SynthesisBMC pediatrics2019
Decision-making at the limit of viability: the Austrian neonatal choice context.
Synthesis in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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Who cites it
13 citing papers in PubMed.
- Decision-Making at the Limit of Viability in Newborns: Insights from a Survey of Medical Professionals.Children (Basel, Switzerland) · 2026Article
- Ethical challenges and moral conflicts in periviability prenatal counseling: a scoping review of healthcare professionals' perspectives.BMC medical ethics · 2026Article
- Morbidity, Mortality, and Short-Term Outcomes of Preterm Infants ≤ 25 Weeks of Gestation.Journal of clinical medicine · 2026Article
- Artificial Womb Technology for Extremely Premature Neonates: Preclinical Neurodevelopmental Outcomes.Children (Basel, Switzerland) · 2025Review
- Cognitive biases in clinical decision-making in prehospital critical care; a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Evaluating cognitive bias in clinical ethics supports: a scoping review.BMC medical ethics · 2025Article
- Ethical considerations regarding the treatment of extremely preterm infants at the limit of viability: a comprehensive review.European journal of pediatrics · 2025Review
- Determining resuscitation threshold for extremely preterm infants based on the survival rates without severe neurological injury.Journal of global health · 2023Article
- Ethical Dilemmas in Neonatal Care at the Limit of Viability.Children (Basel, Switzerland) · 2023Review
- Neonatologists' Resuscitation Decisions at Birth for Extremely Premature Infants. A Belgian Qualitative Study.Frontiers in pediatrics · 2022Article
- Neonatologists' decision-making for resuscitation and non-resuscitation of extremely preterm infants: ethical principles, challenges, and strategies-a qualitative study.BMC medical ethics · 2021Article
- Peaceful End of Life in an Unviable Newborn: A Case Report.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to explore the shared decision-making context at the limit of viability (weeks 22-25 of gestation) through analyzing neonatologist's communication strategies with parents and their possible impact on survival and neurodevelopmental impairment (NDI) outcomes.
methodsA mixed methods approach was applied where a systematic literature search and in-depth semi-structured interviews with five heads of neonatology departments and one clinical ethicist from the Austrian context were integrated into a literature review. The aim was to identify decision practice models and the choice context specific to Austria.
resultsProfessional biases, parental understanding, and the process of information giving were identified as aspects possibly influencing survival and NDI outcomes. Institutions create self-fulfilling prophecies by recommending intensive/palliative care based upon their institutional statistics, yet those vary considerably among high-income countries. Labelling an extremely preterm (EP) infant by the gestational week was shown to skew the estimates for survival while the process of information giving was shown to be subject to framing effect and other cognitive biases.
conclusionCommunication strategies of choice options to parents may have an impact on the way parents decide and hence also on the outcomes of EP infants.
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Registered trials
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