Imperial College London
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Dr Chris Tomlinson

Faculty of Medicine, Department of Surgery & Cancer

Honorary Research Fellow
 
 
 
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Contact

 

chris.tomlinson

 
 
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Location

 

Burlington DanesHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{White:2019:10.1186/s12904-019-0413-x,
author = {White, N and Oostendorp, L and Vickerstaff, V and Gerlach, C and Engels, Y and Maessen, M and Tomlinson, C and Wens, J and Leysen, B and Biasco, G and Zambrano, S and Eychmüller, S and Avgerinou, C and Chattat, R and Ottoboni, G and Veldhoven, C and Stone, P},
doi = {10.1186/s12904-019-0413-x},
journal = {BMC Palliative Care},
title = {An online international comparison of thresholds for triggering a negative response to the “Surprise Question”: a study protocol},
url = {http://dx.doi.org/10.1186/s12904-019-0413-x},
volume = {18},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundThe Surprise Question (SQ) “would I be surprised if this patient were to die in the next 12 months?” has been suggested to help clinicians, and especially General Practitioners (GPs), identify people who might benefit from palliative care. The prognostic accuracy of this approach is unclear and little is known about how GPs use this tool in practice. Are GPs consistent, individually and as a group? Are there international differences in the use of the tool? Does including the alternative Surprise Question (“Would I be surprised if the patient were still alive after 12 months?”) alter the response? What is the impact on the treatment plan in response to the SQ? This study aims to address these questions.MethodsAn online study will be completed by 600 (100 per country) registered GPs. They will be asked to review 20 hypothetical patient vignettes. For each vignette they will be asked to provide a response to the following four questions: (1) the SQ [Yes/No]; (2) the alternative SQ [Yes/No]; (3) the percentage probability of dying [0% no chance – 100% certain death]; and (4) the proposed treatment plan [multiple choice]. A “surprise threshold” for each participant will be calculated by comparing the responses to the SQ with the probability estimates of death. We will use linear regression to explore any differences in thresholds between countries and other clinician-related factors, such as years of experience. We will describe the actions taken by the clinicians and explore the differences between groups. We will also investigate the relationship between the alternative SQ and the other responses. Participants will receive a certificate of completion and the option to receive feedback on their performance.DiscussionThis study explores the extent to which the SQ is consistently used at an individual, group, and national level. The findings of this study will help to understand the clinical value of using the SQ in rou
AU  - White,N
AU  - Oostendorp,L
AU  - Vickerstaff,V
AU  - Gerlach,C
AU  - Engels,Y
AU  - Maessen,M
AU  - Tomlinson,C
AU  - Wens,J
AU  - Leysen,B
AU  - Biasco,G
AU  - Zambrano,S
AU  - Eychmüller,S
AU  - Avgerinou,C
AU  - Chattat,R
AU  - Ottoboni,G
AU  - Veldhoven,C
AU  - Stone,P
DO  - 10.1186/s12904-019-0413-x
PY  - 2019///
SN  - 1472-684X
TI  - An online international comparison of thresholds for triggering a negative response to the “Surprise Question”: a study protocol
T2  - BMC Palliative Care
UR  - http://dx.doi.org/10.1186/s12904-019-0413-x
UR  - http://hdl.handle.net/10044/1/69254
VL  - 18
ER  -
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