Evidence map›Paper›PMID 29980337›Full record

ArticlePatient education and counseling2018

Treatment decision making involving patients with dementia in acute care: A scoping review.

Kristen E Pecanac, Mary Wyman, Amy J H Kind, Corrine I Voils

Abstract readScoping Review
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Emergency Care for Persons Living with Dementia.Emergency medicine clinics of North America · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

4 authors.

Kristen E PecanacSchool of Nursing, University of Wisconsin, Madison, USA. Electronic address: lund2@wisc.edu.
Mary WymanWilliam S. Middleton Memorial Veterans Hospital, Madison, USA; Department of Psychiatry, University of Wisconsin, School of Medicine and Public Health, Madison, USA. Electronic address: mfwyman@wisc.edu.
Amy J H KindWilliam S. Middleton Memorial Veterans Hospital, Madison, USA; Department of Medicine, University of Wisconsin, School of Medicine & Public Health, Madison, USA. Electronic address: ajk@medicine.wisc.edu.
Corrine I VoilsWilliam S. Middleton Memorial Veterans Hospital, Madison, USA; Department of Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, USA. Electronic address: voils@surgery.wisc.edu.

Funding

Wisconsin Alzheimer's Disease Research CenterP50AG033514 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI JOHNSON, JEFFREY A · 2009 to 2018
$16.2M
Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
NIA NIH HHS P50 AG033514NIMHD NIH HHS R01 MD010243
6 · The paper itself

Abstract

objectiveTo summarize the evidence regarding the factors and processes of treatment decision making involving a person with dementia (PWD) in the acute care setting.

methodsWe conducted a scoping review, searching 4 databases (PubMed, CINAHL, Web of Science, & PsychINfo) for articles that contained primary data from a quantitative or qualitative study involving treatment decision making in the acute care setting for PWD and were published in English. We categorized the factors and processes of decision making identified in each article using inductive content analysis. We also consulted with healthcare practitioners to receive stakeholder input on our findings.

resultsOur search initially revealed 12,478 articles, of which 28 were included in the review. We identified 5 categories of factors that influence the decision-making process: knowing the patient, culture and systems, role clarity, appropriateness of palliative care in dementia, and caregiver need for support.

conclusionOur findings highlight the complexities of the decision-making process and the importance of attending to the needs of the caregiver, healthcare practitioners, and the patient. PRACTICE IMPLICATIONS: It is important to address beliefs of involving palliative care for a PWD and the role of each healthcare discipline.

Indexed as

CommunicationDecision MakingPalliative CareCaregiversDementiaHumansProfessional-Family RelationsProfessional-Patient RelationsCommunicationProfessional-family relationsProfessional-patient relationsShared decision making

Identifiers

PMID29980337
PMCPMC6179913

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.