Evidence map›Paper›PMID 32840833›Full record

ArticleJournal of bioethical inquiry2020

An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19.

Angus Dawson, David Isaacs, Melanie Jansen, Christopher Jordens, Ian Kerridge, Ulrik Kihlbom, Henry Kilham, Anne Preisz, Linda Sheahan, George Skowronski

Open access · bronzeAbstract read
In one paragraph

Article in Journal of bioethical inquiry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
14.8field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The Morality of Assisted Dying.The Journal of medicine and philosophy · 2025
    Article
  4. Article
  5. Ethical Considerations and Equipoise in Cancer Surgery.Indian journal of surgical oncology · 2024
    Review
  6. Article
  7. Characteristics and specifications of dashboards developed for the COVID-19 pandemic: a scoping review.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Angus DawsonSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
David IsaacsSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
Melanie JansenThe Children's Hospital Westmead, Sydney, Australia.
Christopher JordensSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia. chris.jordens@sydney.edu.au.ORCID http://orcid.org/0000-0001-9454-1059
Ian KerridgeSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
Ulrik KihlbomCentre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden.
Henry KilhamSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
Anne PreiszSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
Linda SheahanSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
George SkowronskiSydney Health Ethics, The University of Sydney, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia.
The University of Sydney · AUChildren's Hospital at Westmead · AUUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new cases were increasing at an exponential rate. In anticipation of resource constraints arising in clinical settings as a result of the COVID-19 pandemic, a working party of ten ethicists (seven clinicians and three full-time academics) was convened at the University of Sydney to draft an ethics framework to support resource allocation decisions. The framework guides decision-makers using a question-and-answer format, in language that avoids philosophical and medical technicality. The working party met five times over the following week and then submitted a draft Framework for consideration by two groups of intensivists and one group of academic ethicists. It was also presented to a panel on a national current affairs programme. The Framework was then revised on the basis of feedback from these sources and made publicly available online on April 3, ten days after the initial meeting. The framework is published here in full to stimulate ongoing discussion about rapid development of user-friendly clinical ethics resources in ongoing and future pandemics.

Indexed as

Delivery of Health CareCOVID-19Decision MakingHumansNew South WalesPandemicsResource AllocationSARS-CoV-2AustraliaClinical careCOVID-19Decision-makingEthics frameworkNew South WalesPandemicResource allocation

Identifiers

PMID32840833
PMCPMC7445717
OpenAlexW3080906664

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.