Evidence map›Paper›PMID 33811868›Full record

ArticleThe Journal of pediatrics2021

Information Order for Periviable Counseling: Does It Make a Difference?

Siobhan McDonnell, Ke Yan, U Olivia Kim, Kathryn E Flynn, Melodee Nugent Liegl, Steven R Leuthner, Jennifer J McIntosh, Mir A Basir

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2021. 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
1.8field-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

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. 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

8 authors at 1 institution in 1 country.

Siobhan McDonnellDepartment of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, WI.
Ke YanDepartment of Pediatrics, Division of Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI.
U Olivia KimDepartment of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, WI.
Kathryn E FlynnDepartment of Medicine, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Melodee Nugent LieglDepartment of Pediatrics, Division of Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI.
Steven R LeuthnerDepartment of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, WI; Department of Population Health, Center for the Study of Bioethics, Medical College of Wisconsin, Milwaukee, WI.
Jennifer J McIntoshDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Medical College of Wisconsin, Milwaukee, WI.
Mir A BasirDepartment of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, WI. Electronic address: mbasir@mcw.edu.
Medical College of Wisconsin · US

Funding

Stopping Tyrosine Kinase Inhibitors in CML Patients (Stop-TKIs)R01CA184798 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI ATALLAH, EHAB L, FLYNN, KATHRYN E · 2014 to 2019
$3.3M
Novel role for placental endothelial mitochondria in preeclampsiaK08HL150340 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI MCINTOSH, JENNIFER J · 2020 to 2024
$754k
Preemie Prep for Parents (P3) Mobile app: Home Antenatal Prematurity EducationR21HD092664 · NICHD · MEDICAL COLLEGE OF WISCONSIN · PI BASIR, MIR A, FLYNN, KATHRYN E · 2019 to 2020
$347k
NCI NIH HHS R01 CA184798NHLBI NIH HHS K08 HL150340NICHD NIH HHS R21 HD092664
6 · The paper itself

Abstract

objectivesTo examine whether the order of presenting survival vs disability information, with or without the description of infant neonatal intensive care unit (NICU) experiences would influence treatment choice during hypothetical periviable birth counseling. STUDY

designAn internet sample of childbearing-aged women (n = 839) viewed a pictograph displaying the chances of survival and a pictograph on the chances of disability for a baby resuscitated during the periviable period. The sample was randomized to the order of pictographs and level of description of infant NICU experiences. Participants selected between intensive care or comfort care and reported their personal values.

resultsThe order of the information influenced treatment choices (P = .02); participants were more likely to choose intensive care if they saw the survival pictograph first (70%) than the disability pictograph first (62%). Level of description of premature infant NICU experiences did not influence treatment choice (P = .92). Participants who valued sanctity of life, autonomy in making decisions, who were more religious, and had adequate health literacy were more likely to choose intensive care. Such participant characteristics had greater explanatory power than the experimental manipulations.

conclusionsSubtle differences in how information is presented may influence critical decisions. However, even among women with the same values, diversity in treatment choice remains.

Indexed as

CounselingDecision MakingFetal ViabilityInfant, Extremely PrematureMothersCritical CareFemaleHumansIntensive Care Units, NeonatalPatient Education as TopicPersonal AutonomyPregnancyQuality of LifeReligionValue of Lifedecision-makingparentpatient-centered carepremature birthpremature infant

Identifiers

PMID33811868
PMCPMC8316277
OpenAlexW3140262985

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.