10.25384/SAGE.C.6321252
Martyna Tomczyk
Martyna
Tomczyk
Cécile Jaques
Cécile
Jaques
Ralf J. Jox
Ralf J.
Jox
University Hospital of Lausanne
University of Lausanne
Clinical Practice Guidelines on Palliative Sedation Around the World: A Systematic Review
<div><p><b>Objective:</b> The principal aim of this study was to identify, systematically and transparently, clinical practice guidelines (CPGs) on palliative sedation from around the world. <b>Methods:</b> A systematic search was performed using 5 databases, grey literature search tools, citation tracking, and contact with palliative care experts across the world. Current CPGs accredited by an international, national, or regional authority, published in English, German, French, or Italian, were subjected to content analysis. <b>Results:</b> In total, 35 CPGs from 14 countries and 1 international CPG were included in the analysis. The CPGs had diverse formal characteristics. Their thematic scope was difficult to analyze and compare because of differences in the terms and definitions of palliative sedation in those texts. We identified 3 main situations: (1) CPGs <i>with</i> a fully explicit thematic scope; (2) CPGs <i>with</i> a partially explicit thematic scope; and (3) CPGs <i>without</i> an explicit thematic scope. Several CPGs explicitly stated what forms of sedation were excluded from the text. However, this presentation was often confusing. <b>Conclusion:</b> Our review provides several pieces of information that could guide international reflections in this field, and be used to develop or update CPGs at all levels. Efforts should be made to clarify the thematic scope of each CPG on palliative sedation, in order to generate an understanding of the forms of this therapy addressed in the text.</p></div>
111702 Aged Health Care
SAGE Journals
2022
2022-12-08
2022-12-12
Collection
10.1177/08258597221138674
CC BY 4.0