ArticleAnnals of surgery2026
Practice, Policy, and Research Recommendations to Improve Decision-Making about Surgery for People Living with Dementia: A Delphi Panel Consensus.
Article in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
objectiveIdentify consensus-based policy and practice recommendations and develop research priorities to enhance surgical decision-making in the context of dementia. SUMMARY BACKGROUND DATA: People Living with Dementia (PLWD) and their families and healthcare providers face clinical, ethical, and psychosocial challenges when making surgical decisions.
methodsWe conducted a modified Delphi panel August-December 2024, consisting of interviews, surveys, and virtual discussions. Panel members rated potential recommendations on importance and feasibility for practice and policy recommendations, and priority for research recommendations.
results23 stakeholders, including surgeons, other clinicians, researchers, policy experts, PLWD and care partners participated on the panel. Policy and practice recommendations (n=28) and research recommendations (n=21) covered the following domains: 1) Obtaining information about cognitive impairment, physical function, capacity to consent, and general goals of care for patients with surgical conditions; 2) Advancing resources to support surgical decision-making in the context of dementia; 3) Enhancing care collaboration and team-based care for patients with surgical conditions in the context of dementia; 4) Using policy to enhance surgical decision-making for patients living with dementia; 5) Increasing surgical clinician knowledge and understanding of the dementia context. Of 28 policy and practice recommendations rated by the panel, 25 achieved consensus for high importance but uncertain feasibility, 2 reached consensus for both high importance and feasibility, and 1 remained uncertain on both importance and feasibility. All 21 research recommendations reached consensus for high priority.
conclusionsThis study provides direction to inform surgical practice, policy development, and future research to support surgical decision-making for PLWD, families, and clinicians.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.