Evidence map›Paper›PMID 27225653›Full record

ArticleBMJ open2016

Treatment goal setting for complex patients: protocol for a scoping review.

Agnes Grudniewicz, Michelle Nelson, Kerry Kuluski, Vincci Lui, Heather V Cunningham, Jason X Nie, Heather Colquhoun, Walter P Wodchis, Susan Taylor, Mayura Loganathan and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022
    Review
  12. Article
  13. Chloroquine and its derivatives in the management of COVID-19: A scoping reviewBiomedica : revista del Instituto Nacional de Salud · 2020
    Article
  14. Article
  15. Article
  16. Mental health services in the Northwest Territories: a scoping review.International journal of circumpolar health · 2019
    Article
  17. Article
  18. Article
  19. A three-goal model for patients with multimorbidity: A qualitative approach.Health expectations : an international journal of public participation in health care and health policy · 2018
    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

11 authors.

Agnes GrudniewiczCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Michelle NelsonCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.
Kerry KuluskiCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Vincci LuiGerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada.
Heather V CunninghamGerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada.
Jason X NieCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.
Heather ColquhounDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.
Walter P WodchisInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Susan TaylorHealth Quality Ontario, Toronto, Ontario, Canada.
Mayura LoganathanSinai Health System, Toronto, Ontario, Canada.
Ross E UpshurCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn increasing number of people are living longer with multiple health and social care needs, and may rely heavily on health system resources. When dealing with multiple conditions, patients, caregivers and healthcare providers (HCPs) often experience high treatment burden due to unclear care trajectories, a myriad of treatment decisions and few guidelines on how to manage care needs. By understanding patient and caregiver priorities, and setting treatment goals, HCPs may help improve patient outcomes and experiences. This study aims to examine the extent and nature of the literature on treatment goal setting in complex patients, identify gaps in evidence and areas for further inquiry and guide a research programme to develop definitions, measures and recommendations for treatment goal setting. METHODS AND ANALYSIS: This study protocol outlines a scoping review of the peer reviewed and the grey literature, using established scoping review methodology. Literature will be identified using a multidatabase and grey literature search strategy developed by two librarians. Papers and reports on the topic of goal setting that address complexity or complex patients will be included. Results of the search will be screened independently by two reviewers and included studies will be abstracted and charted in duplicate. ETHICS AND DISSEMINATION: Ethics approval is not required for this scoping review. Working with the knowledge users on the team, we will prepare educational materials and presentations to disseminate study findings to HCPs, caregivers and patients, and at relevant national and international conferences. Results will also be published in a peer-reviewed journal.

Indexed as

ComorbidityPatient Care PlanningCaregiversHumansPatient PreferenceResearch DesignScoping Reviews as Topiccomorbiditycomplex patientsgoal settingmultimorbidityscoping reviewsynthesis

Identifiers

PMID27225653
PMCPMC4885433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.