Evidence map›Paper›PMID 31580493›Full record

ReviewClinical cardiology2020

Shared decision-making for older adults with cardiovascular disease.

Warren D Backman, Sharon A Levine, Nanette K Wenger, John Gordon Harold

Abstract readReview
In one paragraph

Review in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
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  3. Pooled it
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  15. Patient and Care Partner Perspective on Potential Undertreatment of Patients With Mild Cognitive Impairment for Cardiovascular Disease.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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  17. Review
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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.

Warren D BackmanVeterans Affairs New England Geriatric Research Education and Clinical Center, Boston, Massachusetts.ORCID https://orcid.org/0000-0001-6391-0325
Sharon A LevineDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Nanette K WengerDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia.ORCID https://orcid.org/0000-0003-0990-6151
John Gordon HaroldCedars-Sinai Smidt Heart Institute and UCLA David Geffen School of Medicine, Los Angeles, California.ORCID https://orcid.org/0000-0001-6475-4002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shared decision-making is appropriate for clinical decisions involving multiple reasonable options, which occur frequently in the cardiovascular care of older adults. The process includes the communication of relevant factual information between the patient and the clinician, elicitation of patient preferences, and a mutual agreement on the best course of action to meet the patient's personal goals. For older adults, there are common challenges and considerations with regard to shared decision-making, some of which (eg, cognitive impairment) may be biologically linked to cardiovascular disease. There are tools designed to facilitate the shared decision-making process, known as decision aids, which are broadly effective although have shortcomings when applied to older adults. Novel approaches in clinical research and health systems changes will go some way toward improving shared decision-making for older adults, but the greatest scope for improvement may be within the grass roots areas of communication skills, interdisciplinary teamwork, and simply asking our patients what matters most.

Indexed as

Decision Making, SharedHealth Knowledge, Attitudes, PracticePatient ParticipationPhysician-Patient RelationsAgedAged, 80 and overAge FactorsAgingAttitude of Health PersonnelCardiovascular DiseasesDecision Support TechniquesFemaleHealth CommunicationHumansMalePatient-Centered Careagedcardiovascular diseaseclinical decision-makingdecision aidsdecision-making capacityelderlygeriatric cardiologygeriatricsinformed decision-makingolder adultspatient centered careshared decision-making

Identifiers

PMID31580493
PMCPMC7021653

What OpenQuestion holds

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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.