Evidence map›Paper›PMID 39262429›Full record

ArticleLancet regional health. Americas2024

A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.

Monica M Diaz, Lesley A Guareña, Bettsie Garcia, Christoper A Alarcon-Ruiz, Stella M Seal, Clio Rubinos, Dulce M Cruz-Oliver, J Ricardo Carhuapoma

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Lancet regional health. Americas, 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

8 authors.

Monica M DiazDepartment of Neurology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Lesley A GuareñaDepartment of Psychology, University of Arizona, Tucson, AZ, USA.
Bettsie GarciaDepartment of Neurology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Christoper A Alarcon-RuizInstituto Nacional de Ciencias Neurológicas, Lima, Peru.
Stella M SealWelch Medical Library, Johns Hopkins University, Baltimore, MD, USA.
Clio RubinosDepartment of Neurology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Dulce M Cruz-OliverDepartment of Medicine, Division of General Internal Medicine, Section of Palliative Care, Johns Hopkins University, Baltimore, MD, USA.
J Ricardo CarhuapomaDepartments of Neurology, Neurosurgery and Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Improving identification of HIV-associated neurocognitive disorder (HAND) in Latin America: A multimodal approach to HAND in PeruK23MH131466 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DIAZ, MONICA MARIA · 2022 to 2025
$790k
NIMH NIH HHS K23 MH131466
6 · The paper itself

Abstract

Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status.

Indexed as

End-of-life careLatinosNeurointensive carePalliative careTraumatic brain injuryWithdrawal of life sustaining treatments

Identifiers

PMID39262429
PMCPMC11387358

What OpenQuestion holds

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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.