Evidence map›Paper›PMID 14662816›Full record

ArticleJournal of medical ethics2003

Should patient consent be required to write a do not resuscitate order?

P Biegler

Abstract read
In one paragraph

Article in Journal of medical ethics, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Observational
  2. Experience with a Revised Hospital Policy on Not Offering Cardiopulmonary Resuscitation.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022
    Article
  3. Article
  4. Article
  5. Deciding together? Best interests and shared decision-making in paediatric intensive care.Health care analysis : HCA : journal of health philosophy and policy · 2014
    Article
  6. Review
  7. CPR or DNR? End-of-life decision in Korean cancer patients: a single center's experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2006
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

P BieglerEmergenvy Department, Sandringham Hospital, 193 Bluff Road, Sandringham, Victoria 3191, Australia. pbiegler@bigpond.net.au

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Consent ought to be required to withhold treatment that is in a patient's best interests to receive. Do not resuscitate (DNR) orders are examples of best interests assessments at the end of life. Such assessments represent value judgments that cannot be validly ascertained without patient input. If patient input results in that patient dissenting to the DNR order then individual physicians are not justified in overriding such dissent. To do so would give unjustifiable primacy to the values of the individual physician. Therefore patient consent is effectively required to write a DNR order. Patient dissent to a DNR order should trigger a fair process mechanism to resolve the dispute.

Indexed as

AgedAged, 80 and overAttitude of Health PersonnelAttitude to HealthHumansInformed ConsentJudgmentMalePersonal AutonomyPhysician-Patient RelationsResuscitation OrdersSocial ResponsibilityTerminally IllWithholding TreatmentDeath and EuthanasiaProfessional Patient Relationship

Identifiers

PMID14662816
PMCPMC1733798

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.