End of life care in the setting of extreme prematurity - practical challenges and ethical controversies.

Dominic Jc Wilkinson, Sophie Bertaud

Open access · hybridAbstract readReview

In one paragraph

Review in Seminars in fetal & neonatal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed, 1 pooled it

0.3field-weighted citation impact, top 39% 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

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

Singapore Neonatal Resuscitation Guidelines 2026.Singapore medical journal · 2026
Guideline

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

2 authors at 1 institution in 1 country.

Dominic Jc WilkinsonOxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, UK; John Radcliffe Hospital, Oxford, UK; Murdoch Children's Research Institute, Melbourne, Australia; Centre for Biomedical Ethics, National University of Singapore Yong Loo Lin School of Medicine, Singapore. Electronic address: dominic.wilkinson@philosophy.ox.ac.uk.

Sophie BertaudOxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, UK.

Wellcome Centre for Ethics and Humanities · GB

Funding

Wellcome Trust 203132/Z/16/Z

6 · The paper itself

Abstract

While the underlying principles are the same, there are differences in practice in end of life decisions and care for extremely preterm infants compared with other newborns and older children. In this paper, we review end of life care for extremely preterm infants in the delivery room and in the neonatal intensive care unit. We identify potential justifications for differences in the end of life care in this population as well as practical and ethical challenges.

Indexed as

Terminal CareAdolescentChildHumansInfantInfant, Extremely PrematureInfant, NewbornIntensive Care Units, NeonatalDecision-makingEnd of lifeIntensive careNeonatalPalliative carePremature infant

Identifiers

PMID37121832

DOI10.1016/j.siny.2023.101442

PMCPMC10914670

OpenAlexW4366606806

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.