Evidence map›Paper›PMID 24889566›Full record

ArticleClinical medicine (London, England)2014

Should they have a percutaneous endoscopic gastrostomy? the importance of assessing decision-making capacity and the central role of a multidisciplinary team.

Gemma Clarke, Sarah Galbraith, Jeremy Woodward, Anthony Holland, Stephen Barclay

Open access · greenAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Outcomes of a Decision-Making Capacity Assessment Model at the Grey Nuns Community Hospital.International journal of environmental research and public health · 2022
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Gemma ClarkeInstitute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, UK gcc29@medschl.cam.ac.uk.
Sarah GalbraithDepartment of Palliative Care, Addenbrooke's Hospital, Cambridge, UK.
Jeremy WoodwardDepartment of Gastroenterology, Addenbrooke's Hospital, Cambridge, UK.
Anthony HollandLearning Disabilities Research Group, Section of Developmental Psychiatry Department of Psychiatry, University of Cambridge, UK.
Stephen BarclayThe Department of Public Health and Primary Care, Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, UK.
University of Cambridge · GBAddenbrooke's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decisions about percutaneous endoscopic gastrostomy (PEG) can be clinically and ethically challenging, particularly when patients lack decision-making capacity. As the age of the UK population rises, with the associated increase in prevalence of dementias and neurodegenerative diseases, it is becoming an increasingly important issue for clinicians. The recent review and subsequent withdrawal of the Liverpool Care Pathway highlighted feeding as a particular area of concern. The authors undertook a 1-year retrospective review of individuals referred to the feeding issues multidisciplinary team (FIMDT) at Addenbrooke's Hospital, Cambridge, UK, in 2011. The majority of patients referred (n = 158) had a primary diagnosis of cancer (44%). The second largest group was those who had had a stroke or brain haemorrhage (13%). Twenty-eight per cent of patients had no, or uncertain, decision-making capacity on at least one occasion during decision-making. There are reflections on the role of a multidisciplinary team in the process of decision-making for these complex patients.

Indexed as

Decision MakingPatient Care TeamAgedDecision Support TechniquesFemaleGastroscopyGastrostomyHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresNeoplasmsNeurodegenerative DiseasesRetrospective StudiesUnited Kingdomdecision-making capacityfeeding issues multidisciplinary teamPercutaneous endoscopic gastrostomy

Identifiers

PMID24889566
PMCPMC4952534
OpenAlexW2322876652

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.