Evidence map›Paper›PMID 38226965›Full record

ArticleThe American journal of bioethics : AJOB2024

A Personalized Patient Preference Predictor for Substituted Judgments in Healthcare: Technically Feasible and Ethically Desirable.

Brian D Earp, Sebastian Porsdam Mann, Jemima Allen, Sabine Salloch, Vynn Suren, Karin Jongsma, Matthias Braun, Dominic Wilkinson, Walter Sinnott-Armstrong, Annette Rid and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of bioethics : AJOB, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07751731 (Survey to Determine Incarcerated Persons Views on Surrogate Decision-Making), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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.

NCT07751731 recruitingnot on this mapstarted 2026, after this paper: background citation

Survey to Determine Incarcerated Persons Views on Surrogate Decision-Making

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2026 to 2027Enrolled75,000ConditionsHealthy VolunteersArmsSurvey
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Digital bioethics: exploring an emerging field.Medicine, health care, and philosophy · 2026
    Article
  5. Surrogate Decision-Making in Carceral Healthcare.Journal of general internal medicine · 2026
    Article
  6. Artificial intelligence and medical futility.BMC medical informatics and decision making · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Brian D EarpUniversity of Oxford.ORCID 0000-0001-9691-2888
Sebastian Porsdam MannUniversity of Oxford.
Jemima AllenMonash University.
Sabine SallochHannover Medical School.
Vynn SurenIndependent Researcher.
Karin JongsmaJulius Center of the University Medical Center Utrecht.ORCID 0000-0001-8135-6786
Matthias BraunUniversity of Bonn.ORCID 0000-0002-6687-6027
Dominic WilkinsonUniversity of Oxford.ORCID 0000-0003-3958-8633
Walter Sinnott-ArmstrongDuke University.ORCID 0000-0003-2579-9966
Annette RidNIH Clinical Center.
David WendlerNIH Clinical Center.ORCID 0000-0002-9359-4439
Julian SavulescuUniversity of Oxford.ORCID 0000-0003-1691-6403

Funding

Surrogate Decision MakingZIACL010536 · CLC · CLINICAL CENTER · PI WENDLER, DAVID S · 2010 to 2025
$0k
Wellcome Trust 203132Wellcome Trust WT203132/Z/16/Z
6 · The paper itself

Abstract

When making substituted judgments for incapacitated patients, surrogates often struggle to guess what the patient would want if they had capacity. Surrogates may also agonize over having the (sole) responsibility of making such a determination. To address such concerns, a Patient Preference Predictor (PPP) has been proposed that would use an algorithm to infer the treatment preferences of individual patients from population-level data about the known preferences of people with similar demographic characteristics. However, critics have suggested that even if such a PPP were more accurate, on average, than human surrogates in identifying patient preferences, the proposed algorithm would nevertheless fail to respect the patient's (former) autonomy since it draws on the 'wrong' kind of data: namely, data that are not specific to the individual patient and which therefore may not reflect their actual values, or their reasons for having the preferences they do. Taking such criticisms on board, we here propose a new approach: the

Indexed as

JudgmentPatient PreferenceAlgorithmsDecision MakingHumansMachine LearningPersonal AutonomyAdvance directivesalgorithmgenerative AIlarge language modelsPatient Preference Predictorsubstituted judgment

Identifiers

PMID38226965
PMCPMC11248995

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.