Evidence map›Paper›PMID 37674892›Full record

ReviewJournal of hospice and palliative care2022

Problems Related to the Act on Decisions on Life-Sustaining Treatment and Directions for Improvement.

Dae Seog Heo, Shin Hye Yoo, Bhumsuk Keam, Sang Ho Yoo, Younsuck Koh

Abstract readReview
In one paragraph

Review in Journal of hospice and palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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.

Dae Seog HeoPatient-Centered Clinical Research Coordinating Center, National Evidence-based Healthcare Collaborating Agency, Korea.ORCID https://orcid.org/0000-0001-5221-173X
Shin Hye YooCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Korea.ORCID https://orcid.org/0000-0001-7473-1082
Bhumsuk KeamCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Korea.ORCID https://orcid.org/0000-0001-8196-4247
Sang Ho YooDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Korea.ORCID https://orcid.org/0000-0002-7258-5090
Younsuck KohDepartment of Internal Medicine, Asan Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0001-5066-2027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Act on Decisions on Life-Sustaining Treatment has been in effect since 2018 for end-of-life patients. However, only 20~25% of deaths of terminally ill patients comply with the law, while the remaining 75~80% do not. There is significant confusion in how the law distinguishes between those in the terminal stage and those in the dying process. These 2 stages can be hard to distinguish, and they should be understood as a single unified "terminal stage." The number of medical institutions eligible for life-sustaining treatment decisions should be legally expanded to properly reflect patients' wishes. To prevent unnecessary suffering resulting from futile life-sustaining treatment, life-sustaining treatment decisions for terminal patients without the needed familial relationships should be permitted and made by hospital ethics committees. Adult patients should be permitted to assign a legal representative appointed in advance to represent them. Medical records can be substituted for a patient's judgment letter (No. 9) and an implementation letter (No. 13) for the decision to suspend life-sustaining treatment. Forms 1, 10, 11, and 12 should be combined into a single form. The purpose of the Life-sustaining Medical Decisions Act is to respect patients' right to self-determination and protect their best interests. Issues related to the act that have emerged in the 3 years since its implementation must be analyzed, and a plan should be devised to improve upon its shortcomings.

Indexed as

DeathHospice carePalliative medicinePatient self-determination actPersonal autonomyTerminal care

Identifiers

PMID37674892
PMCPMC10180009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.