Evidence map›Paper›PMID 41272338›Full record

ArticlePediatric transplantation2025

Decision Making in Pediatric Heart Failure and Transplant: A Qualitative Analysis of Parental Decision Making.

Kari A Phillips, Elizabeth Lancaster, Stephanie Tuckett, Patrick Galyean, Susan L Zickmund, Kimberly M Molina, Nelangi M Pinto, Elissa M Ozanne

Abstract read
In one paragraph

Article in Pediatric transplantation, 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. 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.

Kari A PhillipsDivision of Pediatric Cardiology, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-3235-1596
Elizabeth LancasterDivision of Epidemiology, Department of Internal Medicine, Qualitative Research Core, University of Utah, Salt Lake City, Utah, USA.ORCID 0009-0007-1762-9306
Stephanie TuckettDivision of Epidemiology, Department of Internal Medicine, Qualitative Research Core, University of Utah, Salt Lake City, Utah, USA.ORCID 0009-0001-2563-0397
Patrick GalyeanDivision of Epidemiology, Department of Internal Medicine, Qualitative Research Core, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-4905-2931
Susan L ZickmundInformatics, Decision-Enhancement and Analytic Sciences Center, Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, Utah, USA.ORCID 0009-0008-8245-9478
Kimberly M MolinaDivision of Pediatric Cardiology, Department of Pediatrics, Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA.ORCID 0000-0002-8676-7960
Nelangi M PintoDivision of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital/University of Washington, Seattle, Washington, USA.ORCID 0000-0002-6450-916X
Elissa M OzanneDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-5352-9459

Funding

American Academy of Pediatrics Section on Cardiology and Cardiac Surgery
6 · The paper itself

Abstract

backgroundParents of children with advanced heart failure face complex, emotionally charged decisions regarding mechanical circulatory support (MCS) and heart transplantation. Understanding their informational needs and decision-making factors is crucial to optimizing their education and providing support.

methodsWe conducted a qualitative study with parents of children (< 18 years) who are listed for or who underwent heart transplantation within the past 3 years. Participants engaged in focus groups or interviews exploring informational needs, decision-making perceptions, influencing factors, and educational tool preferences. Transcripts underwent thematic coding and analysis.

resultsNineteen parents participated. Four major themes emerged: (1) Informational Needs-Parents sought medical facts from providers and valued lived experiences from like-peers for practical insights. (2) Decision Making Perception-Most viewed transplant as the only viable option; others viewed it as a genuine decision; all desired autonomy in decision making. (3) Decision Factors-Survival and quality of life were primary drivers; external stressors (financial, logistical, emotional) were seen as inevitable consequences rather than determinants. (4) Parental Distress-Emotional burden was substantial, with parents emphasizing the need for better preparation and mental health support. Parents preferred a multimodal educational tool incorporating digital and physical resources, visual aids, and customizable journey maps.

conclusionsThese findings highlight the significance of peer support groups, the role of social support in managing external stressors, the potential of decision support tools for families to clarify their goals.

Indexed as

Decision MakingHeart FailureHeart TransplantationParentsAdolescentAdultChildChild, PreschoolFemaleFocus GroupsHeart-Assist DevicesHumansInfantMaleQualitative ResearchQuality of Lifefamily centered caremedical decision makingpatient centered carepediatric heart failurepediatric heart transplantationsurrogate medical decision making

Identifiers

PMID41272338
PMCPMC12638273

What OpenQuestion holds

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LicenceCC BY
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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.