Evidence map›Paper›PMID 33307828›Full record

ArticleHealth (London, England : 1997)2022

Medicalisation, suffering and control at the end of life: The interplay of deep continuous palliative sedation and assisted dying.

Gitte Hanssen Koksvik, Naomi Richards, Sheri Mila Gerson, Lars Johan Materstvedt, David Clark

Abstract read
In one paragraph

Article in Health (London, England : 1997), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination.International journal of environmental research and public health · 2021
    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

5 authors.

Gitte Hanssen KoksvikNorwegian University of Science and Technology, Norway.ORCID 0000-0003-1233-4887
Naomi RichardsUniversity of Glasgow, UK.
Sheri Mila GersonUniversity of Glasgow, UK.
Lars Johan MaterstvedtNorwegian University of Science and Technology, Norway.
David ClarkUniversity of Glasgow, UK.

Funding

Wellcome Trust 103319
6 · The paper itself

Abstract

Medicalisation is a pervasive feature of contemporary end of life and dying in Western Europe and North America. In this article, we focus on the relationship between two specific aspects of the medicalisation of dying: deep continuous palliative sedation until death and assisted dying. We draw upon a qualitative interview study with 29 health professionals from three jurisdictions where assisted dying is lawful: Flanders, Belgium; Oregon, USA; and Quebec, Canada. Our findings demonstrate that the relationship between palliative sedation and assisted dying is often perceived as fluid and complex. This is inconsistent with current laws as well as with ethical and clinical guidelines according to which the two are categorically distinct. The article contributes to the literature examining health professionals' opinions and experiences. Moreover, our findings inform a discussion about emergent themes: suffering, timing, autonomy and control - which appear central in the wider discourse in which both palliative sedation and assisted dying are situated, and which in turn relate to the wider ideas about what constitutes a 'good death'.

Indexed as

Deep SedationSuicide, AssistedTerminal CareDeathHealth PersonnelHumansPalliative Careassisted dyingcontrolgood deathmedicalisationpalliative sedationsuffering

Identifiers

PMID33307828
PMCPMC9163770

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.