ArticleArchives of disease in childhood. Fetal and neonatal edition2021
Viability and thresholds for treatment of extremely preterm infants: survey of UK neonatal professionals.
Article in Archives of disease in childhood. Fetal and neonatal edition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Singapore Neonatal Resuscitation Guidelines 2026.Singapore medical journal · 2026Guideline
- Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- Decision-Making at the Limit of Viability in Newborns: Insights from a Survey of Medical Professionals.Children (Basel, Switzerland) · 2026Article
- Ethical challenges and moral conflicts in periviability prenatal counseling: a scoping review of healthcare professionals' perspectives.BMC medical ethics · 2026Article
- Are guidelines needed? International perspectives on decision-making and practice variation in the care of extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Ethical and management dilemmas in the care of the newborn at the limit of viability: a narrative review.Journal of medicine and life · 2026Review
- Follow-up of neonatal chronic respiratory disease: an update based on the current evidence.European journal of pediatrics · 2026Review
- Provider perspectives on counseling and resuscitation at 22 weeks gestation and their impact on decision-making: what do providers think?Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- [Expert recommendations on antenatal counseling for extremely preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025Article
- Management of Advanced Lung Cancer in Pregnancy: Multidisciplinary Treatment and Early Delivery.Internal medicine (Tokyo, Japan) · 2025Article
- Supporting Antenatal Counselling for Anticipated Preterm Births at the Limits of Viability in Non-Tertiary Centres.Children (Basel, Switzerland) · 2025Article
- Decision threshold models in medical decision making: a scoping literature review.BMC medical informatics and decision making · 2024Article
- Withdrawal and withholding of life sustaining treatment (WWLST): an under recognised factor in the morbidity or mortality of periviable infants?-a narrative review.Translational pediatrics · 2024Review
- Characterizing post-branching nephrogenesis in the neonatal rabbit.Scientific reports · 2023Article
- Prognosis, counseling, and indications for termination of pregnancy.Abdominal radiology (New York) · 2023Review
- Ethical Dilemmas in Neonatal Care at the Limit of Viability.Children (Basel, Switzerland) · 2023Review
- Differences in the attitudes towards resuscitation of extremely premature infants between neonatologists and obstetricians: a survey study in China.Frontiers in pediatrics · 2023Article
- Attitudes About Extremely Preterm Birth Among Obstetric and Neonatal Health Care Professionals in England: A Qualitative Study.JAMA network open · 2022Article
- Individualised decision making: interpretation of risk for extremely preterm infants-a survey of UK neonatal professionals.Archives of disease in childhood. Fetal and neonatal edition · 2022Article
- Gestation-Based Viability-Difficult Decisions with Far-Reaching Consequences.Children (Basel, Switzerland) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundDecisions about treatments for extremely preterm infants (EPIs) born in the 'grey zone' of viability can be ethically complex. This 2020 survey aimed to determine views of UK neonatal staff about thresholds for treatment of EPIs given a recently revised national Framework for Practice from the British Association of Perinatal Medicine.
methodsThe online survey requested participants indicate the lowest gestation at which they would be willing to offer active treatment and the highest gestation at which they would withhold active treatment of an EPI at parental request (their lower and upper thresholds). Relative risks were used to compare respondents' views based on profession and neonatal unit designation. Further questions explored respondents' conceptual understanding of viability.
results336 respondents included 167 consultants, 127 registrars/fellows and 42 advanced neonatal nurse practitioners (ANNPs). Respondents reported a median grey zone for neonatal resuscitation between 22
conclusionCompared with previous studies, we found a shift in the reported lower threshold for resuscitation in the UK, with greater acceptance of active treatment for infants <23 weeks' gestation.
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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.