ReviewCancers2022
The Decision-Making Process for Palliative Sedation for Patients with Advanced Cancer-Analysis from a Systematic Review of Prospective Studies.
Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis 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
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of sedative practices on grief in the spouse of a patient who has died of cancer. An international systematic review.Frontiers in psychology · 2025Pooled it
- The Perspectives of Families in Decision-Making Conflicts Related to Palliative Care Patients With Mechanical Ventilation in Taiwan.The American journal of hospice & palliative care · 2026Article
- The decision-making process for sedation in specialist palliative care: a qualitative interview study with team members, relatives, and patients.BMC palliative care · 2026Article
- Healthcare professionals' perceptions of ethical issues in palliative sedation: A moral case deliberation study in eight European countries.Palliative care and social practice · 2026Article
- Nursing practices in palliative sedation across respiratory medicine wards and palliative care units in Japan: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2025Article
- Attitudes and practices of hospice physicians regarding palliative sedation: a cross-sectional descriptive study.BMJ open · 2025Article
- An easier way to die?-A qualitative interview study on specialist palliative care team members' views on dying under sedation.Palliative medicine · 2025Article
- Navigating the Tensions of Supervision: Medical Educators' Strategies for Supporting Students During End-of-Life Care.Perspectives on medical education · 2025Article
- Decision-making about palliative sedation for patients with cancer: a qualitative study in five European countries linked to the Palliative sedation project.BMC palliative care · 2024Article
- [New recommendations on palliative sedation].Schmerz (Berlin, Germany) · 2024Article
- Revised European Association for Palliative Care (EAPC) recommended framework on palliative sedation: An international Delphi study.Palliative medicine · 2024Article
- Palliative Sedation in End-of-Life Patients in Eastern Asia: A Narrative Review.Cancer research and treatment · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe involvement of patients in decision making about their healthcare plans is being emphasized. In the context of palliative sedation, it is unclear how these decisions are made and who are involved in. The aim of the study is to understand how this decision-making is taken.
methodInformation from a systematic review on clinical aspects of palliative sedation prospective studies were included. PubMed, CINAHL, Cochrane, MEDLINE, and EMBASE were searched (January 2014-December 2019). Data extraction and analysis regarded: (a) When and by whom the decision-making process is initiated; (b) patient involvement; (c) family involvement and (d) healthcare involvement.
resultsData about decision making were reported in 8/10 included articles. Palliative sedation was reported in 1137 patients (only 16 of them were non-cancer). Palliative sedation was introduced by the palliative care team during the disease process, at admission, or when patients experienced refractory symptoms. Only two studies explicitly mentioned the involvement of patients in decision making. Co-decision between families and the regular health care professionals was usual, and the health care professionals involved had been working in palliative care services.
conclusionPatient participation in decision making appeared to be compromised by limited physical or cognitive capacity and family participation is described. The possibility of palliative sedation should be discussed earlier in the disease process.
Indexed as
Identifiers
What OpenQuestion holds
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.