Evidence map›Paper›PMID 38952347›Full record

ArticleJournal of Korean medical science2024

Beyond Legal Boundaries: Public and Clinician Perspectives on Treatment Withdrawal in Infants With Poor Neurological Prognosis.

In Gyu Song, Jung Lee, Min Sun Kim, Ji Weon Lee, So Yeon Jeon, Shin Hye Yoo, Hye Yoon Park

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

In Gyu Song *Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3205-9942
Jung Lee *Integrative Care Hub, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8074-105X
Min Sun KimIntegrative Care Hub, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-5323-9857
Ji Weon LeeIntegrative Care Hub, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4012-0843
So Yeon JeonDepartment of Psychiatry, Chungnam National University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0002-3656-1593
Shin Hye YooCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-7473-1082
Hye Yoon ParkCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4114-5102

Funding

Seoul National University Hospital 04-2020-0070
6 · The paper itself

Abstract

backgroundDespite medical advancements in neonatal survival rates, many children have poor neurological outcomes. Because the law in Korea restricts the withdrawal of life-sustaining treatment to only cases of imminent death, treatment discontinuation may not be an option, even in patients with poor neurological prognosis. This study investigated the opinions of the general population and clinicians regarding life-sustaining treatment withdrawal in such cases using hypothetical scenarios.

methodsWe conducted a cross-sectional study on the general population and clinicians using a web-based questionnaire. The sample of the general population from an online panel comprised 500 individuals aged 20-69 years selected by quota sampling. The clinician sample comprised 200 clinicians from a tertiary university hospital. We created hypothetical vignettes and questionnaire items to assess attitudes regarding mechanical ventilation withdrawal for an infant at risk of poor neurological prognosis due to birth asphyxia at 2 months and 3 years after the incidence.

resultsOverall, 73% of the general population and 74% of clinicians had positive attitudes toward mechanical ventilator withdrawal at 2 months after birth asphyxia. The proportion of positive attitudes toward mechanical ventilator withdrawal was increased in the general population (84%,

conclusionThe general population and clinicians shared the perspective that the decision to withdraw life-sustaining treatment in infants with a poor neurological prognosis should be considered before the end of life. A societal discussion about making decisions centered around the best interest of pediatric patients is warranted.

Indexed as

Respiration, ArtificialWithholding TreatmentAdultAgedAsphyxia NeonatorumAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMiddle AgedPrognosisRepublic of KoreaSurveys and QuestionnairesClinician's OpinionHypoxia-Ischemia, BrainInfantLife-Sustaining Treatment WithdrawalPublic Opinion

Identifiers

PMID38952347
PMCPMC11216905

What OpenQuestion holds

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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.