Evidence map›Paper›PMID 38345649›Full record

ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2024

[Time-limited trials (TLT) in the intensive care unit : Recommendations from the ethics section of the DIVI and the ethics section of the DGIIN].

Susanne Jöbges, Anna-Henrikje Seidlein, Kathrin Knochel, Andrej Michalsen, Gunnar Duttge, Alexander Supady, Jochen Dutzmann, Stefan Meier, Iris Barndt, Gerald Neitzke and 3 more

Open access · hybridAbstract readEnglish AbstractReview
In one paragraph

Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
11.4field-weighted citation impact, top 1% 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, 21 citations in OpenAlex.

  1. [Special ethical aspects in older intensive care patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. [S1 guideline on sustainability in intensive care and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  6. [Intensive care nursing for oncological patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  7. [Changes in treatment goals and palliative care in the intensive care unit-when and how?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  8. Review
  9. Review
  10. [Intensive care and emergency medicine overuse and sustainability].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  11. [Ethical boundary decisions in intensive care medicine].Innere Medizin (Heidelberg, Germany) · 2024
    Article
  12. Review
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

13 authors at 12 institutions in 1 country.

Susanne JöbgesKlinik für Anästhesiologie und Intensivmedizin, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland. susanne.joebges@charite.de.
Anna-Henrikje SeidleinInstitut für Ethik und Geschichte der Medizin, Universitätsmedizin Greifswald, Greifswald, Deutschland.
Kathrin KnochelInstitut für Geschichte und Ethik der Medizin, Technische Universität München, München, Deutschland.
Andrej MichalsenKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Konstanz, Konstanz, Deutschland.
Gunnar DuttgeInstitut für Kriminalwissenschaften, Abteilung für strafrechtliches Medizin- und Biorecht, Georg-August-Universität Göttingen, Göttingen, Deutschland.
Alexander SupadyInterdisziplinäre Medizinische Intensivtherapie, Universitätsklinikum Freiburg, Freiburg i.Br, Deutschland.
Jochen DutzmannKlinik für Innere Medizin III, Universitätsmedizin Halle (Saale), Halle (Saale), Deutschland.
Stefan MeierKlinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Iris BarndtKlinik für Kardiologie und internistische Intensivmedizin, Universitätsklinikum Johannes Wesling, Minden, Deutschland.
Gerald NeitzkeInstitut für Ethik, Geschichte und Philosophie der Medizin, Medizinische Hochschule Hannover, Hannover, Deutschland.
Friedemann NauckKlinik für Palliativmedizin, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Annette RoggeFachbereich Neurologie, Paracelsus Nordseeklinik Helgoland, Helgoland, Deutschland.
Uwe JanssensKlinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Eschweiler, Deutschland.
Charité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEJohannes Wesling Klinikum Minden · DEKlinikum Konstanz · DEMedizinische Hochschule Hannover · DESankt-Antonius-Hospital Eschweiler · DETechnical University of Munich · DEUniversitätsmedizin Göttingen · DEUniversitätsmedizin Greifswald · DEUniversity Hospital in Halle · DEUniversity Medical Center Freiburg · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rise in intensive care treatment procedures is accompanied by an increase in the complexity of decisions regarding the selection, administration and duration of treatment measures. Whether a treatment goal is desirable in an individual case and the treatment plan required to achieve it is acceptable for the patient depends on the patient's preferences, values and life plans. There is often uncertainty as to whether a patient-centered treatment goal can be achieved. The use of a time-limited treatment trial (TLT) as a binding agreement between the intensive care unit (ICU) team and the patient or their legal representative on a treatment concept over a defined period of time in the ICU can be helpful to reduce uncertainties and to ensure the continuation of intensive care measures in the patients' best interest.

Indexed as

Intensive Care UnitsCritical CareGermanyHumansInterdisciplinary CommunicationIntersectoral CollaborationMedical FutilityPatient PreferenceCritical careMedical ethicsPrognosis treatment outcomeProtocols and guidelinesQuality in health care

Identifiers

PMID38345649
PMCPMC11059002
OpenAlexW4391752184

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.