Evidence map›Paper›PMID 32636289›Full record

ArticleBMJ open2020

End-of-life care preferences of older patients with multimorbidity: protocol of a mixed-methods systematic review.

Ana Isabel Gonzalez-Gonzalez, Christine Schmucker, Julia Nothacker, Truc Sophia Nguyen, Maria-Sophie Brueckle, Jeanet Blom, Marjan van den Akker, Kristian Röttger, Odette Wegwarth, Tammy Hoffmann and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

14 authors at 7 institutions in 5 countries.

Ana Isabel Gonzalez-GonzalezInstitute of General Practice, Goethe University, Frankfurt am Main, Germany gonzalezgonzalez@allgemeinmedizin.uni-frankfurt.de.ORCID 0000-0002-1707-0596
Christine SchmuckerInstitute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Julia NothackerInstitute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Truc Sophia NguyenInstitute of General Practice, Goethe University, Frankfurt am Main, Germany.ORCID 0000-0002-9774-6751
Maria-Sophie BrueckleInstitute of General Practice, Goethe University, Frankfurt am Main, Germany.
Jeanet BlomDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Marjan van den AkkerInstitute of General Practice, Goethe University, Frankfurt am Main, Germany.ORCID 0000-0002-1022-8637
Kristian RöttgerFederal Joint Committee "Gemeinsamer Bundesausschuss", Berlin, Germany.
Odette WegwarthCenter for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany.ORCID 0000-0003-0885-2673
Tammy HoffmannInstitute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Ferdinand M GerlachInstitute of General Practice, Goethe University, Frankfurt, Germany.
Sharon E StrausDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Joerg J MeerpohlInstitute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center-University of Freiburg, Freiburg, Germany.
Christiane MuthInstitute of General Practice, Goethe University, Frankfurt, Germany.ORCID 0000-0001-8987-182X
Goethe University Frankfurt · DEUniversity of Freiburg · DEBond University · AUGemeinsamer Bundesausschuss · DELeiden University Medical Center · NLMax Planck Institute for Human Development · DEUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnd-of-life care is an essential task performed by most healthcare providers and often involves decision-making about how and where patients want to receive care. To provide decision support to healthcare professionals and patients in this difficult situation, we will systematically review a knowledge cluster of the end-of-life care preferences of older patients with multimorbidity that we previously identified using an evidence map. METHODS AND ANALYSIS: We will systematically search for studies reporting end-of-life care preferences of older patients (mean age ≥60) with multimorbidity (≥2 chronic conditions) in MEDLINE, CINAHL, PsycINFO, Social Sciences Citation Index, Social Sciences Citation Index Expanded, PSYNDEX and The Cochrane Library from inception to September 2019. We will include all primary studies that use quantitative, qualitative and mixed methodologies, irrespective of publication date and language.Two independent reviewers will assess eligibility, extract data and describe evidence in terms of study/population characteristics, preference assessment method and end-of-life care elements that matter to patients (eg, life-sustaining treatments). Risk of bias/applicability of results will be independently assessed by two reviewers using the Mixed-Methods Appraisal Tool. Using a convergent integrated approach on qualitative/quantitative studies, we will synthesise information narratively and, wherever possible, quantitatively. ETHICS AND DISSEMINATION: Due to the nature of the proposed systematic review, ethics approval is not required. Results from our research will be disseminated at relevant (inter-)national conferences and via publication in peer-reviewed journals. Synthesising evidence on end-of-life care preferences of older patients with multimorbidity will improve shared decision-making and satisfaction in this final period of life. PROSPERO REGISTRATION NUMBER: CRD42020151862.

Indexed as

MultimorbidityTerminal CareChronic DiseaseHumansQualitative ResearchResearch Designadult palliative careethics (see medical ethics)general medicine (see internal medicine)geriatric medicineinternal medicine

Identifiers

PMID32636289
PMCPMC7342816
OpenAlexW3039549345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.