Evidence map›Paper›PMID 12356958›Full record

ReviewJournal of medical ethics2002

Increasing use of DNR orders in the elderly worldwide: whose choice is it?

E P Cherniack

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of medical ethics, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
9.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 104 citations in OpenAlex.

  1. Article
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  6. Article
  7. Review
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  9. Review
  10. Live and let die.British dental journal · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Do not attempt resuscitation order in Japan.Acute medicine & surgery · 2017
    Article
  16. Article
  17. Article
  18. Review
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

E P CherniackJewish Home and Hospital for the Aged, Jewish Home and Hospital for the Aged, 100 W Kingsbridge Rd., Bronx, NY 10468, USA. middos@lycos.com
Jewish Home · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most elderly patients die with an order in place that they not be given cardiopulmonary resuscitation (DNR order). Surveys have shown that many elderly in different parts of the world want to be resuscitated, but may lack knowledge about the specifics of cardiopulmonary resuscitation (CPR). Data from countries other than the US is limited, but differences in physician and patient opinions by nationality regarding CPR do exist. Physicians' own preferences for CPR may predominate in the DNR decision making process for their patients, and many physicians may not want the participation of the elderly or believe that it is necessary. More complete and earlier discussions of a wider range of options of care for patients at the end of life have been advocated. The process ought to include education for patients about the process and efficacy of CPR, and for physicians on how to consider the values and levels of knowledge of their patients, whose preferences may differ from their own.

Indexed as

Advance DirectivesDecision MakingPatient ParticipationPhysician-Patient RelationsAgedAged, 80 and overAttitudeAttitude of Health PersonnelCardiopulmonary ResuscitationEthics, ClinicalEthics, MedicalGlobal HealthHumansLife Support CareResuscitation OrdersWithholding TreatmentDeath and Euthanasia

Identifiers

PMID12356958
PMCPMC1733661
OpenAlexW2148980898

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.