Evidence map›Paper›PMID 25933831›Full record

ReviewTrends in cardiovascular medicine2016

How to discuss goals of care with patients.

Shannon M Dunlay, Jacob J Strand

Abstract readReview
In one paragraph

Review in Trends in cardiovascular medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Review
  2. Article
  3. Use of a Delphi process to formulate a pragmatic framework for care planning in older adults with advanced bladder cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Emergency department early mortality model for patients admitted after presenting to a tertiary medical center emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. The goals of care in acute setting for geriatric patients in case of a hip fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Safe Hugs in Palliative Care.Turkish journal of anaesthesiology and reanimation · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Shannon M DunlayDivision of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Rochester, MN; Division of Health Care Policy and Research in the Department of Health Sciences Research, Mayo Clinic, Rochester, MN. Electronic address: dunlay.shannon@mayo.edu.
Jacob J StrandDivision of General Internal Medicine Section of Palliative Medicine in the Department of Medicine, Mayo Clinic, Rochester, MN.

Funding

End of Life Preferences and Healthcare Resource Use in Heart Failure PatientsK23HL116643 · NHLBI · MAYO CLINIC ROCHESTER · PI DUNLAY, SHANNON MARIE · 2013 to 2017
$739k
NHLBI NIH HHS K23 HL116643
6 · The paper itself

Abstract

Effective communication with patients and their caregivers continues to form the basis of a constructive clinician-patient relationship and is critical to provide patient-centered care. Engaging patients in meaningful, empathic communication not only fulfills an ethical imperative for our work as clinicians but also leads to increased patient satisfaction with their own care and improved clinical outcomes. While these same imperatives and benefits exist for discussing goals of care and end-of-life, communicating with patients about these topics can be particularly daunting. While clinicians receive extensive training on how to identify and treat illness, communication techniques, especially those centering around emotion-laden topics such as end-of-life care, receive short shrift medical education. Fortunately, communication techniques can be taught and learned through deliberate practice, and in this article, we seek to discuss a framework, drawn from published literature and our own experience, for approaching goals-of-care discussions in patients with cardiovascular disease.

Indexed as

Cardiovascular DiseasesPhysician-Patient RelationsTerminal CareHumansPatient Care PlanningPatient SatisfactionQuality Improvement

Identifiers

PMID25933831
PMCPMC4592692

What OpenQuestion holds

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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.