Evidence map›Paper›PMID 39313284›Full record

ArticleBMJ open2024

Public attitudes to emergency care treatment plans: a population survey of Great Britain.

Martin Underwood, Angela Noufaily, Chris Bain, Jenny Harlock, Frances Griffiths, Caroline Huxley, Gavin Perkins, Sophie Rees, Anne-Marie Slowther

Abstract read
In one paragraph

Article in BMJ open, 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

9 authors.

Martin UnderwoodWarwick Medical School, Coventry, UK m.underwood@warwick.ac.uk.ORCID 0000-0002-0309-1708
Angela NoufailyWarwick Medical School, Coventry, UK.
Chris BainHealthWatch Coventry, Coventry, UK.
Jenny HarlockWarwick Medical School, Coventry, UK.
Frances GriffithsWarwick Medical School, Coventry, UK.ORCID 0000-0002-4173-1438
Caroline HuxleyWarwick Medical School, Coventry, UK.ORCID 0000-0001-9755-6096
Gavin PerkinsWarwick Medical School, Coventry, UK.
Sophie ReesBristol Trials Centre, University of Bristol, Bristol, UK.ORCID 0000-0003-4399-2049
Anne-Marie SlowtherWarwick Medical School, Coventry, UK.ORCID 0000-0002-3338-8457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo measure community attitudes to emergency care and treatment plans (ECTPs).

designPopulation survey.

settingGreat Britain.

participantsAs part of the British Social Attitudes Survey, sent to randomly selected addresses in Great Britain, 1135 adults completed a module on ECTPs. The sample was nationally representative in terms of age and location, 619 (55%) were female and 1005 (89%) were of white origin. OUTCOME MEASURES: People's attitudes having an ECTP for themselves now, and in the future; how comfortable they might be having a discussion about an ECTP and how they thought such a plan might impact on their future care.

resultsPredominantly, respondents were in favour of people being able to have an ECTP, with 908/1135 (80%) being at least somewhat in favour. People in good health were less likely than those with activity-limiting chronic disease to want a plan at present (52% vs 64%, OR 1.78 (95% CI 1.30 to 2.45) p<0.001). Developing a long-term condition or becoming disabled would lead 42% (467/1112) and 43% (481/1112) of individuals, respectively, to want an ECTP. More, 634/1112 (57%) would want an ECTP if they developed a life-threatening condition. Predominantly, 938/1135 (83%) respondents agreed that an ECTP would help avoid their family needing to make difficult decisions on their behalf, and 939/1135 (83%) that it would ensure doctors and nurses knew their wishes. Nevertheless, a small majority-628/1135 (55%)-agreed that there was a serious risk of the plan being out of date when needed. A substantial minority-330/1135 (29%)-agreed that an ECTP might result in them not receiving life-saving treatment.

conclusionsThere is general support for the use of ECTPs by people of all ages. Nevertheless, many respondents felt these might be out of date when needed and prevent people receiving life-saving treatment.

Indexed as

Public OpinionAdolescentAdultAgedEmergency Medical ServicesEmergency TreatmentFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited KingdomYoung Adultmedical ethicspatient-centered caresurveys and questionnaires

Identifiers

PMID39313284
PMCPMC11429361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.