Evidence map›Paper›PMID 37335356›Full record

ArticlePediatric cardiology2024

Evaluating How Physician Attitudes May Affect Practice in Fetal Cardiac Counseling.

Anna M Martens, Chelsey C Lim, Michael Kelly, Caitlin S Haxel, Christina Ronai, Joanne S Chiu

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. When external factors limit care options for complex fetal and neonatal diagnoses.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  3. Prenatal counseling for heart disease: Perception of understanding and communication gaps.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  4. Ethical Considerations in Fetal Cardiology.Journal of cardiovascular development and disease · 2024
    Review
  5. Review
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 3 institutions in 1 country.

Anna M MartensPediatrics, Massachusetts General for Children, Boston, MA, USA.
Chelsey C LimPediatrics, Massachusetts General for Children, Boston, MA, USA.
Michael KellyInternal Medicine and Pediatrics, Massachusetts General for Children, Boston, MA, USA.
Caitlin S HaxelPediatric Cardiology, The University of Vermont Children's Hospital, Burlington, VT, USA.
Christina RonaiPediatric Cardiology, Boston Children's Hospital, Boston, MA, USA.
Joanne S ChiuPediatric Cardiology, Massachusetts General Hospital for Children, Boston, MA, USA. jchiu@mgh.harvard.edu.
Boston Children's Hospital · USMassachusetts General Hospital · USUniversity of Vermont Children’s Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in fetal cardiac imaging over the last few decades have allowed for increased prenatal detection and detailed counseling of congenital heart disease (CHD). When CHD is detected, fetal cardiologists are faced with the challenge of providing nuanced prenatal counseling. Studies in other specialties have shown that differences in physician attitudes exist around termination of pregnancy and correlate with variations in the counseling provided to parents. We conducted an anonymous cross-sectional survey of fetal cardiologists in New England (n = 36) regarding attitudes toward termination of pregnancy and the counseling provided to parents with a fetal diagnosis of hypoplastic left heart syndrome. Using a screening questionnaire, there was no significant difference in the counseling provided to parents regardless of the physician's personal or professional views on termination of pregnancy, age, gender, location, type of practice, or years of experience. There were, however, differences among physicians on reasons to consider termination and their perceived professional responsibility to the fetus or mother. Further investigation on a larger geographic scale may reveal additional insights on variations in physician beliefs and whether such beliefs affect variability in counseling practices.

Indexed as

Attitude of Health PersonnelCounselingAdultCross-Sectional StudiesFemaleHeart Defects, CongenitalHumansHypoplastic Left Heart SyndromeMaleMiddle AgedNew EnglandParentsPractice Patterns, Physicians'PregnancyPrenatal DiagnosisSurveys and QuestionnairesCritical congenital heart disease (CCHD)Fetal counselingPalliative carePediatric cardiologistTermination

Identifiers

PMID37335356
OpenAlexW4381165599

What OpenQuestion holds

Textmetadata
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.