Evidence map›Paper›PMID 25908398›Full record

ArticleBioethics2016

In Favour of Medical Dissensus: Why We Should Agree to Disagree About End-of-Life Decisions.

Dominic Wilkinson, Robert Truog, Julian Savulescu

Abstract read
In one paragraph

Article in Bioethics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Observational
  3. Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Conscientious Non-objection in Intensive Care.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2017
    Article
  11. Dialogic Consensus In Clinical Decision-Making.Journal of bioethical inquiry · 2016
    Article
  12. Which Lane Should We Be In?Journal of bioethical inquiry · 2016
    Article
  13. Review
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

3 authors.

Dominic Wilkinson
Robert Truog
Julian Savulescu

Funding

Wellcome Trust 086041
6 · The paper itself

Abstract

End-of-life decision-making is controversial. There are different views about when it is appropriate to limit life-sustaining treatment, and about what palliative options are permissible. One approach to decisions of this nature sees consensus as crucial. Decisions to limit treatment are made only if all or a majority of caregivers agree. We argue, however, that it is a mistake to require professional consensus in end-of-life decisions. In the first part of the article we explore practical, ethical, and legal factors that support agreement. We analyse subjective and objective accounts of moral reasoning: accord is neither necessary nor sufficient for decisions. We propose an alternative norm for decisions - that of 'professional dissensus'. In the final part of the article we address the role of agreement in end-of-life policy. Such guidelines can ethically be based on dissensus rather than consensus. Disagreement is not always a bad thing.

Indexed as

ConsensusDissent and DisputesInterdisciplinary CommunicationMoralsPhysiciansCongenital AbnormalitiesCritical CareDecision MakingEthics, MedicalHumansInfant, Extremely PrematureNeonatologyPalliative CareParentsPersonal AutonomyPractice Guidelines as Topicconsensusintensive caremedical ethicsneuroethicswithdrawing treatment

Identifiers

PMID25908398
PMCPMC4864446

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.