Evidence map›Paper›PMID 38584492›Full record

ArticleEuropean heart journal. Acute cardiovascular care2024

Common mistakes and evidence-based approaches in goals-of-care conversations for seriously ill older adults in cardiac care unit.

Katharine A Manning, Jason Bowman, Shunichi Nakagawa, Kei Ouchi

Abstract read
In one paragraph

Article in European heart journal. Acute cardiovascular care, 2024. 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.

  1. 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

4 authors.

Katharine A ManningDepartment of Internal Medicine, Division of Cardiovascular Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Jason BowmanDepartment of Emergency Medicine, Harvard Medical School, 75 Francis St, Boston 02115, MA, USA.
Shunichi NakagawaDepartment of Medicine, Adult Palliative Care Services, Columbia University Irving Medical Center, New York, NY, USA.
Kei OuchiDepartment of Emergency Medicine, Harvard Medical School, 75 Francis St, Boston 02115, MA, USA.ORCID 0000-0002-2723-4259

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency DepartmentK76AG064434 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI OUCHI, KEI · 2020 to 2024
$1.3M
Cambia Health FoundationNIA NIH HHS K76 AG064434NIA NIH HHS K76AG064434NIA NIH HHS P01 AG027296
6 · The paper itself

Abstract

For older adults with serious, life-limiting illnesses near the end of life, clinicians frequently face difficult decisions about the medical care they provide because of clinical uncertainty. This difficulty is further complicated by unique challenges and medical advancements for patients with advanced heart diseases. In this article, we describe common mistakes encountered by clinicians when having goals-of-care conversations (e.g. conversations between clinicians and seriously ill patients/surrogates to discuss patient's values and goals for clinical care near the end of life.). Then, we delineate an evidence-based approach in goals-of-care conversations and highlight the unique challenges around decision-making in the cardiac intensive care unit.

Indexed as

Patient Care PlanningAgedCommunicationCoronary Care UnitsDecision MakingEvidence-Based MedicineHumansTerminal CareGoals-of-care conversationsPalliative careSerious illness communication skills

Identifiers

PMID38584492
PMCPMC11350430

What OpenQuestion holds

Textmetadata
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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.