Evidence map›Paper›PMID 41424269›Full record

ReviewAnnals of African medicine2026

Navigating Autonomy: Enhancing Accuracy in Medical Decision-making Capacity Assessment.

Mohammad Ajaz Alam, Ayushi Garg, Srishty Agarwal, Amishi Singla, Baltej Singh, Brian Mcgillen, Rohit Jain

Abstract readReview
In one paragraph

Review in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Mohammad Ajaz AlamDepartment of Internal Medicine, Avalon University School of Medicine, Willemstad, Curaçao.
Ayushi GargDepartment of Internal Medicine, Trident Medical Center, North Charleston, SC, USA.
Srishty AgarwalDepartment of Internal Medicine, Government Medical College and Hospital, Surat, Gujarat, India.
Amishi SinglaDepartment of Internal Medicine, Dallastown Area High School, Dallastown, PA, USA.
Baltej SinghDepartment of Internal Medicine, Christiana Care Union Hospital, Elkton, MD, USA.
Brian McgillenDepartment of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Rohit JainDepartment of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractEvaluating medical decision-making capability (DMC) is critical for maintaining patient autonomy and informed consent in health care. DMC refers to a patient's ability to comprehend information about their treatment, recognize its implications, reason through the options, and articulate their decision. Several assessment techniques, including the Aid to Capacity Evaluation, the Hopkins Capacity Assessment Test (HCAT), Understanding Treatment Disclosure (UTD), and the MacArthur Competence Assessment Tool, have been discussed in this review. The legal distinction between decisional ability and competence is stressed, with courts making legal decisions based on expert testimony and healthcare providers conducting clinical assessments. The review also underlines the responsibility of physicians in assessing DMC and the need for continued monitoring in cases of shifting states such as delirium. This review emphasizes the importance of standardized training and robust tools for improving the accuracy and consistency of DMC assessments, ensuring that patient decisions are informed and autonomous.

Indexed as

Decision MakingInformed ConsentMental CompetencyPersonal AutonomyHumansAid to Capacity EvaluationAutonomieautonomybeneficencebienfaisancecapacité décisionnellecapacity assessmentcompréhension du traitementconsentement éclairédecision-making capabilitydecision-making capacityévaluation de la capacitéHopkins Capacity Assessment Testinformed consentMacArthur Competence Assessment Tooloutil d’évaluation de la capacitéunderstanding treatment disclosure

Identifiers

PMID41424269
PMCPMC13645254

What OpenQuestion holds

Textmetadata
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.