Evidence map›Paper›PMID 36964702›Full record

ArticleWestern journal of nursing research2023

Application of Instrumental Variable Analysis in Pediatric End-of-Life Research: A Case Study.

Radion Svynarenko, Melanie J Cozad, Jennifer W Mack, Jessica Keim-Malpass, Pamela S Hinds, Lisa C Lindley

Open access · greenAbstract read
In one paragraph

Article in Western journal of nursing research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 18% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 5 institutions in 1 country.

Radion SvynarenkoCollege of Nursing, University of Tennessee, Knoxville, TN, USA.ORCID 0000-0002-7568-529X
Melanie J CozadDepartment of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, USA.
Jennifer W MackDepartment of Pediatric Oncology and Division of Population Sciences, Dana-Farber Cancer Institute, Boston Children's Hospital, Boston, MA, USA.
Jessica Keim-MalpassSchool of Nursing, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-7035-8556
Pamela S HindsDepartment of Nursing Science, Children's National Hospital, Washington, DC, USA.
Lisa C LindleyCollege of Nursing, University of Tennessee, Knoxville, TN, USA.ORCID 0000-0003-2960-7896
Knoxville College · USBoston Children's Hospital · USChildren's National · USUniversity of Nebraska Medical Center · USUniversity of Virginia · US

Funding

The effectiveness of concurrent hospice care to improve pediatric and family outcomes at end of lifeR01NR017848 · NINR · UNIVERSITY OF TENNESSEE KNOXVILLE · PI Lisa C. Lindley · 2018 to 2026
$3.0M
NINR NIH HHS R01 NR017848
6 · The paper itself

Abstract

Instrumental variable analysis (IVA) has been widely used in many fields, including health care, to determine the comparative effectiveness of a treatment, intervention, or policy. However, its application in pediatric end-of-life care research has been limited. This article provides a brief overview of IVA and its assumptions. It illustrates the use of IVA by investigating the comparative effectiveness of concurrent versus standard hospice care for reducing 1-day hospice enrollments. Concurrent hospice care is a relatively recent type of care enabled by the Affordable Care Act in 2010 for children enrolled in the Medicaid program and allows for receiving life-prolonging medical treatment concurrently with hospice care. The IVA was conducted using observational data from 18,152 pediatric patients enrolled in hospice between 2011 and 2013. The results indicated that enrollment in concurrent hospice care reduced 1-day enrollment by 19.3%.

Indexed as

Hospice CareTerminal CareChildDeathHumansPalliative CarePatient Protection and Affordable Care ActUnited Statesconcurrent hospice careinstrumental variable analysispediatric end-of-life researchpediatric hospice carequasi-experimental design

Identifiers

PMID36964702
PMCPMC10559266
OpenAlexW4360942020

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.