Trial reportPalliative medicine2020
Online training improves medical students' ability to recognise when a person is dying: The ORaClES randomised controlled trial.
Trial report in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03360812 (Online Randomised Controlled Trial to Improve Clinical Estimates of Survival), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Online Randomised Controlled Trial to Improve Clinical Estimates of Survival (ORaClES)
Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic evaluation in patients with advanced cancer in the last months of life: ESMO Clinical Practice Guideline.ESMO open · 2023Guideline
- Factors related to accurate clinicians' prediction of survival: an international multicenter study in East Asia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Article
- Accuracy of clinical predictions of prognosis at the end-of-life: evidence from routinely collected data in urgent care records.BMC palliative care · 2023Observational
- Prognosticating for Adult Patients With Advanced Incurable Cancer: a Needed Oncologist Skill.Current treatment options in oncology · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundRecognising dying is a key clinical skill for doctors, yet there is little training.
aimTo assess the effectiveness of an online training resource designed to enhance medical students' ability to recognise dying.
designOnline multicentre double-blind randomised controlled trial (NCT03360812). The training resource for the intervention group was developed from a group of expert palliative care doctors' weightings of various signs/symptoms to recognise dying. The control group received no training. SETTING/
participantsParticipants were senior UK medical students. They reviewed 92 patient summaries and provided a probability of death within 72 hours (0% certain survival - 100% certain death) pre, post, and 2 weeks after the training.
resultsOut of 168 participants, 135 completed the trial (80%); 66 received the intervention (49%). After using the training resource, the intervention group had better agreement with the experts in their survival estimates (
conclusionThe online training resource proved effective in altering the decision-making of medical students to agree more with expert decision-making.
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.