ReviewThe Lancet. Respiratory medicine2019
Aligning use of intensive care with patient values in the USA: past, present, and future.
Review in The Lancet. Respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Use and Meaning of "Goals of Care" in the Healthcare Literature: a Systematic Review and Qualitative Discourse Analysis.Journal of general internal medicine · 2020Pooled it
- Assessment of Natural Language Processing of Electronic Health Records to Measure Goals-of-Care Discussions as a Clinical Trial Outcome.JAMA network open · 2023Trial
- A modular pipeline for natural language processing-screened human abstraction of a pragmatic trial outcome from electronic health records.Clinical trials (London, England) · 2026Article
- A modular pipeline for natural language processing-screened human abstraction of a pragmatic trial outcome from electronic health records.medRxiv : the preprint server for health sciences · 2025Article
- Clinicians' Use of Choice Framing in ICU Family Meetings.Critical care medicine · 2024Article
- More than patient benefit: taking a broader view of ICU admission decisions.Intensive care medicine · 2023Article
- Impact of Interprofessional Teamwork on Aligning Intensive Care Unit Care with Patient Goals: A Qualitative Study of Transactive Memory Systems.Annals of the American Thoracic Society · 2023Article
- Assessment of Clinical Palliative Care Trigger Status vs Actual Needs Among Critically Ill Patients and Their Family Members.JAMA network open · 2022Article
- Translating Postsepsis Care to Post-COVID-19 Care. The Case for a Virtual Recovery Program.Annals of the American Thoracic Society · 2021Article
- The Impact of Palliative Care Dose Intensity on Outcomes for Patients with Cancer.The oncologist · 2020Article
- Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis.The American journal of hospice & palliative care · 2020Observational
- Assessment of Variability in End-of-Life Care Delivery in Intensive Care Units in the United States.JAMA network open · 2019Observational
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
For more than three decades, both medical professionals and the public have worried that many patients receive non-beneficial care in US intensive care units during their final months of life. Some of these patients wish to avoid severe cognitive and physical impairments, and protracted deaths in the hospital setting. Recognising when intensive care will not restore a person's health, and helping patients and families embrace goals related to symptom relief, interpersonal connection, or spiritual fulfilment are central challenges of critical care practice in the USA. We review trials from the past decade of interventions designed to address these challenges, and present reasons why evaluating, comparing, and implementing these interventions have been difficult. Careful scrutiny of the design and interpretation of past trials can show why improving goal concordant care has been so elusive, and suggest new directions for the next generation of research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.