Evidence map›Paper›PMID 37755458›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2023

[Selected legal aspects regarding limiting treatment at the end of life : Patient advance directive, proxy and indications].

Gunnar Duttge, Peter Jan Chabiera

Abstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. 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

2 authors.

Gunnar DuttgeZentrum für Medizinrecht, Universität Göttingen, Platz der Göttinger Sieben 6, 37073, Göttingen, Deutschland. lduttge@gwdg.de.ORCID http://orcid.org/0000-0002-3982-5013
Peter Jan ChabieraUniversitätsklinikum, Institut für Rechtsmedizin, Goethe-Universität Frankfurt, Kennedyallee 104, 60596, Frankfurt am Main, Deutschland.ORCID http://orcid.org/0000-0003-1645-9732

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respect for the patient's right to self-determination and the professional medical assessment of the (continued) existence of a therapeutic prospect of success of the respective curative intervention ("indication") are the two central reference parameters of every medical therapeutic decision. This is particularly true in cases of a progressive, irreversible, fatal course of the disease. However, the assessment of the presumed will of the patient or the meaningfulness of curative (intensive care) prolongation of life frequently causes difficulties. The law cannot eliminate these doubts in each individual case; it does, however, provide a framework so that factually and ethically justified therapy decisions can be made in each case. In this function, this legal framework-no matter how much it must first be concretized in the respective decision case-demands strict observance. This also includes the most recent change in the law that went into effect on 1 January 2023, through the introduction of a statutory right of (emergency) representation for spouses.

Indexed as

Advance DirectivesCritical CareDeathDecision MakingHumansPersonal AutonomyWithholding TreatmentCaregivers and guardianship courtEmergency representation by spousesHealth care proxyLiving willMedical indication

Identifiers

What OpenQuestion holds

Textmetadata
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.