Evidence map›Paper›PMID 29302602›Full record

ReviewAnnals of translational medicine2017

What are the ethical questions raised by the integration of intensive care into advance care planning?

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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 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

A major goal of intensive care units (ICUs) is to offer optimal management, but for many patients admitted to the ICU, they are unlikely to yield any lasting benefit. In this context, the ICU physician remains a key intermediary, particularly when a decision regarding possible limitation or withdrawal of life-sustaining therapy becomes necessary. The possibility of admission to the ICU, and the type of care the patient would like to receive there, should be integrated into the healthcare project in agreement with the patient, regardless of the stage of disease that the patient suffers from. These dispositions should be recorded in the patient's file, and should respect the progressive nature of both the disease itself, and the discussions necessary in such complex situations. The ICU physician can serve as a valuable consultant for the treating physician, in particular to guide patient choices when formalizing their healthcare preferences in the form of advance care planning (ACP) or advance directives (AD). Ideally, the best time to address this issue is before the patient's clinical situation deteriorates towards an acute emergency, and providing complete and transparent information to inform the patient's choices.

Indexed as

advance care planning (ACP)ethicsIntensive care unit (ICU)

Identifiers

PMID29302602
PMCPMC5750251

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.