The DOI matches its Crossref record; 79 of the 81 references it cites were found in a registry or an index.
ESPEN guideline on ethical aspects of artificial nutrition and hydration
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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“In this situation, covering a patient's nutritional requirements is entirely irrelevant (162).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [162]
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“Especially in patients where death is imminent, e.g.within the next four weeks, or in patients with an incurable disease which cannot be improved by any treatment including nutritional support (e.g.advanced dementia, terminal phase of malignant cancer disease), the patient´s comfort is the highest priority (162).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [162]
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ESPEN guidelines on nutrition in cancer patients
Arends, J., Bachmann, P., Baracos, V., Barthelemy, N., Bertz, H., Bozzetti, F., Fearon, K., Hütterer, E., Isenring, E., Kaasa, S., et al. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2016.07.015 · Cited by 3,114
ESPEN guidelines on definitions and terminology of clinical nutrition
Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C., Compher, C., Correia, I., Higashiguchi, T., Holst, M., et al. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2016.09.004 · Cited by 2,560
Self-citationESPEN guideline on clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Goisser, S., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C. C., et al. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2018.05.024 · Cited by 1,505
Self-citationESPEN expert group recommendations for action against cancer-related malnutrition
Arends, J., Baracos, V., Bertz, H., Bozzetti, F., Calder, P. C., Deutz, N. E. P., Erickson, N., Laviano, A., Lisanti, M. P., Lobo, D. N., et al. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2017.06.017 · Cited by 1,305
Self-citationESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516
Self-citation
Metadata
- 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.
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 35
- Issue
- 3
- Pages
- 545-556
- ISSN
- 0261-5614 (ISSN-L)
- 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
- 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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