Evidence map›Paper›PMID 37704184›Full record

ArticleThe American journal of hospice & palliative care2024

The Stresses of Surrogate Decision-Making: Contributing Factors and Clinicians' Role in Mitigation.

Adrienne D Mishkin, Nicole C Allen, Stephanie G Cheung, Maria Carla Faccini, Lauren S Flicker, Daniel Shalev

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Review
  6. 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 5 institutions in 1 country.

Adrienne D MishkinBlood and Marrow Transplantation and Cell Therapy Program, Division of Hematology & Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Nicole C AllenDepartment of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Stephanie G CheungDepartment of Psychiatry, New York University Langone Medical Center, New York, NY, USA.
Maria Carla FacciniInterpreter Services, Stanford Health, San Francisco, CA, USA.
Lauren S FlickerMontefiore Einstein Center for Bioethics, Albert Einstein College of Medicine, Bronx, NY, USA.
Daniel ShalevDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-8168-2255
Columbia University Irving Medical Center · USAlbert Einstein College of Medicine · USCornell University · USNYU Langone Health · USStanford Health Care · US

Funding

The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
NIA NIH HHS T32 AG049666
6 · The paper itself

Abstract

backgroundSurrogate Decision-Makers (surrogates) are frequently employed in decision-making for critically ill adults. There are insufficient data considering the surrogate experience, stress, and potential for mitigation.

methodsAn anonymous online survey queried (1) medical situation (2) total stress (3) demographics (4) potential factors, including sources of information about patient wishes, external sources of support or competing stressors, and their interactions with the medical team through the experience.

results108 respondents were included; 91 completed all items. Most respondents ranked their experience as a surrogate as one of the most stressful experiences of their lives; this was associated with whether it was an end-of-life decision (

conclusionsSurrogate stress is an evolving area for research. Significant factors included relationship with the medical team, making this an important area for HPM to play a key role in mitigating surrogate stress.

Indexed as

Decision MakingStress, PsychologicalAdultAgedCommunicationCritical IllnessFemaleHumansMaleMiddle AgedPhysician's RoleProxySurveys and QuestionnairesTerminal Carecaregiversend-of-life caremedical decision-makingmedical ethicsstresssurrogate decision-maker

Identifiers

PMID37704184
PMCPMC10932874
OpenAlexW4386697830

What OpenQuestion holds

Textmetadata
LicenceTDM
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.