Evidence map›Paper›PMID 32650946›Full record

ArticleRevista clinica espanola2020

Which are the most prevalent ethical conflicts for Spanish internists?

A Blanco Portillo, R García-Caballero, D Real de Asúa, B Herreros

Open access · greenAbstract read
In one paragraph

Article in Revista clinica espanola, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 14% 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

1 citing paper in PubMed, 12 citations in OpenAlex.

  1. Article
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

4 authors at 3 institutions in 1 country.

A Blanco PortilloUnidad de Medicina Interna, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España. Electronic address: blanco131187@hotmail.com.
R García-CaballeroServicio de Medicina Interna, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España; Grupo de Trabajo de Bioética y Profesionalismo, Sociedad Española de Medicina Interna , Madrid, España.
D Real de AsúaGrupo de Trabajo de Bioética y Profesionalismo, Sociedad Española de Medicina Interna , Madrid, España; Servicio de Medicina Interna, Hospital Universitario de La Princesa , Madrid, España; Instituto de Ética Clínica Francisco Vallés, Universidad Europea, Madrid, España.
B HerrerosUnidad de Medicina Interna, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España; Grupo de Trabajo de Bioética y Profesionalismo, Sociedad Española de Medicina Interna , Madrid, España; Instituto de Ética Clínica Francisco Vallés, Universidad Europea, Madrid, España.
Hospital Universitario Fundación Alcorcón · ESHospital Universitario de La Princesa · ESHospital Universitario Infanta Sofía · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveClinicians face a multitude of ethical conflicts in their daily practice. There have been no studies on the types of ethical conflicts encountered most frequently and that are of most concern to clinicians in Spain. The aim of this study is to report the most common ethical conflicts faced by Spanish internists, as well as the importance that the practitioners attribute to each conflict. MATERIALS AND

methodsOur observational cross-sectional study employed a voluntary and anonymous survey aimed at Spanish medical internists and distributed through an ad hoc platform of the Spanish Society of Internal Medicine.

resultsThe most common and relevant ethical issues for Spanish internists are related to patients' end of life (decisions limiting therapeutic effort, use of palliative treatments, the establishment of do-not-resuscitate orders), the conflicts arising within the doctor-patient/family relationship, and making decisions with noncompetent patients. These results are similar to those of other English and European series. The ethical problems further complicate the healthcare activity of clinicians who more often notice these problems (50.3%) than those who do not notice them (16%).

conclusionsThe most common and relevant ethical conflicts among Spanish internists are related to managing patients' end of life, followed by those related to the doctor-patient relationship and the management of noncompetent patients. It is essential that training programs be designed to better address and recognise these problems.

Indexed as

BioethicsBioéticaClinical ethicsEnd of lifeEthical problemsÉtica clínicaFinal de la vidaProblemas éticos

Identifiers

PMID32650946
PMCPMC7340392
OpenAlexW3038546750

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.