ArticleJournal of pain and symptom management2019
Defining Serious Illness Among Adult Surgical Patients.
Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Palliative prognostic tools in surgical patients at the end of life: a systematic review.British journal of anaesthesia · 2025Pooled it
- Palliative Care for Older Adults With Hip Fracture: An Explanatory Sequential Mixed-Methods Study.Journal of pain and symptom management · 2026Article
- Patient Perceptions of Palliative Care in Surgery: A Qualitative Study.Journal of pain and symptom management · 2026Article
- Understanding Surgeon Engagement with Palliative Care Practices for Seriously Ill Patients: A Qualitative Study.Annals of surgery · 2026Article
- Natural Language Processing to Assess Palliative Care Processes and Health Care Utilization in Seriously Ill Older Adults with Severe Trauma.Journal of palliative medicine · 2026Article
- Inpatient Palliative Care and Post-operative Healthcare Utilization Among Older Surgical Patients.Annals of surgery · 2025Article
- Determining patient eligibility for a physical activity referral scheme through EHR data extraction.BMC medical informatics and decision making · 2025Article
- Trends in End-of-Life Care and Satisfaction Among Veterans Undergoing Surgery.Annals of surgery · 2025Article
- Associations between baseline pain, depressive symptoms, and unpaid caregiving needs and 1-year postdischarge outcomes among seriously ill older adults admitted for trauma.Trauma surgery & acute care open · 2025Article
- Palliative care in acute care surgery: research challenges and opportunities.Trauma surgery & acute care open · 2025Review
- Palliative care in surgery: Where are we at?Palliative care and social practice · 2025Article
- Knowledge and thresholds for palliative care and surgery among healthcare providers caring for adults with serious illness.Frontiers in medicine · 2024Article
- Critical care: A concept analysis.International journal of nursing sciences · 2023Review
- Prevalence of unpaid caregiving, pain, and depression in older seriously ill patients undergoing elective surgery.Journal of the American Geriatrics Society · 2023Article
- The burden of pre-admission pain, depression, and caregiving on palliative care needs for seriously ill trauma patients.Journal of the American Geriatrics Society · 2023Article
- Effects of decreasing the out-of-pocket expenses for outpatient care on health-seeking behaviors, health outcomes and medical expenses of people with diabetes: evidence from China.International journal for equity in health · 2022Article
- Defining Neonatal Serious Illness.Journal of palliative medicine · 2022Article
- Mortality After Elective Surgery: The Potential Role for Preoperative Palliative Care.The Journal of surgical research · 2021Article
- Association of Advance Care Planning Visits With Intensity of Health Care for Medicare Beneficiaries With Serious Illness at the End of Life.JAMA health forum · 2021Article
- Improving quality in colon and rectal surgery through palliative care.Seminars in colon & rectal surgery · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
contextPalliative care (PC) for seriously ill surgical patients, including aligning treatments with patients' goals and managing symptoms, is associated with improved patient-oriented outcomes and decreased health care utilization. However, efforts to integrate PC alongside restorative surgical care are limited by the lack of a consensus definition for serious illness in the perioperative context.
objectivesThe objectives of this study were to develop a serious illness definition for surgical patients and identify a denominator for quality measurement efforts.
methodsWe developed a preliminary definition including a set of criteria for 11 conditions and health states. Using the RAND-UCLA Appropriateness Method, a 12-member expert advisory panel rated the criteria for each condition and health state twice, once after an in-person moderated discussion, for validity (primary outcome) and feasibility of measurement.
resultsAll panelists completed both rounds of rating. All 11 conditions and health states defining serious illness for surgical patients were rated as valid. During the in-person discussion, panelists refined and narrowed criteria for two conditions (vulnerable elder, heart failure). The final definition included the following 11 conditions and health states: vulnerable elder, heart failure, advanced cancer, oxygen-dependent pulmonary disease, cirrhosis, end-stage renal disease, dementia, critical trauma, frailty, nursing home residency, and American Society of Anesthesiology Risk Score IV-V.
conclusionWe identified a consensus definition for serious illness in surgery. Opportunities remain in measuring the prevalence, identifying health trajectories, and developing screening criteria to integrate PC with restorative surgical care.
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