Evidence map›Paper›PMID 31647374›Full record

ArticlePalliative medicine2020

Medical and end-of-life decision making in adolescents' pre-heart transplant: A descriptive pilot study.

Melissa K Cousino, Victoria A Miller, Cynthia Smith, Karen Uzark, Ray Lowery, Nichole Rottach, Elizabeth D Blume, Kurt R Schumacher

Abstract read
In one paragraph

Article in Palliative medicine, 2020. 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.

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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

8 authors.

Melissa K CousinoDepartment of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-0041-0830
Victoria A MillerDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Cynthia SmithCongenital Heart Center, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA.
Karen UzarkDepartment of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Ray LoweryCongenital Heart Center, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA.
Nichole RottachCongenital Heart Center, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA.
Elizabeth D BlumeDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Kurt R SchumacherDepartment of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.

Funding

Palliative and End of Life Care in Adolescent and Young Adult Heart FailureK23HL145096 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COUSINO HOOD, MELISSA KAYE · 2019 to 2022
$513k
Advance Care Planning with Adolescents and Young Adults with Advanced Heart DiseaseR21NR016802 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COUSINO HOOD, MELISSA KAYE · 2018 to 2019
$440k
NHLBI NIH HHS K23 HL145096NINR NIH HHS R21 NR016802
6 · The paper itself

Abstract

backgroundAdolescents and young adults undergoing heart transplantation experience risks of morbidity and mortality both pre- and post-transplant. To improve end-of-life care for this population, it is necessary to understand their medical and end-of-life decision-making preferences.

aim(1) To examine adolescent/young adult decision-making involvement specific to heart transplant listing, and (2) to characterize their preferences specific to medical and end-of-life decision making.

designThis cross-sectional research study utilized survey methods. Data were collected from October 2016 to March 2018. SETTING/

participantsTwelve adolescent and young adult patients listed for heart transplant (ages = 12-19 years) and one parent for each were enrolled at a single-center, US children's hospital.

resultsConsistent with their preferences, the majority of adolescent/young adult participants (82%) perceived a high level of involvement in the decision to be listed for transplant. Patient involvement in this decision was primarily by way of seeking advice or information from their parents and being asked to express their opinion from parents. Despite a preference among patients to discuss their prognosis and be involved in end-of-life decision making if seriously ill, only 42% of patients had discussed their end-of-life wishes with anyone. Few parents recounted having such discussions. Preferences regarding the timing and nature of end-of-life decision-making discussions varied.

conclusionsAlthough young people are involved in the decision to pursue heart transplantation, little attention is paid to involving them in discussions regarding end-of-life decision making in a manner that is consistent with individual preferences.

Indexed as

Advance Care PlanningDecision MakingHeart TransplantationPatient ParticipationTerminal CareAdolescentChildCross-Sectional StudiesFemaleHumansMalePilot ProjectsYoung Adultadvance care planningChilddecision makingheart transplantation

Identifiers

PMID31647374
PMCPMC8063635

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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.