Evidence map›Paper›PMID 37461521›Full record

ArticleResearch square2023

Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Goals-of-care and Family/Surrogate Decision-Maker Data.

Matthew N Jaffa, Hannah L Kirsch, Claire J Creutzfeldt, Mary Guanci, David Y Hwang, Darlene LeTavec, Dea Mahanes, Alexis Steinberg, Girija Natarajan, Darin B Zahuranec and 1 more

Open access · greenAbstract readPreprint
In one paragraph

Article in Research square, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 10 institutions in 2 countries.

Matthew N JaffaHartford Hospital.
Hannah L KirschStanford University School of Medicine.
Claire J CreutzfeldtUniversity of Washington School of Medicine.
Mary GuanciMassachusetts General Hospital.
David Y HwangThe University of North Carolina at Chapel Hill School of Medicine.
Darlene LeTavecNone (family representative).
Dea MahanesUVA Health.
Alexis SteinbergUniversity of Pittsburgh School of Medicine.
Girija NatarajanChildren's Hospital of Michigan.
Darin B ZahuranecUniversity of Michigan.
Susanne MuehlschlegelUniversity of Massachusetts Chan Medical School.
Children's Hospital of Michigan · USHartford Hospital · USHouse of Representatives · NLMassachusetts General Hospital · USStanford University · USUniversity of Massachusetts Chan Medical School · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

Improving patient care in severe acute brain injury: a web/mobile/tablet-based communication and decision support tool for clinicians and families in the neuro-ICUR21NR020231 · NINR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HENNINGER, NILS, MUEHLSCHLEGEL, SUSANNE · 2022 to 2023
$461k
NINR NIH HHS R21 NR020231
6 · The paper itself

Abstract

introductionIn order to facilitate comparative research, it is essential for the fields of neurocritical care and rehabilitation to establish common data elements (CDE) for disorders of consciousness (DoC). Our objective was to identify CDEs related to goals-of-care decisions and family/surrogate decision-making for patients with DoC.

methodsTo achieve this, we formed nine CDE working groups as part of the Neurocritical Care Society's Curing Coma Campaign. Our working group focused on goals-of-care decisions and family/surrogate decision-makers created five subgroups: (1) clinical variables of surrogates, (2) psychological distress of surrogates, (3) decision-making quality, (4) quality of communication, and (5) quality of end-of-life care. Each subgroup searched for existing relevant CDEs in the NIH/CDE catalog and conducted an extensive literature search for additional relevant study instruments to be recommended. We classified each CDE according to the standard definitions of "core," "basic," "exploratory," or "supplemental," as well as their utility for studying the acute or chronic phase of DoC, or both.

resultsWe identified 32 relevant pre-existing NIH CDEs across all subgroups. A total of 34 new instruments were added across all subgroups. Only one CDE was recommended as disease core, the "mode of death" of the patient from the clinical variables subgroup.

conclusionsOur findings provide valuable CDEs specific to goals-of-care decisions and family/surrogate decision-making for patients with DoC that can be used to standardize studies to generate high-quality and reproducible research in this area.

Identifiers

PMID37461521
PMCPMC10350109
OpenAlexW4382049293

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.