Evidence map›Paper›PMID 38021370›Full record

ReviewEClinicalMedicine2023

When the cause of death does not exist: time for the WHO to close the ICD classification gap for Medical Aid in Dying.

Uwe Güth, Rolf Weitkunat, Shaun McMillan, Andres R Schneeberger, Edouard Battegay

Open access · goldAbstract readReview
In one paragraph

Review in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Psycho-oncologists' roles, tasks, and needs regarding requests for assisted suicide - a qualitative interview study on current experiences and future directions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Medical Aid in Dying: A Societal Challenge.International journal of public health · 2024
    Article
  12. 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

5 authors at 5 institutions in 2 countries.

Uwe GüthFaculty of Medicine, University of Basel, Klingelbergstrasse 61, CH-4056 Basel, Switzerland.
Rolf WeitkunatFederal Statistical Office, Espace de l'Europe 10, CH-2010 Neuchâtel, Switzerland.
Shaun McMillanDepartment of Breast Surgery, Brust-Zentrum Zürich, Seefeldstrasse 214, CH-8008 Zurich, Switzerland.
Andres R SchneebergerDepartment of Psychiatry, University of California San Diego, 8950 Villa La Jolla Drive, La Jolla, CA 92037, USA.
Edouard BattegayInternational Center for Multimorbidity and Complexity in Medicine (ICMC), University of Zurich, Rämistrasse 100, CH-8091 Zurich, Switzerland.
Federal Statistical Office · CHImmunologie-Zentrum Zürich · CHUniversity of Basel · CHUniversity of California, San Diego · USUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical aid in dying (MAID) is a highly controversial ethical issue in the global medical community. Unfortunately, the International Classification of Diseases (ICD) of the World Health Organization (WHO) lacks coding for MAID. Therefore, no robust data adequately monitors worldwide trends that include information on diseases and conditions underlying the patients' request for assisted dying ("MAID gap"). Countries with legalised MAID observe substantial increases in cases, and likely additional countries will allow MAID in the near future. Hence, we encourage the WHO to create specific ICD codes for MAID. According to internationally established practices, a revised classification would require separate MAID-codes for (1) assisted suicide and (2) voluntary active euthanasia including supplemental codings of diseases, clusters of symptoms and function-oriented categories. By addressing these concerns, the WHO could close the "MAID gap" with new codes providing urgently necessary insights to society, public health decision-makers and regulators on this comparatively new social and medical ethical phenomenon. Search strategy and selection criteria: Data for this Viewpoint were identified by searches of MEDLINE, PubMed, and references from relevant articles using the search terms "Medical Aid in Dying", "Assisted Dying", "Assisted suicide", "Voluntary active euthanasia", "End of life decisions" and "Cause of death statistics". Only articles and sources published in English between 1997 and 2023 were included."

Indexed as

Assisted dyingCause of death statisticsICD classificationMedical aid in dyingWorld Health Organization

Identifiers

PMID38021370
PMCPMC10660015
OpenAlexW4388280657

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.