Evidence map›Paper›PMID 35672780›Full record

ArticleJournal of eating disorders2022

Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined.

Angela S Guarda, Annette Hanson, Philip Mehler, Patricia Westmoreland

Open access · goldAbstract readLetter
In one paragraph

Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. "Terminal anorexia nervosa" may not be terminal: An empirical evaluation.Journal of psychopathology and clinical science · 2024
    Article
  9. 'Terminal anorexia': a lived experience perspective.Journal of eating disorders · 2023
    Article
  10. Article
  11. Review
  12. Review
  13. 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

4 authors at 4 institutions in 1 country.

Angela S GuardaDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, 21287, USA. aguarda@jhmi.edu.
Annette HansonDepartment of Psychiatry, University of Maryland, Jessup, MD, 20794, USA.
Philip MehlerDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Patricia WestmorelandDepartment of Psychiatry, University of Colorado Anschutz Medical Center, Aurora, CO, 80045, USA.
Johns Hopkins University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USWilliam Jessup University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A recent article (JED 10:23, 2022) proposed defining terminal anorexia to improve access to palliative and hospice care, and to medical aid in dying for a minority of patients with severe and enduring anorexia nervosa (SE-AN). The authors presented three cases and, for two, the first author participated in their death. Anorexia nervosa is a treatable psychiatric condition for which recovery may be uncertain. We are greatly concerned however regarding implications of applying the label "terminal" to anorexia nervosa and the risk it will lead to unjustified deaths in individuals whose mental illness impairs their capacity to make a reasoned treatment decision.

Indexed as

Anorexia nervosaCapacityCompetenceInvoluntary treatmentMedical assistance in dyingPhysician assisted deathPhysician assisted suicideSevere and enduring anorexia nervosaSevere and enduring eating disordersTerminal anorexia

Identifiers

PMID35672780
PMCPMC9175496
OpenAlexW4281791196

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.