Evidence map›Paper›PMID 26681796›Full record

ArticleThe Journal of medicine and philosophy2016

Medically Inappropriate or Futile Treatment: Deliberation and Justification.

Cheryl J Misak, Douglas B White, Robert D Truog

Abstract read
In one paragraph

Article in The Journal of medicine and philosophy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Competing World Views, Professional Norms, and Conscience.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025
    Article
  4. Ethics of ICU triage during COVID-19.British medical bulletin · 2021
    Review
  5. Article
  6. Death, Devices, and Double Effect.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2019
    Article
  7. Translating futility.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Article
  8. 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

3 authors.

Cheryl J MisakUniversity of Toronto, Toronto, Ontario, Canada University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA Center for Bioethics, Harvard Medical School, and Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts, USA cheryl.misak@utoronto.ca.
Douglas B WhiteUniversity of Toronto, Toronto, Ontario, Canada University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA Center for Bioethics, Harvard Medical School, and Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Robert D TruogUniversity of Toronto, Toronto, Ontario, Canada University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA Center for Bioethics, Harvard Medical School, and Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper reframes the futility debate, moving away from the question "Who decides when to end what is considered to be a medically inappropriate or futile treatment?" and toward the question "How can society make policy that will best account for the multitude of values and conflicts involved in such decision-making?" It offers a pragmatist moral epistemology that provides us with (1) a clear justification of why it is important to take best standards, norms, and physician judgment seriously and (2) a clear justification of why ample opportunity must be made for patients, families, and society to challenge those standards and norms.

Indexed as

Decision MakingEthical AnalysisFamilyHumansJudgmentMedical FutilityMoralsNegotiatingPhilosophy, MedicalPhysician's RolePolicyTerminal CareWithholding Treatmentfutilitymedically inappropriate treatmentpragmatism

Identifiers

PMID26681796
PMCPMC4882630

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.