SynthesisBMC medical ethics2025
Ethical dilemmas in the care of patients with Alzheimer's disease and related dementias unable to give informed consent: positioning Lebanon within the Global North-South context.
Synthesis in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- The perspectives of healthcare professionals on dignity care for people with dementia: a qualitative meta-synthesis.BMC medical ethics · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs dementia progresses, individuals with Alzheimer's disease and related forms of dementia often lose decision-making capacity, raising complex ethical challenges related to autonomy, surrogate decision-making, dignity, privacy, and justice. This review examines the dilemmas in caring for patients who are no longer capable of providing informed consent, comparing Lebanon's situation with those of countries across the Global North and South, and proposes practical, culturally grounded recommendations for improvement.
objectiveTo conduct a comprehensive thematic review comparing international practices with Lebanon's ethical, legal, and institutional approaches to caring for individuals with advanced dementia who lack capacity.
methodsA systematic yet flexible review approach, guided by the PRISMA framework, was applied. Studies focusing on Alzheimer's disease and other related dementias were retrieved from PubMed, Scopus, PsycINFO, Web of Science, and the Cochrane Library up to April 2025. A total of 121 studies, including 112 international and 9 from Lebanon, met the inclusion criteria. These included qualitative, quantitative, and policy sources. Studies were thematically analyzed for ethical relevance across five themes.
resultsFive major ethical themes emerged: surrogate decision-making, patient autonomy, surveillance and technology, legal frameworks, and cultural and economic factors. A clear North-South divide was observed, with countries in the Global North generally relying on formal legal safeguards, advance directives, and structured institutional ethics oversight. In contrast, Lebanon and comparable countries in the Global South often operated with informal, family-centered models, limited legal clarity, and minimal institutional ethics support.
conclusionLebanon reflects broader Global South patterns: strong familial caregiving traditions, but inadequate legal and institutional frameworks to ensure dignity-based, ethically consistent care. This review proposes culturally sensitive reforms in law, public education, and ethics infrastructure to better protect the rights and dignity of individuals with advanced dementia.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.