Evidence map›Paper›PMID 27566614›Full record

ArticlePacing and clinical electrophysiology : PACE2016

Decision-Making Experiences of Patients with Implantable Cardioverter Defibrillators.

Ariel R Green, Amy Jenkins, Frederick A Masoudi, David J Magid, Jean S Kutner, Bruce Leff, Daniel D Matlock

Abstract readComparative Study
In one paragraph

Article in Pacing and clinical electrophysiology : PACE, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Patient and Cardiologist Perspectives on Shared Decision Making in the Treatment of Older Adults Hospitalized for Acute Myocardial Infarction.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
    Article
  8. Article
  9. Article
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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

7 authors.

Ariel R GreenDivision of Geriatric Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. ariel@jhmi.edu.
Amy JenkinsDivision of Geriatrics, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Frederick A MasoudiDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
David J MagidColorado Cardiovascular Outcomes Research Consortium, Denver, Colorado.
Jean S KutnerDivision of Geriatrics, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Bruce LeffDivision of Geriatric Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Daniel D MatlockDivision of Geriatrics, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.

Funding

Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
Implanted Defibrillators and Older Adults: A Model of Decisions and TechnologiesK23AG040696 · NIA · UNIVERSITY OF COLORADO DENVER · PI MATLOCK, DANIEL D · 2011 to 2015
$716k
NCATS NIH HHS KL2 TR001077NIA NIH HHS K23 AG040696
6 · The paper itself

Abstract

backgroundWhen patients are not adequately engaged in decision making, they may be at risk of decision regret. Our objective was to explore patients' perceptions of their decision-making experiences related to implantable cardioverter defibrillators (ICDs).

methodsCross-sectional, mailed survey of 412 patients who received an ICD without cardiac resynchronization therapy for any indication between 2006 and 2009. Patients were asked about decision participation and decision regret.

resultsA total of 295 patients with ICDs responded (72% response rate). Overall, 79% reported that they were as involved in the decision as they wanted. However, 28% reported that they were not told of the option of not getting an ICD and 37% did not remember being asked if they wanted an ICD. In total, 19% reported not wanting their ICD at the time of implantation. Those who did not want the ICD were younger (<65 years; 74% vs 43%, P < 0.001), had higher decision regret (31/100 vs 11/100, P < 0.001), and reported less participation in decision making (the doctor "totally" made the decision, 9% vs 3%; P < 0.001).

conclusionsA considerable number of ICD recipients recalled not wanting their ICD at the time of implantation. While these findings may be prone to recall bias, they likely identify opportunities to improve ICD decision making.

Indexed as

Defibrillators, ImplantablePatient ParticipationAgedAged, 80 and overCross-Sectional StudiesDecision MakingFemaleHumansMaleMiddle AgedSurveys and Questionnairesdecision makingdecision regretICDsshared decision making

Identifiers

PMID27566614
PMCPMC5056835

What OpenQuestion holds

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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.