Evidence map›Paper›PMID 32511078›Full record

ArticleThe American journal of bioethics : AJOB2020

Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force.

Amy L McGuire, Mark P Aulisio, F Daniel Davis, Cheryl Erwin, Thomas D Harter, Reshma Jagsi, Robert Klitzman, Robert Macauley, Eric Racine, Susan M Wolf and 3 more

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In one paragraph

Article in The American journal of bioethics : AJOB, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Amy L McGuireBaylor College of Medicine.ORCID 0000-0002-7819-519X
Mark P AulisioCase Western Reserve University School of Medicine.ORCID 0000-0002-6423-8523
F Daniel DavisCenter for Translational Bioethics and Health Care Policy.ORCID 0000-0002-5637-7806
Cheryl ErwinTexas Tech University Health Sciences Center.ORCID 0000-0003-4223-457X
Thomas D HarterGundersen Health System.
Reshma JagsiUniversity of Michigan.ORCID 0000-0001-6562-1228
Robert KlitzmanColumbia University.ORCID 0000-0002-1632-0397
Robert MacauleyOregon Health and Science University.
Eric RacineInstitut de recherches cliniques de Montréal, Université de Montréal, McGill University.
Susan M WolfUniversity of Minnesota.ORCID 0000-0001-9547-2200
Matthew WyniaUniversity of Colorado.
Paul Root WolpeEmory University.
COVID-19 Task Force of the Association of Bioethics Program Directors (ABPD)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient's ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.

Indexed as

Advisory CommitteesBetacoronavirusBioethicsCoronavirus InfectionsCOVID-19Health Care RationingHumansPandemicsPneumonia, ViralSARS-CoV-2United StatesDecision makingend-of-life issueshealth care deliveryhealth policypublic healthrationing/resource allocation

Identifiers

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.