Trial reportAmerican journal of surgery2021
Expressions of conflict following postoperative complications in older adults having major surgery.
Trial report in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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.
Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Patient Perspectives on Perioperative Supportive Care Needs Surrounding Major Abdominal Operations for Cancer.Annals of surgical oncology · 2023Trial
- Better Conversations for Better Informed Consent: Talking with Surgical Patients.The Hastings Center report · 2024Article
- Views of health care professionals on the implementation of preoperative advance care planning in older patients with head and neck cancer: Q methodology.International journal of nursing sciences · 2024Article
- Optimizing the design and implementation of question prompt lists to support person-centred care: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Interpersonal Conflict between Clinicians in the Delivery of Palliative and End-of-Life Care for Critically Ill Patients: A Secondary Qualitative Analysis.Journal of palliative medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundAfter serious postoperative complications, patients and families may experience conflict about goals of care.
methodsWe performed a multisite randomized clinical trial to test the effect of a question prompt list on postoperative conflict. We interviewed family members and patients age ≥60 who experienced serious complications. We used qualitative content analysis to analyze conflict and characterize patient experiences with complications.
resultsFifty-six of 446 patients suffered a serious complication. Participants generally did not report conflict relating to postoperative treatments and expressed support for the care they received. We did not appreciate a difference in conflict between intervention and usual care. Respondents reported feeling unprepared for complications, witnessing heated interactions among team members, and a failure to develop trust for their surgeon preoperatively.
conclusionPostoperative conflict following serious complications is well described but its incidence may be low. Nonetheless, patient and family observations reveal opportunities for improvement.
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What OpenQuestion holds
Registered trials
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.