Evidence map›Paper›PMID 30896380›Full record

ArticleThe British journal of psychiatry : the journal of mental science2019

A pragmatist's guide to the assessment of decision-making capacity.

Rocksheng Zhong, Dominic A Sisti, Jason H Karlawish

Abstract readEditorial
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. End-of-life decision-making capacity in an elderly patient with schizophrenia and terminal cancer.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020
    Article
  6. Review
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Rocksheng ZhongLecturer, Department of Psychiatry,Yale School of Medicine,USA.ORCID 0000-0003-4061-443X
Dominic A SistiAssistant Professor,Department of Medical Ethics and Health Policy,University of Pennsylvania; andDirector of the Scattergood Program for Applied Ethics of Behavioral Health Care,Perelman School of Medicine,University of Pennsylvania,USA.
Jason H KarlawishProfessor,Departments of Medicine,Medical Ethics and Health Policy, andNeurology,University of Pennsylvania; andCo-Director of the Penn Memory Center,Perelman School of Medicine,University of Pennsylvania,USA.

Funding

UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
University of Pennsylvania Prevention Research CenterU48DP005053 · DP · UNIVERSITY OF PENNSYLVANIA · PI GLANZ, KAREN, VOLPP, KEVIN G · 2014 to 2018
$8.7M
Dissemination, Implementation, and Evaluation of Native STAND in AI CommunitiesU48DP005006 · DP · OREGON HEALTH & SCIENCE UNIVERSITY · PI BECKER, THOMAS MARK · 2014 to 2018
$6.3M
NCCDPHP CDC HHS U48 DP005006NCCDPHP CDC HHS U48 DP005053NIA NIH HHS P30 AG010124
6 · The paper itself

Abstract

Choice, understanding, appreciation and reasoning compose the standard model of decision-making capacity. Difficulties in determining capacity can arise when patients exhibit partial impairment. We suggest that a pragmatic approach, focusing on how capacity status affects the ultimate decision to override the patient's wishes, can help evaluators resolve difficult cases.Declaration of interestNone.

Indexed as

Clinical Decision-MakingMental CompetencyPatient ParticipationHumansInformed ConsentConsent and capacityethicspsychiatry and law

Identifiers

PMID30896380
PMCPMC6430137

What OpenQuestion holds

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Registered trials

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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.