Canada in June
2016. Some have expressed concern that patient requests for MAiD might be driven by poor …
2016. Some have expressed concern that patient requests for MAiD might be driven by poor …
The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis
J Downar, R Goldman, R Pinto, M Englesakis… - Cmaj, 2017 - Can Med Assoc
BACKGROUND: The surprise question — “Would I be surprised if this patient died in the next
12 months?” — has been used to identify patients at high risk of death who might benefit …
12 months?” — has been used to identify patients at high risk of death who might benefit …
What really matters in end-of-life discussions? Perspectives of patients in hospital with serious illness and their families
Background: The guideline-recommended elements to include in discussions about goals
of care with patients with serious illness are mostly based on expert opinion. We sought to …
of care with patients with serious illness are mostly based on expert opinion. We sought to …
[HTML][HTML] Palliating a pandemic:“all patients must be cared for”
J Downar, D Seccareccia… - Journal of pain and …, 2010 - Elsevier
In the event of an overwhelming influenza pandemic, many health care systems will implement
a triage system that would potentially deny critical care treatment to some seriously ill …
a triage system that would potentially deny critical care treatment to some seriously ill …
Barriers to goals of care discussions with seriously ill hospitalized patients and their families: a multicenter survey of clinicians
Importance Seriously ill hospitalized patients have identified communication and decision
making about goals of care as high priorities for quality improvement in end-of-life care. …
making about goals of care as high priorities for quality improvement in end-of-life care. …
[HTML][HTML] Pandemic palliative care: beyond ventilators and saving lives
CoV-2) pandemic will likely strain our health care system beyond capacity, and palliative care
services will be needed across many different care settings, including intensive care units, …
services will be needed across many different care settings, including intensive care units, …
[HTML][HTML] Improving end-of-life communication and decision making: the development of a conceptual framework and quality indicators
Context The goal of end-of-life (EOL) communication and decision making is to create a shared
understanding about a person’s values and treatment preferences that will lead to a plan …
understanding about a person’s values and treatment preferences that will lead to a plan …
[HTML][HTML] Improving family access to dying patients during the COVID-19 pandemic
J Downar, M Kekewich - The Lancet Respiratory Medicine, 2021 - thelancet.com
2 Public Health England. Investigation of novel SARS-CoV-2 variant. 2020 https://assets.
publishing. service. gov. uk/government/uploads/system/uploads/attachment_data/file/949639/…
publishing. service. gov. uk/government/uploads/system/uploads/attachment_data/file/949639/…
Triage of scarce critical care resources in COVID-19 an implementation guide for regional allocation: an expert panel report of the task force for mass critical care and …
Public health emergencies have the potential to place enormous strain on health systems.
The current pandemic of the novel 2019 coronavirus disease has required hospitals in …
The current pandemic of the novel 2019 coronavirus disease has required hospitals in …
[HTML][HTML] Guidelines for the withdrawal of life-sustaining measures
J Downar, JW Delaney, L Hawryluck, L Kenny - Intensive care medicine, 2016 - Springer
Background Withdrawal of life-sustaining measures is a common event in the intensive care
unit yet it involves a complex balance of medical, legal and ethical considerations. Very few …
unit yet it involves a complex balance of medical, legal and ethical considerations. Very few …