Evidence map›Paper›PMID 18157484›Full record

ReviewIntensive care medicine2008

The world's major religions' points of view on end-of-life decisions in the intensive care unit.

Hans-Henrik Bülow, Charles L Sprung, Konrad Reinhart, Shirish Prayag, Bin Du, Apostolos Armaganidis, Fekri Abroug, Mitchell M Levy

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
–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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Observational
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  7. Review
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  14. Buddhism.Cancer treatment and research · 2023
    Article
  15. Greek Orthodox.Cancer treatment and research · 2023
    Article
  16. Article
  17. Article
  18. Spiritual care in the intensive care unit.Anaesthesiology intensive therapy · 2021
    Review
  19. Article
  20. 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

8 authors.

Hans-Henrik BülowDepartment of Anaesthesiology and Intensive Care, Holbak Hospital, Smedelundsgade 60, 4300 Holbak, Denmark. hhbulow@dadlnet.dk
Charles L Sprung
Konrad Reinhart
Shirish Prayag
Bin Du
Apostolos Armaganidis
Fekri Abroug
Mitchell M Levy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecent research has shown that the religious affiliation of both physicians and patients markedly influences end-of-life decisions in the intensive care unit in the Western world. The world's major religions' standings on withholding and withdrawing of therapy, on hastening of the death process when providing pain relief (double effect) and on euthanasia are described. This review also discusses whether nutrition should be provided to patients in a permanent vegetative state, and the issues of brain death and organ donation.

designThe review is based on literature research and a description of the legislature in countries where religious rulings do influence secular law.

resultsNot all religions have distinct rulings on all the above-mentioned issues, but it is pointed out that all religions will probably have to develop rulings on these questions. The importance of patient autonomy in the Western (Christian) world is not necessarily an issue among other ethnic and religious groups, and guidelines are presented with methods to uncover and deal with different ethnic and religious views.

conclusionMany religious groupings are now spread world-wide (most notably Muslims), and with increasing globalization it is important that health-care systems take into account the religious beliefs of a wide variety of ethnic and religious groups when contemplating end-of-life decisions.

Indexed as

Attitude to DeathReligion and MedicineHumansIntensive Care UnitsLife Support CareTerminal Care

Identifiers

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.