Evidence map›Paper›PMID 42050584›Full record

ArticleBMC palliative care2026

The dilemma of perioperative shared decision-making in an octogenarian with advanced cancer: fracture after stent placement and delayed palliative care.

Wenwen Jiang, Nini Wang, Xixin Fan, Yuhui Zhao, Zhanzhi Zhao, Ying Zhang

Abstract readCase Reports
In one paragraph

Article in BMC palliative care, 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

6 authors.

Wenwen Jiang *Department of Anesthesiology, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China.
Nini Wang *Department of Cardiology, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China.
Xixin FanDepartment of Anesthesiology, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China.
Yuhui ZhaoDepartment of Orthopedics, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China.
Zhanzhi Zhao *Department of Anesthesiology, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China. zhaozhanzhi2000@163.com.
Ying Zhang *Department of Nursing, Panjin Liao-Oil Field Gem Flower Hospital, Panjin, Liaoning, China. 53576125@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report presents the perioperative course of an elderly patient with advanced cancer who suffered an unexpected fracture within 15 days after cardiac stent implantation. The case underscores the practical challenges in clinical shared decision-making when multiple high-risk conditions converge, including limitations in applying existing guidelines and a delayed integration of palliative care. Therefore, it is essential to establish a systematic preoperative assessment protocol, identify palliative care needs, and promote patient-goal-directed clinical decision-making—a process in which the anesthesiologist can serve as a central coordinator.

Indexed as

Decision Making, SharedNeoplasmsPalliative CareStentsHumansAgingCancer painPalliative carePostoperative cognitive dysfunctionPrecision anesthesiaShared decision-making

Identifiers

PMID42050584
PMCPMC13274210

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.