Evidence map›Paper›PMID 39008413›Full record

ArticleJournal of palliative medicine2025

Top Ten Tips Palliative Care Clinicians Should Know Before Their Patient Undergoes Surgery.

Rachel Hadler, Lara India, Angela M Bader, Orly N Farber, Melanie L Fritz, Fabian M Johnston, Nader N Massarweh, Ravi Pathak, Sandra H Sacks, Margaret L Schwarze and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of palliative medicine, 2025. 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. 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

13 authors.

Rachel HadlerDepartment of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Lara IndiaDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Angela M BaderDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Orly N FarberCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Melanie L FritzDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Fabian M JohnstonDivision of Surgical Oncology, Department of Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
Nader N MassarwehSurgical and Perioperative Care, Atlanta VA Health Care System, Decatur, Georgia, USA.
Ravi PathakDepartment of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Sandra H SacksDepartment of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Margaret L SchwarzeDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Jocelyn StreidDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-0680-8911
Rebecca A AslaksonDepartment of Anesthesiology, Larner College of Medicine, University of Vermont, Burlington, Vermont, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Many seriously ill patients undergo surgical interventions. Palliative care clinicians may not be familiar with the nuances involved in perioperative care, however they can play a valuable role in enabling the delivery of patient-centered and goal-concordant perioperative care. The interval of time surrounding a surgical intervention is fraught with medical, psychosocial, and relational risks, many of which palliative care clinicians may be well-positioned to navigate. A perioperative palliative care consult may involve exploring gaps between clinician and patient expectations, facilitating continuity of symptom management or helping patients to designate a surrogate decision-maker before undergoing anesthesia. Palliative care clinicians may also be called upon to direct discussions around perioperative management of modified code status orders and to engage around the goal-concordance of proposed interventions. This article, written by a team of surgeons and anesthesiologists, many with subspecialty training in palliative medicine and/or ethics, offers ten tips to support palliative care clinicians and facilitate comprehensive discussion as they engage with patients and clinicians considering surgical interventions.

Indexed as

Palliative CareSurgical Procedures, OperativeHumansanesthesiacomprehensive symptom managementpalliative careperioperative careseriously ill patientssurgical interventions

Identifiers

PMID39008413
PMCPMC12372914

What OpenQuestion holds

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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.