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The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis by Eline VTJ van Lummel; Larissa Ietswaard; Nicolaas PA Zuithoff; Dave HT Tjan; Johannes JM van Delden is a Medicine article available to read on EtoBox.
What is The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis about?
## Background: The surprise question is widely used to identify patients nearing the last phase of life. Potential differences in accuracy between timeframe, patient subgroups and type of healthcare professionals answering the surprise question have been suggested. Recent studies might give new insights. ## Aim: To determine the accuracy of the surprise question in predicting death, differentiating by timeframe, patient subgroup and by type of healthcare professional. ## Design: Systematic review and meta-analysis. ## Data sources: Electronic databases PubMed, Embase, Cochrane Library, Scopus, Web of Science and CINAHL were searched from inception till 22nd January 2021. Studies were eligible if they used the surprise question prospectively and assessed mortality. Sensitivity, specificity, negative predictive value, positive predictive value and c-statistic were calculated. ## Results: Fifty-nine studies met the inclusion criteria, including 88.268 assessments. The meta-analysis resulted in an estimated sensitivity of 71.4% (95% CI [66.3–76.4]) and specificity of 74.0% (95% CI [69.3–78.6]). The negative predictive value varied from 98.0% (95% CI [97.7–98.3]) to 88.6% (95% CI [87.1–
Who reads The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Eline VTJ van Lummel; Larissa Ietswaard; Nicolaas PA Zuithoff; Dave HT Tjan; Johannes JM van Delden
- Publisher
- SAGE Publications
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)