Evidence map›Paper›PMID 27611892›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2016

Shared Decision Making to Support the Provision of Palliative and End-of-Life Care in the Emergency Department: A Consensus Statement and Research Agenda.

Naomi R George, Jennifer Kryworuchko, Katherine M Hunold, Kei Ouchi, Amy Berman, Rebecca Wright, Corita R Grudzen, Olga Kovalerchik, Eric M LeFebvre, Rachel A Lindor and 6 more

Abstract readConsensus Statement
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
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  5. Observational
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  12. Article
  13. Palliative and end-of-life care in the emergency department.Clinical and experimental emergency medicine · 2022
    Article
  14. Mapping the future for research in emergency medicine palliative care: A research roadmap.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  15. Article
  16. Premorbid Clinical Frailty Score and 30-day mortality among older adults in the emergency department.Journal of the American College of Emergency Physicians open · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. 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

16 authors.

Naomi R GeorgeDepartment of Emergency Medicine, Brown University, Providence, RI.
Jennifer KryworuchkoUniversity of British Columbia, Vancouver, British Columbia, Canada.
Katherine M HunoldUniversity of Virginia, Charlottesville, VA.
Kei OuchiDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, MA.
Amy BermanHartford Program Officer/Patient Representative, New York, NY.
Rebecca WrightDepartment of Emergency Medicine, NYU School of Medicine, New York, NY.
Corita R GrudzenDepartment of Emergency Medicine, NYU School of Medicine, New York, NY.
Olga KovalerchikDepartment of Emergency Medicine, Yale University, New Haven, CT.
Eric M LeFebvreDepartment of Emergency Medicine, Geriatric Fellow, University of North Carolina-Chapel Hill, Chapel Hill, NC.
Rachel A LindorDepartment of Emergency Medicine, Mayo Clinic, Rochester, MN.
Tammie E QuestDepartment of Emergency Medicine, Emory University, Atlanta, GA.
Terri A SchmidtDepartments of Emergency Medicine and Hematology/Oncology, Oregon Health and Science University, Portland, OR.
Tamara SussmanSchool of Social Work, McGill University, Montreal, Quebec, Canada.
Amy VandenbrouckeNational POLST Paradigm, Portland, OR.
Angelo E VolandesSection of General Medicine, Harvard Medical School, Boston, MA.
Timothy F Platts-MillsDepartment of Emergency Medicine and Department of Anesthesiology, University of North Carolina-Chapel Hill, Chapel Hill, NC.

Funding

Shared Decision Making in the ED: Development of a Policy-Relevant Patient-Centered Research AgendaR13MD010171 · NIMHD · SOCIETY FOR ACADEMIC EMERGENCY MEDICINE · PI GRUDZEN, CORITA R · 2015 to 2015
$50k
2016 AEM Consensus Conference: Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research AgendaR13HS024172 · AHRQ · SOCIETY FOR ACADEMIC EMERGENCY MEDICINE · PI GRUDZEN, CORITA R · 2015 to 2015
$35k
AHRQ HHS R13 HS024172NIMHD NIH HHS R13 MD010171
6 · The paper itself

Abstract

backgroundLittle is known about the optimal use of shared decision making (SDM) to guide palliative and end-of-life decisions in the emergency department (ED).

objectiveThe objective was to convene a working group to develop a set of research questions that, when answered, will substantially advance the ability of clinicians to use SDM to guide palliative and end-of-life care decisions in the ED.

methodsParticipants were identified based on expertise in emergency, palliative, or geriatrics care; policy or patient-advocacy; and spanned physician, nursing, social work, legal, and patient perspectives. Input from the group was elicited using a time-staggered Delphi process including three teleconferences, an open platform for asynchronous input, and an in-person meeting to obtain a final round of input from all members and to identify and resolve or describe areas of disagreement.

conclusionKey research questions identified by the group related to which ED patients are likely to benefit from palliative care (PC), what interventions can most effectively promote PC in the ED, what outcomes are most appropriate to assess the impact of these interventions, what is the potential for initiating advance care planning in the ED to help patients define long-term goals of care, and what policies influence palliative and end-of-life care decision making in the ED. Answers to these questions have the potential to substantially improve the quality of care for ED patients with advanced illness.

Indexed as

Decision MakingAdvance Care PlanningConsensusDelphi TechniqueEmergency Service, HospitalHealth Services ResearchHumansPalliative CarePatient Care PlanningPolicyTerminal Care

Identifiers

PMID27611892
PMCPMC6721846

What OpenQuestion holds

Textmetadata
LicenceTDM
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.