Evidence map›Paper›PMID 8798936›Full record

ArticleJournal of medical ethics1996

On withholding artificial hydration and nutrition from terminally ill sedated patients. The debate continues.

G M Craig

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Journal of medical ethics, 1996. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.9field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 35 citations in OpenAlex.

  1. Ethical considerations in the relief of cancer pain.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  2. A survey of the sedation practice of Portuguese palliative care teams.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
    Article
  3. Review
  4. Practical guide to palliative sedation.Current oncology reports · 2002
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

G M Craig

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The author reviews and continues the debate initiated by her recent paper in this journal. The paper was critical of certain aspects of palliative medicine, and caused Ashby and Stoffell to modify the framework they proposed in 1991. It now takes account of the need for artificial hydration to satisfy thirst, or other symptoms due to lack of fluid intake in the terminally ill. There is also a more positive attitude to the emotional needs and ethical views of the patient's family and care-givers. However, clinical concerns about the general reluctance to use artificial hydration in terminal care remain, and doubts persist about the ethical and legal arguments used by some palliative medicine specialists and others, to justify their approach. Published contributions to the debate to date, in professional journals, are reviewed. Key statements relating to the care of sedated terminally ill patients are discussed, and where necessary criticised.

Indexed as

Ethics, MedicalWithholding TreatmentCaregiversDecision MakingDouble Effect PrincipleEthicsFluid TherapyForensic MedicineHumansIntentionNutritional SupportPalliative CarePatient AdvocacyPatient SelectionRisk AssessmentStress, PsychologicalDeath and EuthanasiaHouse of Lords Select Committee on Medical Ethics

Identifiers

PMID8798936
PMCPMC1376978
OpenAlexW1968151766

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.