Evidence map›Paper›PMID 27924420›Full record

GuidelineWiener medizinische Wochenschrift (1946)2017

[Austrian guideline for palliative sedation therapy (long version) : Results of a Delphi process of the Austrian Palliative Society (OPG)].

Dietmar Weixler, Sophie Roider-Schur, Rudolf Likar, Claudia Bozzaro, Thomas Daniczek, Angelika Feichtner, Christoph Gabl, Bernhard Hammerl-Ferrari, Maria Kletecka-Pulker, Ulrich H J Körtner and 6 more

Abstract readConsensus StatementPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Wiener medizinische Wochenschrift (1946), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Off-label use in adult palliative care - more common than expected. A retrospective chart review.European journal of hospital pharmacy : science and practice · 2022
    Article
  8. A case report of posttraumatic stress disorder at the end of life.Wiener medizinische Wochenschrift (1946) · 2022
    Article
  9. 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

16 authors.

Dietmar WeixlerPalliativkonsiliardienst, Mobiles Palliativteam, Landesklinikum Horn-Allentsteig, Spitalgasse 10, 3580, Horn, Österreich. dietmar.weixler@horn.lknoe.at.ORCID http://orcid.org/0000-0002-8644-7887
Sophie Roider-SchurUniversitätsklinik für Innere Medizin I, Klinische Abteilung für Palliativmedizin, Medizinische Universität Wien, 1090, Wien, Österreich.
Rudolf LikarAbteilung für Anästhesiologie und Intensivmedizin, Zentrum für Interdisziplinäre Schmerztherapie und Palliativmedizin - ZISOP, Landeskrankenanstalten-Betriebsgesellschaft - KABEG, KLINIKUM Klagenfurt am Wörthersee, Feschnigstraße 11, 9020, Klagenfurt, Österreich.
Claudia BozzaroInstitut für Ethik und Geschichte der Medizin, Stefan-Meier-Straße 26, 79104, Freiburg, Deutschland.
Thomas DaniczekAbteilung für Neurologie, Palliativmedizinische Einrichtung, Landeskrankenhaus Judenburg-Knittelfeld, Gaaler Straße 8 u. 10, 8720, Knittelfeld, Österreich.
Angelika Feichtner, Lindenstrasse 5, 6020, Innsbruck, Österreich.
Christoph GablMobiles Palliativteam, Tiroler Hospiz-Gemeinschaft, Hallerstraße 180, 6020, Innsbruck, Österreich.
Bernhard Hammerl-Ferrari5. Med. Abteilung, Palliativstation, Krankenhaus Hietzing, Wolkersbergenstraße 1, 1130, Wien, Österreich.
Maria Kletecka-PulkerInstitut für Ethik und Recht in der Medizin, Spitalgasse 2-4, Hof 2.8, 1090, Wien, Österreich.
Ulrich H J KörtnerInstitut für Ethik und Recht in der Medizin, Spitalgasse 2-4, Hof 2.8, 1090, Wien, Österreich.
Hilde KösslerMobiles Palliativteam Baden, Mühlgasse 74, 2500, Baden, Österreich.
Johannes G MeranKrankenhaus der Barmherzigen Brüder Wien, Johannes-von-Gott-Platz 1, 1120, Wien, Österreich.
Aurelia MiksovskyInterne Abteilung, Palliativstation, Krankenhaus St. Elisabeth Wien, Landstraßer Hauptstraße 4A, 1030, Wien, Österreich.
Bettina PusswaldMobiles Palliativteam Fürstenfeld/Feldbach, Krankenhausgasse 1, 8280, Fürstenfeld, Österreich.
Thomas WienerroitherKlinische Psychologie, Palliativabteilung, Salzkammergut Klinikum Vöcklabruck, Dr. Wilhelm Bock Straße 1, 4840, Vöcklabruck, Österreich.
Herbert WatzkeUniversitätsklinik für Innere Medizin I, Klinische Abteilung für Palliativmedizin, Medizinische Universität Wien, 1090, Wien, Österreich.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative sedation therapy (PST) is an important and ethically accepted therapy in the care of selected palliative care patients with otherwise unbearable suffering from refractory distress. PST is increasingly used in end-of-life care. Austria does not have a standardized ethical guideline for this exceptional practice near end of life, but there is evidence that practice varies throughout the country.

objectiveThe Austrian Palliative Society (OPG) nominated a multidisciplinary working group of 16 palliative care experts and ethicists who established the national guideline on the basis of recent review work with the aim to adhere to the Europeans Association of Palliative Care's (EAPC) framework on palliative sedation therapy respecting Austrians legal, structural and cultural background.

methodsConsensus was achieved by a four-step sequential Delphi process. The Delphi-process was strictly orientated to the recently published EUROIMPACT-sedation-study-checklist and to the AGREE-2-tool. Additionally national stakeholders participated in the reflection of the results.

resultsAs a result of a rigorous consensus process the long version of the Austrian National Palliative Sedation Guideline contains 112 statements within eleven domains and is supplemented by a philosophers excursus on suffering.

conclusionsBy establishing a national guideline for palliative sedation therapy using the Delphi technique for consensus and stakeholder involvement the Austrian Palliative Society aims to ensure nationwide good practice of palliative sedation therapy. Screening for the practicability and efficacy of this guideline will be a future task.

Indexed as

Delphi TechniqueSocieties, MedicalAustriaHumansPalliative CareProcedural SedationTerminal CareEnd of lifeGuidelinePalliative sedation therapyRefractory symptomsUnbearable suffering

Identifiers

PMID27924420

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.