Evidence map›Paper›PMID 27446868›Full record

SynthesisCanadian journal of gastroenterology & hepatology2016

At the Crossroad with Morbidity and Mortality Conferences: Lessons Learned through a Narrative Systematic Review.

Xin Xiong, Teela Johnson, Dev Jayaraman, Emily G McDonald, Myriam Martel, Alan N Barkun

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of gastroenterology & hepatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Morbidity and mortality conferences in general surgery: a narrative systematic review.Canadian journal of surgery. Journal canadien de chirurgie · 2020
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. The Morbidity and Mortality Conference: A Century-Old Practice with Ongoing Potential for Future Improvement.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2023
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. [Cognitive errors in diagnostic decision making].Wiener medizinische Wochenschrift (1946) · 2017
    Review
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

6 authors.

Xin XiongDepartment of Gastroenterology, University of Toronto, Toronto, ON, Canada M5G 2C4.
Teela JohnsonDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7.
Dev JayaramanDepartment of Internal Medicine and Department of Critical Care, McGill University Health Center, Montreal, QC, Canada H3G 1A4; Jewish General Hospital, Montreal, QC, Canada H3T 1E2.
Emily G McDonaldDepartment of Internal Medicine, McGill University Health Center, Montreal, QC, Canada H3G 1A4.
Myriam MartelDivision of Gastroenterology, McGill University Health Center, McGill University, Montreal, QC, Canada H3G 1A4.
Alan N BarkunDivision of Gastroenterology, McGill University Health Center, McGill University, Montreal, QC, Canada H3G 1A4; Epidemiology and Biostatistics and Occupational Health, McGill University Health Center, McGill University, Montreal, QC, Canada H3G 1A4.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To determine the process and structure of Morbidity and Mortality Conference (MMC) and to provide guidelines for conducting MMC. Methods. Using a narrative systematic review methodology, literature search was performed from January 1, 1950, to October 2, 2012. Original articles in adult population were included. MMC process and structure, as well as baseline study demographics, main results, and conclusions, were collected. Results. 38 articles were included. 10/38 (26%) pertained to medical subspecialties and 25/38 (66%) to surgical subspecialties. 15/38 (40%) were prospective, 14/38 (37%) retrospective, 7/38 (18%) interventional, and 2/38 (5%) cross-sectional. The goals were quality improvement and education. Of the 10 medical articles, MMC were conducted monthly 60% of the time. Cases discussed included complications (60%), deaths (30%), educational values (30%), and system issues (40%). Recommendations for improvements were made frequently (90%). Of the 25 articles in surgery, MMCs were weekly (60% of the time). Cases covered mainly complications (72%) and death (52%), with fewer cases dedicated to education (12%). System issues and recommendations were less commonly reported. Conclusion. Fundamental differences existed in medical versus surgical departments in conducting MMC, although the goals remained similar. We provide a schematic guideline for MMC through a summary of existing literature.

Indexed as

Guidelines as TopicMorbidityMortalityCongresses as TopicHumans

Identifiers

PMID27446868
PMCPMC4904689

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.