Cited by 401Palliative Care and End-of-Life IssuesEthics and bioethics in healthcareClinical Nutrition and Gastroenterology

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ESPEN guideline on ethical aspects of artificial nutrition and hydration

Druml, Christiane, Ballmer, Peter E., Druml, Wilfred, Oehmichen, Frank, Shenkin, Alan, Singer, Pierre, Soeters, Peter, Weimann, Arved, Bischoff, Stephan C.·2016·Clinical Nutrition

DOI 10.1016/j.clnu.2016.02.006

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Abstract

Background The worldwide debate over the use of artificial nutrition and hydration remains controversial although the scientific and medical facts are unequivocal. Artificial nutrition and hydration are a medical intervention, requiring an indication, a therapeutic goal and the will (consent) of the competent patient. Methods The guideline was developed by an international multidisciplinary working group based on the main aspects of the Guideline on "Ethical and Legal Aspects of Artificial Nutrition" published 2013 by the German Society for Nutritional Medicine (DGEM) after conducting a review of specific current literature. The text was extended and introduced a broader view in particular on the impact of culture and religion. The results were discussed at the ESPEN Congress in Lisbon 2015 and accepted in an online survey among ESPEN members. Results The ESPEN Guideline on Ethical Aspects of Artificial Nutrition and Hydration is focused on the adult patient and provides a critical summary for physicians and caregivers. Special consideration is given to end of life issues and palliative medicine; to dementia and to specific situations like nursing care or the intensive care unit. The respect for autonomy is an important focus of the guideline as well as the careful wording to be used in the communication with patients and families. The other principles of Bioethics like beneficence, non-maleficence and justice are presented in the context of artificial nutrition and hydration…

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Principles of Biomedical Ethics
(2012) · Thieves of Virtue · doi:10.7551/mitpress/9079.003.0009 · Cited by 13,453
Principles of biomedical ethics
Horton, J. (2002) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/s0035-9203(02)90265-8 · Cited by 4,408
Medical Aspects of the Persistent Vegetative State
The Multi-Society Task Force on PVS (1994) · New England Journal of Medicine · doi:10.1056/nejm199405263302107 · Cited by 1,549
Tube Feeding in Patients With Advanced Dementia
Finucane, T. E., Christmas, C., & Travis, K. (1999) · JAMA · doi:10.1001/jama.282.14.1365 · Cited by 1,000
Effect of Ethics Consultations on Nonbeneficial Life-Sustaining Treatments in the Intensive Care Setting: A Randomized Controlled Trial
Schneiderman, L. J., Gilmer, T., Teetzel, H. D., Dugan, D. O., Blustein, J., Cranford, R., Briggs, K. B., Komatsu, G. I., Goodman-Crews, P., Cohn, F., et al. (2003) · JAMA · doi:10.1001/jama.290.9.1166 · Cited by 661
Rethinking the Role of Tube Feeding in Patients with Advanced Dementia
Gillick, M. R. (2000) · New England Journal of Medicine · doi:10.1056/nejm200001203420312 · Cited by 620
Comfort care for terminally ill patients. The appropriate use of nutrition and hydration
McCann, R. M. (1994) · JAMA · doi:10.1001/jama.272.16.1263 · Cited by 479
Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006
Hiesmayr, M., Schindler, K., Pernicka, E., Schuh, C., Schoeniger-Hekele, A., Bauer, P., Laviano, A., Lovell, A. D., Mouhieddine, M., Schuetz, T., et al. (2009) · Clinical Nutrition · doi:10.1016/j.clnu.2009.05.013 · Cited by 453
Self-citation
Bioethics for clinicians.
SINGER, P. A. (1996) · Europe PMC (PubMed Central) · Cited by 404
Self-citation
Clinical and Organizational Factors Associated With Feeding Tube Use Among Nursing Home Residents With Advanced Cognitive Impairment
Mitchell, S. L., Teno, J. M., Roy, J., Kabumoto, G., & Mor, V. (2003) · JAMA · doi:10.1001/jama.290.1.41 · Cited by 363

Show all 81 references

Research works printed but not linked: 2

Lemke, 2003, PEG installation in patients unable to give informed consent, Dtsch Med Wochenschr, 128, 160
2006, The World Medical Association Declaration of Tokyo. Guidelines for physicians concerning torture and other cruel, inhuman or degrading treatment or punishment in relation to detention and imprisonment, World Med J, 52, 34

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Authors: Druml, C., Ballmer, P. E., Druml, W., Oehmichen, F., Shenkin, A., Singer, P., Soeters, P., Weimann, A., & Bischoff, S. C.
Affiliations: Medical University of Vienna (AT)
Kantonsspital Winterthur (CH)
Klinik Bavaria (DE)
University of Liverpool (GB)
Rabin Medical Center (IL)
Maastricht University Medical Centre (NL)
Klinikum St. Georg (DE)
University of Hohenheim (DE)
Corresponding author: Druml, Christiane
Ballmer, Peter E.
Druml, Wilfred
Oehmichen, Frank
Shenkin, Alan
Singer, Pierre
Soeters, Peter
Weimann, Arved
Bischoff, Stephan C.
ORCID: Singer, Pierre
Soeters, Peter
Weimann, Arved
Bischoff, Stephan C.
Venue: Clinical Nutrition
Publisher: Elsevier BV
Published: 2016-06
Volume: 35
Issue: 3
Pages: 545-556
ISSN: 0261-5614 (ISSN-L)
DOI: 10.1016/j.clnu.2016.02.006
OpenAlex: W2283015666
Cited by: 401
References: 81
Citations by year: 2026: 31 · 2025: 37 · 2024: 37 · 2023: 52 · 2022: 54 · 2021: 59 · 2020: 43 · 2019: 40 · 2018: 29 · 2017: 13 · 2016: 5
FWCI: 28.75
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords: artificial nutrition, artificial hydration, end-of-life care, palliative care, dementia, intensive care, nursing care, patient autonomy, withholding and withdrawing treatment, hunger strikes, force-feeding, cultural and religious beliefs, bioethics, beneficence, non-maleficence, justice, patient-family communication
MeSH terms: Adult, Dietetics, Europe, Fluid Therapy, Humans, Legislation, Medical, Palliative Care, Patient Acceptance of Health Care, Professional-Family Relations, Professional-Patient Relations, Quality of Life, Societies, Scientific, Terminal Care, Nutritional Support, Evidence-Based Medicine, Personal Autonomy, Withholding Treatment, Precision Medicine, Culturally Competent Care

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