Evidence map›Paper›PMID 32505633›Full record

ArticleThe Canadian journal of cardiology2020

Guiding Cardiac Care During the COVID-19 Pandemic: How Ethics Shapes Our Health System Response.

Alice Virani, Gurmeet Singh, David Bewick, Chi-Ming Chow, Brian Clarke, Simone Cowan, Christopher B Fordyce, Anne Fournier, Kenneth Gin, Anil Gupta and 18 more

Abstract read
In one paragraph

Article in The Canadian journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

28 authors.

Alice ViraniDepartment of Medical Genetics, University of British Columbia, British Columbia, Canada. Electronic address: alice.virani@phsa.ca.
Gurmeet SinghMazankowski Alberta Hearth Institute, Division of Cardiac Surgery, Departments of Critical Care Medicine and Surgery, University of Alberta, Edmonton, Alberta, Canada.
David BewickNew Brunswick Heart Centre, Saint John, New Brunswick, Canada.
Chi-Ming ChowDivision of Cardiology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Brian ClarkeLibin Cardiovascular Institute, Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada.
Simone CowanCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Christopher B FordyceCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Anne FournierCentre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
Kenneth GinCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Anil GuptaTrillium Health Partners, University of Toronto, Mississauga, Ontario, Canada.
Sean HardimanCardiac Services BC, Provincial Health Services Authority, Vancouver, British Columbia, Canada.
Simon JacksonQEII Health Sciences Center, Division of Cardiology, Dalhousie University Halifax, Halifax, Nova Scotia, Canada.
Yoan LamarcheDepartment of Surgery, Montréal Heart Institute, Université de Montréal, Montréal, Québec, Canada.
Benny LauCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Jean-François LégaréNew Brunswick Heart Centre, Saint John, New Brunswick, Canada.
Howard Leong-PoiDivision of Cardiology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Samer MansourDepartment of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Ariane MarelliDepartment of Medicine, McGill University Health Center, McGill University, Montréal, Québec, Canada.
Ata QuraishiQEII Health Sciences Center, Division of Cardiology, Dalhousie University Halifax, Halifax, Nova Scotia, Canada.
Idan RoifmanSchulich Heart Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Marc RuelUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
John SappQEII Health Sciences Center, Division of Cardiology, Dalhousie University Halifax, Halifax, Nova Scotia, Canada.
Gary SmallUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Ricky TurgeonFaculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
David A WoodCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Shelley ZierothUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Sean ViraniCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Andrew D KrahnCentre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has raised ethical questions for the cardiovascular leader and practitioner. Attention has been redirected from a system that focuses on individual patient benefit toward one that focuses on protecting society as a whole. Challenging resource allocation questions highlight the need for a clearly articulated ethics framework that integrates principled decision making into how different cardiovascular care services are prioritized. A practical application of the principles of harm minimisation, fairness, proportionality, respect, reciprocity, flexibility, and procedural justice is provided, and a model for prioritisation of the restoration of cardiovascular services is outlined. The prioritisation model may be used to determine how and when cardiovascular services should be continued or restored. There should be a focus on an iterative and responsive approach to broader health care system needs, such as other disease groups and local outbreaks.

Indexed as

Cardiology Service, HospitalCardiovascular DiseasesCoronavirus InfectionsEthics, InstitutionalPandemicsPatient Care ManagementPneumonia, ViralBetacoronavirusCanadaCOVID-19HumansInfection ControlModels, OrganizationalOrganizational InnovationSARS-CoV-2

Identifiers

PMID32505633
PMCPMC7270812

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.