2023
Ethics Along the Continuum of Research Involving Persons with Disorders of Consciousness
Lewis A, Young M, Rohaut B, Jox R, Claassen J, Creutzfeldt C, Illes J, Kirschen M, Trevick S, Fins J. Ethics Along the Continuum of Research Involving Persons with Disorders of Consciousness. Neurocritical Care 2023, 39: 565-577. PMID: 36977963, PMCID: PMC11023737, DOI: 10.1007/s12028-023-01708-2.Peer-Reviewed Original ResearchConceptsTranslation of researchDisclosure of resultsDisorders of consciousnessContinuum of researchEthical considerationsNeuropalliative careEthics Working GroupInterpretation of outcomesLegally authorized representativeCommunication of resultsComparison of risksStudy designCarePromote recoveryInvolved personsInclusion of minoritiesExclusion criteriaNeurocritical careWorking GroupPersonsInformal reviewOutcomesAwarenessParticipation rightsData protection
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisions
2017
Penfield's ceiling
Adams Z, Fins J. Penfield's ceiling. Neurology 2017, 89: 854-858. PMID: 28827458, DOI: 10.1212/wnl.0000000000004267.Peer-Reviewed Original Research
2013
Surrogate expectations in severe brain injury
Suppes A, Fins J. Surrogate expectations in severe brain injury. Brain Injury 2013, 27: 1141-1147. PMID: 23895513, PMCID: PMC5454804, DOI: 10.3109/02699052.2013.804201.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdvance Care PlanningAdvance DirectivesBrain InjuriesCaregiversChildComaDecision MakingFamilyFemaleGriefHumansIntensive Care UnitsMaleMiddle AgedNew YorkPersistent Vegetative StatePhysician's RoleProfessional-Family RelationsPrognosisProxySeverity of Illness IndexStress, PsychologicalConceptsSource of injuryExpectations of recoveryPsychosocial featuresDecision-making expectationsQuantitative questionnaireImprove treatment of patientsFamily membersPatient recoveryTreatment of patientsPatient diagnosisRelated factorsDOC patientsBrain injuryPatientsImproved treatmentInjuryCurrent diagnosisExpectationsQuestionnaireDiagnosisCliniciansBrainSurveyFactors
2012
Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon
Shuman A, Shaha A, Tuttle R, Fins J, Morris L. Medullary Thyroid Carcinoma: Ethical Issues for the Surgeon. Annals Of Surgical Oncology 2012, 19: 2102-2107. PMID: 22322952, DOI: 10.1245/s10434-012-2235-4.Peer-Reviewed Original ResearchConceptsGenetic testingEvidence-based guidelinesPerceived stigmaEthical issuesProphylactic surgeryGenetic inheritance patternFamily membersFamilial medullary thyroid carcinomaManagement of affected patientsMedullary thyroid cancerMedullary thyroid carcinomaThyroid carcinomaThyroid cancerInheritance patternIndividual autonomyChildrenInterventionPatientsSurgeonsGuidelinesTestConfidentialityFamilyPotential conflictsCancer
2011
Neuroethics, neuroimaging, and disorders of consciousness: promise or peril?
Fins J. Neuroethics, neuroimaging, and disorders of consciousness: promise or peril? Transactions Of The American Clinical And Climatological Association 2011, 122: 336-46. PMID: 21686236, PMCID: PMC3116331.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingDisorders of consciousnessPositron emission tomographyBehavior-based assessmentsMinimally conscious stateNeuroimaging dataNeuroimaging toolsBrain statesBrain injuryMagnetic resonance imagingNeuroimagingEmission tomographyConscious stateDisordersBrainResonance imagingNeuroimaging applicationsConsciousnessDiagnostic dilemmaTherapeutic useCommunication vectorNeuroethics
2008
Are we equal in death?
Laureys S, Fins J. Are we equal in death? Neurology 2008, 70: e14-e15. PMID: 18209196, DOI: 10.1212/01.wnl.0000303264.66049.c1.Peer-Reviewed Original Research
2006
Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo
Fins J. Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo. Palliative & Supportive Care 2006, 4: 169-178. PMID: 16903588, DOI: 10.1017/s1478951506060238.Peer-Reviewed Original ResearchConceptsSchiavo caseRight to lifePermanent vegetative stateEnd-of-life careVegetative stateEthical CurrentsEnd-of-lifeDisorders of consciousnessEthical implicationsSchiavoRhetorical statementsConsciousnessConscious stateIdeological positionsMinimally conscious stateNational discourseRightsDiscourseBrain injuryNeuroscienceProviding careNeuroethicsCareFutilityLifeFactors Influencing DNR Decision-Making in a Surgical ICU
Bacchetta M, Eachempati S, Fins J, Hydo L, Barie P. Factors Influencing DNR Decision-Making in a Surgical ICU. Journal Of The American College Of Surgeons 2006, 202: 995-1000. PMID: 16735215, DOI: 10.1016/j.jamcollsurg.2006.02.027.Peer-Reviewed Original ResearchConceptsDNR ordersPresence of DNR ordersCritically ill surgical patientsEnd-of-life decisionsDNR decision-makingNo-DNR groupIll surgical patientsMedical historyMultiple organ dysfunction scoreEnd-of-lifeOrgan dysfunction scoreIII scoreAcuity of illnessSurgical patientsChi-square statistical testMultivariate ANOVADNR patientsHospital length of stayDysfunction scoreIll patient populationLength of stayCritically ill patient populationAPACHE III scoreDNRIllness severity
2002
When the Prognosis Leads to Indifference
Fins J, von Gunten C. When the Prognosis Leads to Indifference. Journal Of Palliative Medicine 2002, 5: 571-573. PMID: 12243684, DOI: 10.1089/109662102760269850.Peer-Reviewed Original Research
2001
Communication in intensive care settings: The challenge of futility disputes
Fins J, Solomon M. Communication in intensive care settings: The challenge of futility disputes. Critical Care Medicine 2001, 29: n10-n15. PMID: 11228567, DOI: 10.1097/00003246-200102001-00003.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelAttitude to DeathCommunicationConflict, PsychologicalCritical CareDecision MakingFamilyFemaleHealth PersonnelHumansInformed ConsentMedical FutilityOrganizational CulturePatient Care TeamProfessional-Family RelationsPrognosisQuality of LifeSocial SupportTeachingTotal Quality ManagementTruth Disclosure
1994
Futility in Clinical Practice: Report on a Congress of Clinical Societies
Fins J. Futility in Clinical Practice: Report on a Congress of Clinical Societies. Journal Of The American Geriatrics Society 1994, 42: 861-865. PMID: 7913939, DOI: 10.1111/j.1532-5415.1994.tb06558.x.Peer-Reviewed Original Research