Evidence map›Paper›PMID 35277446›Full record

ArticleNeurology2022

Ethics and the 2018 Practice Guideline on Disorders of Consciousness: A Framework for Responsible Implementation.

Andrew Peterson, Michael J Young, Joseph J Fins

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Covert brain complexity in the intensive care unit.Cortex; a journal devoted to the study of the nervous system and behavior · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Disorders of Consciousness Rehabilitation: Ethical Dimensions and Epistemic Dilemmas.Physical medicine and rehabilitation clinics of North America · 2024
    Review
  12. Article
  13. Covert consciousness.NeuroRehabilitation · 2024
    Article
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Andrew PetersonFrom the Institute for Philosophy and Public Policy (A.P.), George Mason University, Fairfax, VA; Penn Program on Precision Medicine for the Brain (A.P.), University of Pennsylvania, PA; Department of Neurology and Edmond J. Safra Center for Ethics (M.J.Y.), Harvard University, Boston, MA; Division of Medical Ethics (J.J.F.), Weill Cornell Medical College, Cornell University, New York, NY; and Solomon Center for Health Law & Policy (J.J.F.), Yale Law School, New Haven, CT.ORCID 0000-0001-5192-3348
Michael J YoungFrom the Institute for Philosophy and Public Policy (A.P.), George Mason University, Fairfax, VA; Penn Program on Precision Medicine for the Brain (A.P.), University of Pennsylvania, PA; Department of Neurology and Edmond J. Safra Center for Ethics (M.J.Y.), Harvard University, Boston, MA; Division of Medical Ethics (J.J.F.), Weill Cornell Medical College, Cornell University, New York, NY; and Solomon Center for Health Law & Policy (J.J.F.), Yale Law School, New Haven, CT.ORCID 0000-0001-6661-0811
Joseph J FinsFrom the Institute for Philosophy and Public Policy (A.P.), George Mason University, Fairfax, VA; Penn Program on Precision Medicine for the Brain (A.P.), University of Pennsylvania, PA; Department of Neurology and Edmond J. Safra Center for Ethics (M.J.Y.), Harvard University, Boston, MA; Division of Medical Ethics (J.J.F.), Weill Cornell Medical College, Cornell University, New York, NY; and Solomon Center for Health Law & Policy (J.J.F.), Yale Law School, New Haven, CT.ORCID 0000-0002-7221-0053

Funding

Caregivers' Experiences with and Perspectives on Communication with Persons with DementiaR21AG069805 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KARLAWISH, JASON H, PETERSON, ANDREW H · 2020 to 2021
$452k
An Ethical Approach to Detecting Covert ConsciousnessF32MH123001 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI YOUNG, MICHAEL J · 2020 to 2022
$159k
NIA NIH HHS R21 AG069805NIMH NIH HHS F32 MH123001
6 · The paper itself

Abstract

The 2018 practice guideline on disorders of consciousness marks an important turning point in the care of patients with severe brain injury. As clinicians and health systems implement the guideline in practice, several ethical challenges will arise in assessing the benefits, harms, feasibility, and cost of recommended interventions. We provide guidance for clinicians when interpreting these recommendations and call on professional societies to develop an ethical framework to complement the guideline as it is implemented in clinical practice.

Indexed as

ConsciousnessHumans

Identifiers

PMID35277446
PMCPMC9071367

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.