Evidence map›Paper›PMID 33635189›Full record

ArticleAMA journal of ethics2021

What Should Clinicians Do When a Patient's Autonomy Undermines Her Being Treated Equitably?

Amy Scharf, Louis Voigt, Santosha Vardhana, Konstantina Matsoukas, Lisa M Wall, Maria Arevalo, Lisa C Diamond

Open access · diamondAbstract read
In one paragraph

Article in AMA journal of ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Amy ScharfMember of the ethics committee at Memorial Sloan Kettering Cancer Center in New York City.
Louis VoigtAssociate professor of clinical medicine and anesthesiology at Weill Cornell Medical College in New York City.
Santosha VardhanaMedical oncologist at Memorial Sloan Kettering Cancer Center in New York City.
Konstantina MatsoukasResearch informationist at the Memorial Sloan Kettering Cancer Center's Medical Library in New York City.
Lisa M WallClinical nurse specialist and ethics consultant at Memorial Sloan Kettering Cancer Center in New York City.
Maria ArevaloClinical nurse at Memorial Sloan Kettering Cancer Center in New York City.
Lisa C DiamondMember of the research faculty of the Memorial Sloan Kettering Cancer Center Immigrant Health and Cancer Disparities Service.
Memorial Sloan Kettering Cancer Center · USCornell University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Clinician Use of Non-English Language Skills in Cancer CareK07CA184037 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DIAMOND, LISA C · 2015 to 2019
$900k
NCI NIH HHS K07 CA184037NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461
6 · The paper itself

Abstract

Language and cultural barriers can impede communication between patients and clinicians, exacerbating health inequity. Additional complications can arise when family members, intending to protect their loved ones, ask clinicians to lie or not disclose to patients their diagnoses, prognoses, or intervention options. Clinicians must express respect for patients' and families' cultural, religious, and social norms regarding health care decision making, but they might also be ethically troubled by some decisions' effects on patients' health outcomes. This article suggests strategies for clinicians trying to overcome linguistic and cultural barriers to equitable patient care.

Indexed as

CommunicationFamilyDecision MakingFemaleHumans

Identifiers

PMID33635189
PMCPMC8366686
OpenAlexW3128160581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.