ArticleBMJ open2022
Prognostic decision-making about imminent death within multidisciplinary teams: a scoping review.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 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.
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Who cites it
8 citing papers in PubMed.
- Top of the license practice or out of our scope? A qualitative analysis of social workers' role in cultivating prognostic awareness on hospital palliative care teams.BMC palliative care · 2026Article
- The role and synergistic mechanisms of clinical nurse specialists in cancer multidisciplinary treatment in China: a narrative review.Frontiers in psychology · 2026Review
- From MINI to Meaningful Change-A German Pilot Study to Improve Patient Outcomes in End-of-Life Care.Healthcare (Basel, Switzerland) · 2025Article
- Initiating Prognostic Talk During Hospice Multidisciplinary Team Meetings: A Conversation Analytic Study.Journal of palliative care · 2025Article
- Time estimates in prognostic discussions: A conversation analytic study of hospice multidisciplinary team meetings.Palliative medicine · 2024Article
- Accuracy of clinical predictions of prognosis at the end-of-life: evidence from routinely collected data in urgent care records.BMC palliative care · 2023Observational
- End-of-Life Care in an Acute Neurological Ward: A Retrospective Analysis of Clinical Practices During the Last Week of Life.The Journal of neuroscience nursing : journal of the American Association of Neuroscience NursesObservational
- Examining the Role of Stress and Team Support in Decision Making under Uncertainty and Time Pressure.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo summarise evidence on how multidisciplinary team (MDTs) make decisions about identification of imminently dying patients.
designScoping review.
settingAny clinical setting providing care for imminently dying patients, excluding studies conducted solely in acute care settings. DATA SOURCES: The databases AMED, CINAHL, Embase, MEDLINE, PsychINFO and Web of Science were searched from inception to May 2021.Included studies presented original study data written in English and reported on the process or content of MDT discussions about identifying imminently dying adult patients.
results40 studies were included in the review. Studies were primarily conducted using interviews and qualitative analysis of themes.MDT members involved in decision-making were usually doctors and nurses. Some decisions focused on professionals recognising that patients were dying, other decisions focused on initiating specific end-of-life care pathways or clarifying care goals. Most decisions provided evidence for a partial collaborative approach, with information-sharing being more common than joint decision-making. Issues with decision-making included disagreement between staff members and the fact that doctors were often regarded as final or sole decision-makers.
conclusionsPrognostic decision-making was often not the main focus of included studies. Based on review findings, research explicitly focusing on MDT prognostication by analysing team discussions is needed. The role of allied and other types of healthcare professionals in prognostication needs further investigation as well. A focus on specialist palliative care settings is also necessary.
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