Evidence map›Paper›PMID 32407772›Full record

ReviewJournal of the American College of Cardiology2020

Scarce-Resource Allocation and Patient Triage During the COVID-19 Pandemic: JACC Review Topic of the Week.

James N Kirkpatrick, Sarah C Hull, Savitri Fedson, Brendan Mullen, Sarah J Goodlin

Abstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

  1. Guideline
  2. Regional inequities in myocardial infarction burden in Brazil's public healthcare system.Archives of public health = Archives belges de sante publique · 2026
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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

5 authors.

James N KirkpatrickDivision of Cardiology and Department of Bioethics and Humanities, University of Washington, Seattle, Washington. Electronic address: kirkpatj@uw.edu.
Sarah C HullSection of Cardiovascular Medicine, Program for Biomedical Ethics, Yale University, New Haven, Connecticut.
Savitri FedsonCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Section of Cardiology, Michael E DeBakey VA Medical Center, Houston, Texas.
Brendan MullenAmerican College of Cardiology, Washington, DC.
Sarah J GoodlinDepartment of Geriatrics and Palliative Medicine, VAPORHCS, Oregon Health Sciences University, Patient-Centered Education and Research, Portland, Oregon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic and its sequelae have created scenarios of scarce medical resources, leading to the prospect that health care systems have faced or will face difficult decisions about triage, allocation, and reallocation. These decisions should be guided by ethical principles and values, should not be made before crisis standards have been declared by authorities, and, in most cases, will not be made by bedside clinicians. Do not attempt resuscitation and withholding and withdrawing decisions should be made according to standard determination of medical appropriateness and futility, but there are unique considerations during a pandemic. Transparent and clear communication is crucial, coupled with dedication to provide the best possible care to patients, including palliative care. As medical knowledge about COVID-19 grows, more will be known about prognostic factors that can guide these difficult decisions.

Indexed as

Advance Care PlanningCardiologyCoronavirus InfectionsHealth Care RationingPandemicsPneumonia, ViralTriageBetacoronavirusCOVID-19Critical PathwaysHumansPalliative CareResource AllocationSARS-CoV-2Standard of CareCOVID-19end of lifeethicspalliative careresource allocation

Identifiers

PMID32407772
PMCPMC7213960

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.