ReviewLancet (London, England)2010
Ethics and end-of-life care for adults in the intensive care unit.
Review in Lancet (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07327450 (Coaching Doctors and Nurses to Improve Ethical Decision-making in Team), which is not on this map. Cited by 120 papers, 2 of them syntheses that pooled 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.
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.
Coaching Doctors and Nurses to Improve Ethical Decision-making in Team: a Stepped Wedge Cluster Randomized Trial in 10 Departments of the Ghent University Hospital
Who cites it
120 citing papers in PubMed, 2 syntheses or guidelines pooled it, 353 citations in OpenAlex.
- Association of Communication Interventions to Discuss Code Status With Patient Decisions for Do-Not-Resuscitate Orders: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Global variability in withholding and withdrawal of life-sustaining treatment in the intensive care unit: a systematic review.Intensive care medicine · 2015Pooled it
- Coaching doctors to improve ethical decision-making in adult hospitalized patients potentially receiving excessive treatment. The CODE stepped-wedge cluster randomized controlled trial.Intensive care medicine · 2024Trial
- A randomised controlled trial of a nurse facilitator to promote communication for family members of critically ill patients.Intensive care medicine · 2024Trial
- Factors Associated with Early Withdrawal of Life-Sustaining Treatments After Out-of-Hospital Cardiac Arrest: A Subanalysis of a Randomized Trial of Prehospital Therapeutic Hypothermia.Neurocritical care · 2023Trial
- Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care.American journal of respiratory and critical care medicine · 2016Trial
- Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU.Contemporary clinical trials · 2012Trial
- Influence of Age in End-of-Life Practices in Worldwide ICUs (ETHICUS-2): A Prospective Observational Study.Critical care medicine · 2026Observational
- Disorders of consciousness diagnosis, interventions, and prognostication for the intensivist: Report of the 2025 ISICEM roundtable.Intensive care medicine · 2026Review
- Impact of Palliative Care Consultation on Clinical Interventions and Outcomes in a Medical-Surgical Community-Based Intensive Care Unit.HCA healthcare journal of medicine · 2026Article
- Relatives' experiences of end-of-life care and organ donation after controlled circulatory death: a national prospective multicenter study.Critical care (London, England) · 2025Article
- Voices from the ICU: a qualitative study of healthcare providers' decision-making experiences during the provision of life-sustaining treatment in intensive care units of public and private referral hospitals in Uganda.BMC medical ethics · 2025Article
- End-of-life care in Moroccan ICUs: ethical challenges, practices, and perspectives of intensivists.BMC medical ethics · 2025Article
- Outcome and critical care resources utilised by do not attempt cardiopulmonary resuscitation (DNACPR) patients admitted to the ICU at a tertiary hospital in Saudi Arabia: a retrospective review of the critical care database.Critical care (London, England) · 2025Article
- The Impact of Social Determinants of Health on Morbidity and Mortality Outcomes in Patients With Intracerebral Hemorrhage: Nationwide Study.Neurology. Clinical practice · 2025Article
- Incidence of and Risk Factors for Do-Not-Resuscitate Orders in Critically Ill Children: Insights From a Tertiary Care Center in Saudi Arabia.Critical care research and practice · 2025Article
- Family concerns in organ donor conversations: a qualitative embedded multiple-case study.Critical care (London, England) · 2024Article
- Physicians' experiences and perceptions about withholding and withdrawal life-sustaining treatment in Chiang Mai University Hospital: a cross-sectional study.BMC palliative care · 2024Article
- Limitation of life sustaining therapy in disorders of consciousness: ethics and practice.Brain : a journal of neurology · 2024Review
- Comparison of factors influencing the decision to withdraw life-sustaining treatment in intensive care unit patients after implementation of the Life-Sustaining Treatment Act in Korea.Acute and critical care · 2024Article
60 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
The intensive care unit (ICU) is where patients are given some of the most technologically advanced life-sustaining treatments, and where difficult decisions are made about the usefulness of such treatments. The substantial regional variability in these ethical decisions is a result of many factors, including religious and cultural beliefs. Because most critically ill patients lack the capacity to make decisions, family and other individuals often act as the surrogate decision makers, and in many regions communication between the clinician and family is central to decision making in the ICU. Elsewhere, involvement of the family is reduced and that of the physicians is increased. End-of-life care is associated with increased burnout and distress among clinicians working in the ICU. Since many deaths in the ICU are preceded by a decision to withhold or withdraw life support, high-quality decision making and end-of-life care are essential in all regions, and can improve patient and family outcomes, and also retention of clinicians working in the ICU. To make such a decision requires adequate training, good communication between the clinician and family, and the collaboration of a well functioning interdisciplinary team.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.