Evidence map›Paper›PMID 32382115›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2020

Communication between neonatologists and parents when prognosis is uncertain.

Laura L Drach, Debra A Hansen, Tracy M King, Erica M S Sibinga

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Parents' perspectives on the use of statistics to convey uncertainty in the NICU: a qualitative analysis.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Article
  3. Uncertainties in the NICU: a scoping review to inform a tailored taxonomy.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  4. Article
  5. Article
  6. Defining Neonatal Serious Illness.Journal of palliative medicine · 2022
    Article
  7. Words matter: exploring communication between parents and neonatologists.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  8. Article
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.

Laura L DrachDivision of Pediatric Palliative Care, Johns Hopkins All Children's Hospital, St. Petersburg FL, 501 6th Ave So, St. Petersburg, FL, 33701, USA. Ldrach1@jhmi.edu.
Debra A HansenDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 100 Hitchcock Way, Manchester, NH, 03104, USA.ORCID http://orcid.org/0000-0001-5185-9980
Tracy M KingEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 6710B Rockledge Dr. Room 2227D, MSC 7002, Bethesda, MD, 20892-7002, USA.
Erica M S SibingaDivision of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, Suite 4200 Mason F. Lord Center Tower, 5200 Eastern Ave., Baltimore, MD, 21224, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhen an infant's prognosis is uncertain, communication between neonatologists and parents surrounding goals of care and decision-making can be challenging. This qualitative study explored communication between neonatologists and parents to discover qualities which may enhance or impede parent-clinician partnership under such difficult circumstances. STUDY

designGuided by the National Cancer Institute (NCI) Patient Centered Communication framework, semi-structured individual interviews were conducted and analyzed regarding neonatologist and parent perceptions of their communication. Subjects consisted of nine dyads of neonatologists and English-speaking parents whose infant had an uncertain prognosis.

resultsParents were overall satisfied with neonatologists' communications concerning their infant's uncertain trajectory. Nonetheless, both experienced challenges and distress during communication, impeding collaboration and engagement.

conclusionsFamilies and neonatologists value principles of patient centered communication but report challenges implementing this practice. Incorporating a multidisciplinary approach in settings of prognostic uncertainty to foster patient centered communication, may enhance communication surrounding NICU care.

Indexed as

NeonatologistsParentsCommunicationHumansInfantPrognosisUncertainty

Identifiers

What OpenQuestion holds

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Registered trials

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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.