Evidence map›Paper›PMID 37780455›Full record

ReviewTrauma surgery & acute care open2023

Futility in acute care surgery: first do no harm.

Melissa Hornor, Uzer Khan, Michael W Cripps, Allyson Cook Chapman, Jennifer Knight-Davis, Thaddeus J Puzio, Bellal Joseph, AAST Geriatrics Committee

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Trauma surgery & acute care open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

8 authors.

Melissa HornorSurgery, Loyola University Chicago, Maywood, Illinois, USA.ORCID 0000-0002-7669-3208
Uzer KhanSurgery, Texas Christian University, Fort Worth, Texas, USA.
Michael W CrippsSurgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-1263-1876
Allyson Cook ChapmanMedicine and Surgery, University of California San Francisco, San Francisco, California, USA.
Jennifer Knight-DavisAmerican Association for the Surgery of Trauma, AAST Geriatric Trauma Committee, Chicago, IL, USA.
Thaddeus J PuzioGeneral Surgery, University of Texas McGovern Medical School, Houston, Texas, USA.ORCID 0000-0003-4150-5956
Bellal JosephAmerican Association for the Surgery of Trauma, AAST Geriatric Trauma Committee, Chicago, IL, USA.
AAST Geriatrics Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benefit a frail and/or severely critically ill patient can be exceedingly difficult. In this review, our objective is to define the problem of potentially ineffective care within the specialty of acute care surgery and describe strategies for improving the care of our patients in these difficult situations.

Indexed as

acutegeriatricsmultiple trauma

Identifiers

PMID37780455
PMCPMC10533797

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.