Evidence map›Paper›PMID 38035744›Full record

ArticleBMJ open2023

Current definitions of advanced multimorbidity: a protocol for a scoping review.

Sarah P Bowers, Polly Black, Lewis McCheyne, Darcy Wilson, Sarah E E Mills, Utkarsh Agrawal, Linda Williams, Frances Quirk, Jo Bowden

Abstract read
In one paragraph

Article in BMJ 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. 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

9 authors.

Sarah P BowersUniversity of St Andrews School of Medicine, St Andrews, UK sb461@st-andrews.ac.uk.ORCID 0000-0003-0722-8318
Polly BlackUniversity of St Andrews School of Medicine, St Andrews, UK.
Lewis McCheyneNHS Fife, Kirkcaldy, UK.
Darcy WilsonNHS Tayside, Dundee, UK.
Sarah E E MillsUniversity of St Andrews School of Medicine, St Andrews, UK.
Utkarsh AgrawalUniversity of Oxford Nuffield Department of Primary Care Health Sciences, Oxford, UK.
Linda WilliamsUsher Institute, University of Edinburgh, Edinburgh, UK.
Frances QuirkUniversity of St Andrews School of Medicine, St Andrews, UK.
Jo BowdenUniversity of St Andrews School of Medicine, St Andrews, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionPeople living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high burden of palliative and end-of-life care needs, though they do not always access specialist palliative care services. A key reason for this is that they are often not identified as being in the last stages of their life by current healthcare providers and systems.This scoping review aims to identify and present the available evidence on how people with multimorbidity are currently included in research, policy and clinical practice. METHODS AND ANALYSIS: Scoping review methodology, based on Arksey and O'Malley's framework, will be undertaken and presented using the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Search terms have been generated using the key themes of 'multimorbidity', 'end of life' and 'palliative care'. Peer-reviewed research will be obtained through systematic searching of Medline, EMBASE, CINAHL, Scopus and PsycINFO. Grey literature will be searched in a systematic manner. Literature containing a definition for adults with multimorbidity in a terminal phase of their illness experience will be included. After screening studies for eligibility, included studies will be described in terms of setting and characteristics as well as using inductive content analysis to highlight the commonalities in definitions. ETHICS AND DISSEMINATION: Ethical approval is not required for this scoping review. The findings of the scoping review will be used internally as part of SPB's PhD thesis at the University of St Andrews through the Multimorbidity Doctoral Training Programme for Health Professionals, which is supported by the Wellcome Trust (223499/Z/21/Z) and published in an open access, peer-reviewed journal for wider dissemination.

Indexed as

Hospice CarePhysiciansTerminal CareAdultHumansMeta-Analysis as TopicMultimorbidityPalliative CareResearch DesignScoping Reviews as TopicAdult palliative careDecision MakingINTERNAL MEDICINELife Change EventsPALLIATIVE CAREPatient-Centered Care

Identifiers

PMID38035744
PMCPMC10689385

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Registered trials

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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.