Evidence map›Paper›PMID 39032678›Full record

SynthesisJournal of pain and symptom management2024

Dignity in the Pediatric Population: A Systematic Review.

Allison Silverstein, Veronica Easton, Cory Barrows, Kimberly Sawyer, Rachel Coughlin, Nidhi Mali, Amber Kessler, Matthew Robinson, Erica Sirrine, Madison Spears and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of pain and symptom management, 2024. 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. Trial
  2. When the Child Is Not Heard: Children's Rights and Epistemic Injustice in Paediatric Nursing Practice.Nursing philosophy : an international journal for healthcare professionals · 2026
    Article
  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

13 authors.

Allison SilversteinDepartment of Pediatrics (A.S.), Section of Palliative Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: allison.silverstein@childrenscolorado.org.
Veronica EastonDepartment of Internal Medicine (V.E.), St. Bernards Medical Center, Jonesboro, Arkansas, USA.
Cory BarrowsSection of Hospice and Palliative Medicine (C.B.), University of Tennessee Health Science Center, University, Memphis, Tennessee, USA.
Kimberly SawyerDepartment of Pediatrics (K.S.), Section of Palliative Medicine, Baylor College of Medicine, Houston, Texas, USA.
Rachel CoughlinDepartment of Pediatrics (R.C.), Section of Palliative Medicine, Atrium Health Levine Children's Hospital, Charlotte, North Calorina, USA.
Nidhi MaliDepartment of Oncology(A.K.,E.C.K.), Division of Quality of Life and Palliative Care, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Amber KesslerDepartment of Oncology(A.K.,E.C.K.), Division of Quality of Life and Palliative Care, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Matthew RobinsonDepartment of Internal Medicine (M.R.), Baptist Memorial Hospital, Memphis, Tennessee, USA.
Erica SirrineDepartment of Social Work (E.S.), St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Madison SpearsSpelman College (M.S.), Atlanta, Georgia, USA.
Jordan WrigleyBiomedical Library (J.W.), St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Justin N BakerDivision of Quality of Life and Pediatric Palliative Care (J.N.B), Stanford University, Palo Alto, California, USA.
Erica C KayeDepartment of Oncology(A.K.,E.C.K.), Division of Quality of Life and Palliative Care, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Funding

IMPROVING PROGNOSTIC COMMUNICATION IN PEDIATRIC CANCERK08CA266935 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Erica Carmen Kaye · 2022 to 2026
$1.0M
NCI NIH HHS K08 CA266935
6 · The paper itself

Abstract

contextChildren are a uniquely vulnerable patient population with restricted abilities for self-advocacy and autonomy, risking infringement upon their dignity. Yet the concept of dignity in pediatrics remains underexplored relative to the adult literature and other outcome measures.

objectivesTo characterize how dignity is defined, evaluated, and/or measured in pediatrics.

methodsWe conducted a systematic review following PRISMA guidelines across the following databases: MEDLINE, Embase, Cumulative Index of Nursing and Allied Health, PsycINFO, Global Health, Social Science Premium Collection, and Dissertation and Theses. We included publications from database inception through April 2023, in English, involving children aged 0-18 years, and prioritizing dignity as a central theme with a focus on defining, evaluating, or measuring dignity. Study descriptions and pertinent characteristics were extracted and synthesized using a predefined form.

resultsForty-four articles met inclusion criteria; fewer than half comprised original research (20/44, 45%). Most studies (38/44, 86%) included description of the meaning of dignity, with emergence of salient themes around respect, communication, agency/autonomy, and privacy. Less than half (19/44, 43%) included a measurement or evaluation of dignity; approximately one-third described dignity therapy. More than one-third of publications focused on dignity at end of life (17/44, 39%) and included discussions of palliative medicine and hospice (15/44, 34%).

conclusionRelatively few published studies describe dignity in pediatrics. Opportunities exist to broaden scholarship on this topic in partnership with patients, families, and clinicians, with the goal of assessing and strengthening dignity-centered care across the illness course and at the end of life.

Indexed as

PediatricsRespectAdolescentChildChild, PreschoolHumansInfantInfant, NewbornPalliative CareDignityEthicsPalliative medicinePatient rightsPediatricsQuality of care

Identifiers

PMID39032678
PMCPMC11534546

What OpenQuestion holds

Textmetadata
LicenceTDM
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.