Evidence map›Paper›PMID 32787706›Full record

ArticleThe Journal of international medical research2020

Family physicians' perspective on voluntary stopping of eating and drinking: a cross-sectional study.

Sabrina Stängle, Wilfried Schnepp, Daniel Büche, Christian Häuptle, André Fringer

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  10. Palliative care and social practice · 2022
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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

5 authors at 2 institutions in 2 countries.

Sabrina StängleFaculty of Health, Department of Nursing Science, Witten/Herdecke University, Witten, Germany.ORCID https://orcid.org/0000-0003-1664-8824
Wilfried SchneppFaculty of Health, Department of Nursing Science, Witten/Herdecke University, Witten, Germany.
Daniel BücheCantonal Hospital St. Gallen, Palliative Centre St. Gallen, St. Gallen, Switzerland.
Christian HäuptleCantonal Hospital St. Gallen, Centre for General Practitioner Medicine, St. Gallen, Switzerland.
André FringerFaculty of Health, Department of Nursing Science, Witten/Herdecke University, Witten, Germany.
Witten/Herdecke University · DEKantonsspital St. Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to determine how often patients who choose voluntary stopping of eating and drinking (VSED) are accompanied by Swiss family physicians, how physicians classify this process, and physicians' attitudes and professional stance toward VSED.

methodsWe conducted a cross-sectional study between August 2017 and July 2018 among 751 practicing family physicians in Switzerland (response rate 74%; 70.7% men; average age 58 (±9) years). We used a standardized evidence-based questionnaire for the survey.

resultsVSED is well-known among family physicians (81.9%), and more than one-third (42.8%) had accompanied at least one patient during VSED. In 2017, 1.1% of all deaths that occurred in Swiss nursing homes or in a private home were owing to VSED. This phenomenon was classified as a natural dying process (59.3%), passive euthanasia (32.0%), or suicide (5.3%).

conclusionsAlthough about one in three Swiss family physicians have accompanied a person during VSED, family physicians lack sufficient in-depth knowledge to address patients and their relatives in an appropriate manner during the process. Further training and development of practice recommendations are needed to achieve more standardized accompaniment of VSED.

Indexed as

Physicians, FamilySuicideAlcohol DrinkingCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesadvance care planningend-of-life decision makingend-of-life practicefood refusalGeneral practitioneroutpatient careself-determinationvoluntary stopping of eating and drinking

Identifiers

PMID32787706
PMCPMC7427036
OpenAlexW3048498144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.