Evidence map›Paper›PMID 42077184›Full record

SynthesisPalliative & supportive care2026

Definitional confusion in nurses' and physicians' attitudes toward euthanasia in India: A systematic review and meta-analysis.

Komal Kashyap, Joris Gielen

Erratum issuedAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Palliative & supportive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Komal KashyapDepartment of Onco-Anaesthesia and Palliative Medicine, Dr. B.R.A. Institute Rotary Cancer Hospital, All Indian Institute of Medical Sciences, New Delhi, India.
Joris GielenCenter for Global Health Ethics, Duquesne University, PittsburghPA, USA.ORCID https://orcid.org/0000-0002-8433-6745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn India, the term OBJECTIVES AND SIGNIFICANCE OF THE

resultsThis systematic review and meta-analysis examines how euthanasia has been defined and operationalized in quantitative studies of Indian physicians' and nurses' attitudes, and estimates the prevalence of approval when euthanasia is defined narrowly.

methodsFollowing PRISMA 2020 guidelines, searches were conducted in PubMed, EMBASE, PsycINFO, and CINAHL for studies published from 2010 onward. Two investigators independently screened studies, extracted data, and assessed risk of bias using the Mixed Methods Appraisal Tool (MMAT). Studies were included in the meta-analysis only if they reported attitudes toward euthanasia as narrowly defined.

resultsNine studies met inclusion criteria for the systematic review. Definitions of euthanasia varied considerably, and several studies combined attitudes toward treatment withdrawal with attitudes toward the administration of lethal drugs. Four studies reporting on 519 nurses and physicians provided data suitable for meta-analysis. Approval of euthanasia, defined as the intentional administration of lethal drugs, ranged from 12% to 20%, with a pooled prevalence of 16% (95% confidence interval: 0.13-0.19). This prevalence is notably lower than in earlier reports on Indian healthcare professionals' attitudes.

conclusionDefinitional inconsistency substantially affects reported attitudes toward euthanasia in Indian research. When euthanasia is defined narrowly, approval among healthcare professionals is low and consistent across studies. These findings highlight the need for conceptual clarity in future research to support accurate interpretation of empirical data and to strengthen the contribution of studies on ethical attitudes to ethical and palliative care scholarship.

Indexed as

Attitude of Health PersonnelEuthanasiaNursesPhysiciansHumansIndiaattitudesEuthanasiaIndianursesphysicians

Identifiers

PMID42077184
PMCPMC13166319

What OpenQuestion holds

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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.