Insufficient evidence to know whether formal ethical involvement in case management is effective

Added August 27, 2020

Citation: Schildmann J, Nadolny S, Haltaufderheide J, et al. Ethical case interventions for adult patients. Cochrane Database of Systematic Reviews 2019, Issue 7. Art. No.: CD012636.

What is this? Formal ethical processes in clinical care is important for decisions about triage and management of limited resources, both for patients with COVID-19 and those with other conditions who are suffering because of the diversion of resources to COVID-19.

In this Cochrane review, the authors searched for studies which compared formal involvement by an ethicist or ethical committee in clinical case management, compared with usual care or an active control. They did not restrict their searches by language of publication and did the search in September 2018. They included 4 randomised trials (total: 1165 participants) from USA (3) and Taiwan (1). The included studies were at moderate-high risk of bias and the evidence of very low quality, hence the evidence of any effect is uncertain.

What works: Nothing noted

What doesn’t work: Nothing noted.

What’s uncertain: It was not possible to ascertain the effectiveness of ethical case interventions due to the very low certainty of the evidence of the included studies.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

Share