Evidence map›Paper›PMID 33847853›Full record

ArticleMedicine, health care, and philosophy2021

In the name of the family? Against parents' refusal to disclose prognostic information to children.

Michael Rost, Emilian Mihailov

Open access · hybridAbstract read
In one paragraph

Article in Medicine, health care, and philosophy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.7field-weighted citation impact, top 4% 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, 22 citations in OpenAlex.

  1. Article
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  3. Review
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  7. Article
  8. ChatGPT as a Way to Enhance Parents’ Communication in Cases of Oncological Pediatric DiseasesTurkish journal of haematology : official journal of Turkish Society of Haematology · 2023
    Article
  9. Article
  10. Article
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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

2 authors at 2 institutions in 2 countries.

Michael RostInstitute for Biomedical Ethics, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland. michael.rost@unibas.ch.ORCID http://orcid.org/0000-0001-6537-9793
Emilian MihailovInstitute for Biomedical Ethics, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland.
University of Basel · CHUniversity of Bucharest · RO

Funding

Swiss Cancer Research Foundation and Swiss Cancer League KLS-4822-08-2019
6 · The paper itself

Abstract

Parents frequently attempt to shield their children from distressing prognostic information. Pediatric oncology providers sometimes follow parental request for non-disclosure of prognostic information to children, invoking what we call the stability of the family argument. They believe that if they inform the child about terminal prognosis despite parental wishes, cohesion and family structure will be severely hampered. In this paper, we argue against parental request for non-disclosure. Firstly, we present the stability of the family argument in more detail. We, then, set out the (conceptual, legal, systemic) entitativity of the family and the kind of value the stability of the family argument assumes, before we set on to critically evaluate the argument. Our analysis shows that disclosure of prognostic information to children does not necessarily destabilize the family to a greater extent than non-disclosure. In fact, a systemic perspective suggests that mediated disclosure is more likely to result in a (long-term) stability of the family than non-disclosure. It is in the interest of the family to resist the initial aversive reaction to delivering bad news. In the final part, we draw a set of recommendations on how to facilitate decision-making in face of parental request for non-disclosure.

Indexed as

FamilyParentsChildHumansMedical OncologyPrognosisDecision-makingFamily unitPediatric oncologyPrognostic disclosureSystemic thinking

Identifiers

PMID33847853
PMCPMC8349339
OpenAlexW3156787892

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.