ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2021
[Overtreatment in intensive care medicine-recognition, designation, and avoidance : Position paper of the Ethics Section of the DIVI and the Ethics section of the DGIIN].
Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07069010 (Evaluation of Burnout Syndrome Among Healthcare Professionals in Intensive Care Units Within the EPIC), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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.
Evaluation of Burnout Syndrome Among Healthcare Professionals in Intensive Care Units Within the EPIC (Enhancing Palliative Care in ICU) Research
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Palliative extubation after ROSC in the emergency setting-a guideline for emergency physicians].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Guideline
- Patterns of Care in the Final Week of Life: A Comparative Analysis of Aggressive Treatment Versus Comfort-Centered Care Across Healthcare Settings.Medicina (Kaunas, Lithuania) · 2026Article
- [Special ethical aspects in older intensive care patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- [Ethically challenging determination of treatment goals in the intensive care unit: reasons, frequency and possible solutions].Die Anaesthesiologie · 2026Review
- Implementing palliative care in intensive care units: assessing processes using the normalisation process theory NoMAD instrument.Implementation science communications · 2026Article
- Consent in Intensive Care: The Concurrence of Patients' and Families' Viewpoints. A Simulation StudyDeutsches Arzteblatt international · 2026Article
- A Reflection on Current Definitions of Critical Care and Critical Illness-A Narrative Review of the Literature.Nursing in critical care · 2026Review
- Article
- [First come, first failed : The rise and fall of Germany's Triage law].Die Anaesthesiologie · 2025Article
- [Dying in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- [Medical decision-making in clinical disaster medicine and in healthcare crises : Applying ethics and law in resource allocation].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Evaluation of score-based tertiary triage policies during the COVID-19 pandemic: simulation study with real-world intensive care data.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Time-Limited Trials in Intensive Care Medicine: A Tool for Avoiding Inappropriate Treatment.Deutsches Arzteblatt international · 2025Review
- [Environmental sustainability in intensive care medicine].Die Anaesthesiologie · 2025Review
- [Sustainability-national and international initiatives in intensive care and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- [Intensive care and emergency medicine overuse and sustainability].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Medical futility at the end of life: the first qualitative study of ethical decision-making methods among Turkish doctors.BMC medical ethics · 2024Article
- [Ethical boundary decisions in intensive care medicine].Innere Medizin (Heidelberg, Germany) · 2024Article
- [Ethical aspects in the context of extracorporeal life support systems (ECLS): consensus paper of the DGK, DGTHG and DGAI].Die Anaesthesiologie · 2024Review
- Triggers of intensive care patients with palliative care needs from nurses' perspective: a mixed methods study.Critical care (London, England) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite social laws, overtreatment, undertreatment, and incorrect treatment are all present in the German health care system. Overtreatment denotes diagnostic and therapeutic measures that are not appropriate because they do not improve the patients' length or quality of life, cause more harm than benefit, and/or are not consented to by the patient. Overtreatment can result in considerable burden for patients, their families, the treating teams, and society. This position paper describes causes of overtreatment in intensive care medicine and makes specific recommendations to identify and prevent it. Recognition and avoidance of overtreatment in intensive care medicine requires measures on the micro-, meso- and macrolevels, especially the following: (1) frequent (re-)evaluation of the therapeutic goal within the treating team while taking the patient's will into consideration, while simultaneously attending to the patients and their families; (2) fostering a patient-centered corporate culture in the hospital, giving priority to high-quality patient care; (3) minimizing improper incentives in health care financing, supported by reform of the reimbursement system that is still based on diagnose-related groups; (4) strengthening of interprofessional co-operation via education and training; and (5) initiating and advancing a societal discourse on overtreatment.
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Registered trials
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.