Evidence map›Paper›PMID 42115475›Full record

ArticleJournal of bioethical inquiry2026

Hidden Dimensions in Clinical Ethics Consultation.

Anna-Henrikje Seidlein, Marie-Christine Fritzsche, Rouven Porz, Helen Kohlen

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of bioethical inquiry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Anna-Henrikje SeidleinInstitute of Ethics and History of Medicine, University Medicine Greifswald, Ellernholz-Str. 1-2, 17487, Greifswald, Germany. anna-Henrikje.Seidlein@med.uni-greifswald.de.ORCID http://orcid.org/0000-0002-7690-567X
Marie-Christine FritzscheInstitute of History and Ethics in Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Rouven PorzMedical Ethics and Continuing Medical Education, Insel Gruppe Inselspital, University Hospital of Bern, 3010, Bern, Switzerland.
Helen KohlenClinic of Palliative Medicine, University Hospital/RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.ORCID http://orcid.org/0000-0003-4740-8436

Funding

EACME Collaboration Award
6 · The paper itself

Abstract

Clinical Ethics Consultation addresses ethical questions, conflicts, and dilemmas in healthcare. This article argues that there are ethical dimensions in Clinical Ethics Consultation that are difficult to identify and need to be addressed additionally in Clinical Ethics Consultation models. Despite the diverse models and instruments developed across different regions, existing approaches often do not explicitly address these dimensions. The article illustrates the following critical hidden dimensions: issues of power and knowledge, pointing to structural and epistemic injustices, as well as further epistemic issues of implicit biases and subjectivity, intersectional discrimination, and limited participation of patients and their relatives. We argue that improving practice requires greater awareness of these hidden dimensions, consultant self-reflexivity, epistemic humility, and the implementation of specific strategies to mitigate power imbalances, thereby better fulfilling the goal of Clinical Ethics Consultation to support nuanced ethical decision-making.

Indexed as

BiasClinical ethics consultationEpistemic injusticeEthicsIntersectionalityJusticePower

Identifiers

PMID42115475

What OpenQuestion holds

Textmetadata
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.