Evidence map›Paper›PMID 33826768›Full record

ReviewVox sanguinis2021

Physician autonomy and patient rights: lessons from an enforced blood transfusion and the role of patient blood management.

Matteo Bolcato, Aryeh Shander, James P Isbister, Kevin M Trentino, Marianna Russo, Daniele Rodriguez, Anna Aprile

Abstract readReview
In one paragraph

Review in Vox sanguinis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Limits of Acute Anemia.Journal of clinical medicine · 2022
    Review
  9. Medical Education: Patients' Perspectives on Clinical Training and Informed Consent.International journal of environmental research and public health · 2022
    Observational
  10. 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

7 authors.

Matteo BolcatoDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0002-8784-8463
Aryeh ShanderDepartment of Anesthesiology, Critical Care Medicine Pain Management and Hyperbaric Medicine Team, Health Research Institute, Englewood Medical Center, Englewood, NJ, USA.
James P IsbisterSchool of Medicine, The University of Sydney, Sydney, NSW, Australia.
Kevin M TrentinoMedical School, The University of Western Australia, Perth, WA, Australia.
Marianna RussoDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Daniele RodriguezDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Anna AprileDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article provides an ethical and medico-legal analysis of ruling no. 465 of 30 May 2018 issued by the Court of Termini Imerese (Palermo) and confirmed on appeal on 11 November 2020, which, in the absence of similar historical precedents in Europe, convicted a medical doctor of a crime of violent assault for having ordered the administration of a blood transfusion to a patient specifically declining blood transfusion on religious grounds. We analyse the Court's decision regarding the identification of assault in performing the blood transfusion and its decision not to accept exculpatory urgent 'necessity' as a defence. In addition, we present an updated revision of the current standard of care in transfusion medicine as well as the ethical principles governing the patient's declining of transfusion. In doing so, we highlight that respect for the patient's self-determination in declining transfusions and respect for the professional autonomy of the doctor protecting the safety and life of the patient could be equally satisfied by applying the current peer-reviewed evidence.

Indexed as

Jehovah's WitnessesPhysiciansBlood TransfusionHumansPatient RightsPersonal AutonomyethicsJehovah’s Witnesspatient blood managementtransfusion medicine

Identifiers

PMID33826768
PMCPMC9291028

What OpenQuestion holds

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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.