Evidence map›Paper›PMID 34575714›Full record

ArticleJournal of personalized medicine2021

Access to Prenatal Testing and Ethically Informed Counselling in Germany, Poland and Russia.

Marcin Orzechowski, Cristian Timmermann, Katarzyna Woniak, Oxana Kosenko, Galina Lvovna Mikirtichan, Alexandr Zinovievich Lichtshangof, Florian Steger

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2021. 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
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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

7 authors.

Marcin OrzechowskiInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, 89073 Ulm, Germany.
Cristian TimmermannInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, 89073 Ulm, Germany.ORCID 0000-0001-7935-2823
Katarzyna WoniakInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, 89073 Ulm, Germany.
Oxana KosenkoInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, 89073 Ulm, Germany.
Galina Lvovna MikirtichanDepartment of Humanities and Bioethics, Saint-Petersburg State Pediatric Medical University, 194100 Saint Petersburg, Russia.
Alexandr Zinovievich LichtshangofDepartment of Humanities and Bioethics, Saint-Petersburg State Pediatric Medical University, 194100 Saint Petersburg, Russia.
Florian StegerInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, 89073 Ulm, Germany.ORCID 0000-0001-8108-1591

Funding

Universität Ulm the Graduate & Professional Training Center Ulm University (ProTrainU)
6 · The paper itself

Abstract

The development of new methods in the field of prenatal testing leads to an expansion of information that needs to be provided to expectant mothers. The aim of this research is to explore opinions and attitudes of gynecologists in Germany, Poland and Russia towards access to prenatal testing and diagnostics in these countries. Semi-structured interviews were conducted with n = 18 gynecologists in Germany, Poland and Russia. The interviews were analyzed using the methods of content analysis and thematic analysis. Visible in all three countries is a connection of prenatal medicine with the politically and socially contentious issue of pregnancy termination. Respondents in Poland and Russia concentrated on the topic of inadequate resources. Quality of information for expectant mothers is an important point in all three countries. Only in Germany was the issue of language barriers in communication raised. With regard to non-invasive prenatal testing (NIPT) respondents in Germany focused on the ethical issues of routinization of testing; in Poland and Russia they concentrated on fair access to NIPT. Challenges in all three countries arise from structural factors such as imprecise and prohibitive regulations, lack of resources or organization of healthcare services. These should be addressed on a political and medico-ethical level.

Indexed as

clinical ethicsEastern Europenon-invasive prenatal testing (NIPT)pregnancy terminationreproductive rights

Identifiers

PMID34575714
PMCPMC8469421

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.