Evidence map›Paper›PMID 35005702›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Ethical issues and obligations with undocumented immigrants relying on emergency departments for dialysis.

Nicholas H Kluesner, Norine McGrath, Nathan G Allen, Monisha Dilip, Jay Brenner

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

5 authors at 4 institutions in 1 country.

Nicholas H KluesnerUnityPoint Health Des Moines Des Moines Iowa USA.
Norine McGrathSwedish Health Seattle Washington USA.
Nathan G AllenBillings Clinic Billings Montana USA.
Monisha DilipDepartment of Emergency Medicine SUNY-Downstate Medical Center Brooklyn New York USA.
Jay BrennerDepartment of Emergency Medicine SUNY-Upstate Medical University Syracuse New York USA.
Billings Clinic · USSUNY Downstate Health Sciences University · USSUNY Upstate Medical University · USUnityPoint Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undocumented immigrants with end-stage renal disease in the United States are uniquely disadvantaged in their ability to access dialysis. This article examines the unique circumstances of the medical condition and healthcare system, including the relevant legal and regulatory influences that largely relegate undocumented immigrants to relying on emergency-only dialysis through a hospital's Emergency Medical Treatment and Labor Act obligations. We explore the ethical implications of this current state, emphasizing the adverse effects on patients and staff alike. We also review necessary actions that range from the actions an individual emergency physician to changes needed in federal policy.

Indexed as

dialysisemergency‐only dialysisEMTALAend state renal diseaseethics

Identifiers

PMID35005702
PMCPMC8716567
OpenAlexW4200000068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.