Evidence map›Paper›PMID 29302599›Full record

ReviewAnnals of translational medicine2017

What are the ethical aspects surrounding the collegial decisional process in limiting and withdrawing treatment in intensive care?

Jean-Pierre Quenot, Fiona Ecarnot, Nicolas Meunier-Beillard, Auguste Dargent, Audrey Large, Pascal Andreu, Jean-Philippe Rigaud

Abstract readReview
In one paragraph

Review in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

7 authors.

Jean-Pierre QuenotDepartment of Intensive Care, François Mitterrand University Hospital, Dijon, France.
Fiona EcarnotEA3920, Department of Cardiology, University Hospital Besancon, Besancon, France.
Nicolas Meunier-BeillardDepartment of Intensive Care, François Mitterrand University Hospital, Dijon, France.
Auguste DargentDepartment of Intensive Care, François Mitterrand University Hospital, Dijon, France.
Audrey LargeDepartment of Intensive Care, François Mitterrand University Hospital, Dijon, France.
Pascal AndreuDepartment of Intensive Care, François Mitterrand University Hospital, Dijon, France.
Jean-Philippe RigaudDepartment of Intensive Care, Dieppe General Hospital, Dieppe, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The decision to limit or withdraw life-support treatment is an integral part of the job of a physician working in the intensive care unit, and of the approach to care. However, this decision is influenced by a number of factors. It is widely accepted that a medical decision that will ultimate lead to end-of-life in the intensive care unit (ICU) must be shared between all those involved in the care process, and should give precedence to the patient's wishes (either directly expressed by the patient or in written form, such as advance directives), and taking into account the opinion of the patient's family, including the surrogate if the patient is no longer capable of expressing themselves. A number of questions still remain unanswered regarding how decisions to limit or withdraw treatment are taken in daily practice, especially when this decision can be anticipated. We discuss here the collegial procedure for decision-making, in particular in the context of recent French legislation on end-of-life issues. We describe how collegial decision-making procedures should be carried out, and what points are covered in shared discussions regarding decisions to limit or withdraw life-sustaining therapies.

Indexed as

end-of-lifeethicsIntensive care unit (ICU)shared decisional process

Identifiers

PMID29302599
PMCPMC5750242

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.