Cochrane · systematic review · CD012636
Ethical case interventions for adult patients
Schildmann, J, Nadolny, S, Haltaufderheide, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
2
No studies
10
Included studies
NR
No studies 10 · 83.3%Ungraded 0 · 0%Very low 2 · 16.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Proactive ethics consultation compared to usual care for adult patients
Population: adult patients (aged > 18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Decisional conflict Proactive ethics consultation vs usual care | no estimate extracted | NR | No studies |
Moral distress Proactive ethics consultation vs usual care | no estimate extracted | NR | No studies |
Patient involvement in decision‐making Proactive ethics consultation vs usual care | no estimate extracted | NR | No studies |
Health‐related quality of life Proactive ethics consultation vs usual care | no estimate extracted | NR | No studies |
Ethical competency Proactive ethics consultation vs usual care | no estimate extracted | NR | No studies |
Satisfaction with care Proactive ethics consultation vs usual care | no estimate extracted | 478 participants | Very low Downgraded: risk of bias, imprecision |
Request‐based ethics consultation compared to usual care for adult patients
Population: adult patients (aged > 18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Decisional conflict Request‐based ethics consultation vs usual care | no estimate extracted | 62 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Moral distress Request‐based ethics consultation vs usual care | no estimate extracted | NR | No studies |
Patient involvement in decision‐making Request‐based ethics consultation vs usual care | no estimate extracted | NR | No studies |
Health‐related quality of life Request‐based ethics consultation vs usual care | no estimate extracted | NR | No studies |
Ethical competency Request‐based ethics consultation vs usual care | no estimate extracted | NR | No studies |
Satisfaction with care Request‐based ethics consultation vs usual care | no estimate extracted | NR | No studies |