Evidence map›Paper›PMID 31570796›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2020

The importance of shared decision-making in the neonatal intensive care unit.

Frank Soltys, Sydney E Philpott-Streiff, Lindsay Fuzzell, Mary C Politi

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Associations of Patient and Parent Characteristics With Parental Decision Regret in the PICU: A Secondary Analysis of the 2015-2017 Navigate Randomized Comparative Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
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  16. A review of approaches for resolving disputes between physicians and families on end-of-life care for newborns.Journal of perinatology : official journal of the California Perinatal Association · 2020
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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.

Frank SoltysDivision of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine in St. Louis and St. Louis Children's Hospital, St. Louis, MO, USA. fsoltys@wustl.edu.
Sydney E Philpott-StreiffDivision of Public Health Science, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Lindsay FuzzellDivision of Public Health Science, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Mary C PolitiDivision of Public Health Science, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNeonatal intensive care unit (NICU) admissions are common and rising. Parents with infants in the NICU face difficult decisions about their infants' care. Few studies have investigated parents' engagement in NICU decisions and its effects on decision regret. STUDY

designWe surveyed parents of children who had a NICU stay in the past 3 years. We explored whether sociodemographic characteristics affected preferred decision involvement, shared decision-making with NICU clinicians, or decision regret. Multivariable linear regression analyses examined the relationship between shared decision-making and decision regret.

resultsMost parents preferred an active (212/405, 52.3%) or shared (139/405, 34.3%) approach to decision-making. No sociodemographic characteristics related to preferred decision involvement or shared decision-making (p's > 0.05). In multivariable analyses, shared decision-making, education and health literacy related to less decision regret (p's < 0.05).

conclusionsThese data suggest the importance of shared decision-making during NICU stays. Studies should identify ways to support parents through NICU decision-making.

Indexed as

Decision Making, SharedIntensive Care Units, NeonatalParentsPatient CareAdolescentAdultEmotionsFemaleGestational AgeHealth LiteracyHumansInfant, NewbornIntensive Care, NeonatalLinear ModelsMaleMiddle Aged

Identifiers

What OpenQuestion holds

Textmetadata
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.