Evidence map›Paper›PMID 40217476›Full record

ArticleBMC medical ethics2025

The high-priority ethical issues of advanced paternal age: perspectives from a panel of experts in the fields of men reproduction and family building.

Vincent Couture, Émy Coiteux, Marianne Beaulieu, Timothey Bédard, Kévin Lavoie

Abstract read
In one paragraph

Article in BMC medical ethics, 2025. 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

5 authors.

Vincent CoutureUniversité Laval, Québec, Canada. vincent.couture@fsi.ulaval.ca.
Émy CoiteuxUniversité Laval, Québec, Canada.
Marianne BeaulieuUniversité Laval, Québec, Canada.
Timothey BédardUniversité de Sherbrooke, Sherbrooke, Canada.
Kévin LavoieUniversité Laval, Québec, Canada.

Funding

Centre de recherche du CHU de Québec-Université Laval Seeding grantPôle d'expertise et de recherche en santé et bien-être des hommes Seeding grant
6 · The paper itself

Abstract

backgroundResearch shows that the age of fathers at the time of conception is correlated with detrimental effect for the health of the future offspring. This situation raises ethical questions regarding the priority of the principle of reproductive autonomy of men of advanced age over the well-being of their future offspring. This problem leads to other normative implications such as the value of introducing limits to the use of medically assisted reproduction, and the development of public health interventions. For the moment, this ethical reflection is mostly speculative and calls to open up the discussion. The aim of this research was to survey experts, working in related fields to the topic of advanced paternal age (APA), regarding the top priority ethical issues of this emerging subject.

methodsWe recruited experts concerned by APA with backgrounds in health sciences, ethics, social work and reproductive medicine. We conducted a modified e-Delphi panel that lasted three rounds to build a consensual list of issues. The last round took the form of structured interviews exploring the results of the previous rounds.

resultsThe top four issues according to the panel are: (1) Should APA be included as a criterion for prenatal genetic screening? (2) Should we raise awareness on reproductive health in relation to the age of fathers? (3) How can health-care providers support patients in the context of APA? (4) How can research inform the public without stigmatizing fathers of advanced age?

conclusionsThese exploratory results suggest that the issues of how to inform various audiences properly on APA are important concerns for experts. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

FathersPaternal AgePersonal AutonomyReproductionReproductive HealthReproductive Techniques, AssistedAdultFemaleGenetic TestingHumansMaleMiddle AgedAdvanced paternal ageClinical ethicsEmpirical bioethicsLate paternityModified e-DelphiPublic health ethics

Identifiers

PMID40217476
PMCPMC11992766

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LicenceCC BY-NC-ND
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Registered trials

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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.