Evidence map›Paper›PMID 30118418›Full record

ArticleAMA journal of ethics2018

How Should Physicians Care for Dying Patients with Amyotrophic Lateral Sclerosis?

Alexander Craig, Elizabeth Dzeng

Open access · diamondAbstract readCase Reports
In one paragraph

Article in AMA journal of ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Multidisciplinary care in Amyotrophic Lateral Sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Alexander CraigA second-year medical student at the University of California, San Francisco School of Medicine.
Elizabeth DzengAn assistant professor at the University of California, San Francisco (UCSF) in the Division of Hospital Medicine and Social and Behavioral Sciences, Sociology program, where she directs the ethics curriculum for medical students.
University of California San Francisco Medical Center · US

Funding

Identifying contributing factors to burdensome ICU treatments in older adults with Alzheimer's disease and related dementias in the United States and United KingdomR03AG060098 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DZENG, ELIZABETH · 2018 to 2019
$240k
NIA NIH HHS L30 AG057079NIA NIH HHS R03 AG060098
6 · The paper itself

Abstract

We discuss physician aid in dying, euthanasia, and other dimensions of palliative care decision making and define relevant terms raised by this case of a dying patient with amyotrophic lateral sclerosis in Washington State who is unable to self-administer a lethal prescription. We then present a concrete framework that clinicians can directly apply when faced with difficult cases such as this one. We outline how exploring motivations, obtaining informed consent, defining goals, and examining alternatives can help guide physicians like the one in this case. We conclude by summarizing one way in which physicians might balance these issues while still remaining within the constraints of the law.

Indexed as

Practice Guidelines as TopicTerminally IllAmyotrophic Lateral SclerosisAttitude of Health PersonnelDecision MakingHumansMaleMiddle AgedPhysiciansSuicide, AssistedTerminal CareUnited StatesWashington

Identifiers

PMID30118418
PMCPMC6642362
OpenAlexW2887949085

What OpenQuestion holds

Textmetadata
LicenceTDM
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.