{"id":"https://openalex.org/W72895135","doi":null,"title":"The outcome wheel: a potential tool for shared decision-making in ischemic stroke thrombolysis.","display_name":"The outcome wheel: a potential tool for shared decision-making in ischemic stroke thrombolysis.","publication_year":2008,"publication_date":"2008-11-01","ids":{"openalex":"https://openalex.org/W72895135","mag":"72895135","pmid":"https://pubmed.ncbi.nlm.nih.gov/19000351"},"language":"en","primary_location":{"id":"pmid:19000351","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19000351","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CJEM","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047207917","display_name":"Valorie Lynn Cunningham","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Valorie L Cunningham","raw_affiliation_strings":["Cowichan District Hospital, Duncan, British Columbia, Canada. vlcunningham@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cowichan District Hospital, Duncan, British Columbia, Canada. vlcunningham@gmail.com","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5047207917"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4339,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.65159021,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"10","issue":"6","first_page":"545","last_page":"51"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.5088000297546387,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.5088000297546387,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.4625999927520752,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ischemic-stroke","display_name":"ischemic stroke","score":0.796999990940094},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.984000027179718},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.9829999804496765},{"id":"https://openalex.org/keywords/treatment-window","display_name":"therapeutic time window","score":0.44999998807907104},{"id":"https://openalex.org/keywords/patient-information","display_name":"patient information","score":0.3779999911785126},{"id":"https://openalex.org/keywords/clinical-decision-support","display_name":"clinical decision support","score":0.4580000042915344}],"concepts":[{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.8552103042602539},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7789798974990845},{"id":"https://openalex.org/C68122502","wikidata":"https://www.wikidata.org/wiki/Q764527","display_name":"Informed consent","level":3,"score":0.7132660150527954},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.7019156217575073},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.6466994881629944},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.6085854172706604},{"id":"https://openalex.org/C2780154274","wikidata":"https://www.wikidata.org/wiki/Q7126717","display_name":"Download","level":2,"score":0.5522795915603638},{"id":"https://openalex.org/C148220186","wikidata":"https://www.wikidata.org/wiki/Q7111912","display_name":"Outcome (game theory)","level":2,"score":0.41777247190475464},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3864011764526367},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.371202290058136},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3355609178543091},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.23655346035957336},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1776820719242096},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.13485312461853027},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.09532353281974792},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.0849580466747284},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.07872435450553894},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C144237770","wikidata":"https://www.wikidata.org/wiki/Q747534","display_name":"Mathematical economics","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002545","descriptor_name":"Brain Ischemia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D003299","descriptor_name":"Cooperative Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003658","descriptor_name":"Decision Making, Computer-Assisted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003661","descriptor_name":"Decision Support Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010353","descriptor_name":"Patient Education as Topic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015912","descriptor_name":"Thrombolytic Therapy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D015912","descriptor_name":"Thrombolytic Therapy","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018579","descriptor_name":"Patient Selection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false}],"locations_count":1,"locations":[{"id":"pmid:19000351","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19000351","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CJEM","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W96329375","https://openalex.org/W126975411","https://openalex.org/W190136926","https://openalex.org/W201165263","https://openalex.org/W1679913697","https://openalex.org/W1965538008","https://openalex.org/W1974638135","https://openalex.org/W1985574225","https://openalex.org/W2029477045","https://openalex.org/W2050910611","https://openalex.org/W2053256962","https://openalex.org/W2054043896","https://openalex.org/W2059511970","https://openalex.org/W2061599477","https://openalex.org/W2067589104","https://openalex.org/W2107272221","https://openalex.org/W2112328442","https://openalex.org/W2139899738","https://openalex.org/W2292308933"],"related_works":["https://openalex.org/W1990346590","https://openalex.org/W1994192901","https://openalex.org/W3002893356","https://openalex.org/W2767508984","https://openalex.org/W2415149228","https://openalex.org/W2746610324","https://openalex.org/W2525712180","https://openalex.org/W6920715535","https://openalex.org/W1483789966","https://openalex.org/W2044007982"],"abstract_inverted_index":{"A":[0],"stroke":[1,67],"can":[2],"be":[3,155],"a":[4,15,33,73,79,97,115],"catastrophic":[5],"experience.":[6],"Patients":[7],"are":[8,21],"confronted":[9],"with":[10,78],"alarming":[11],"symptoms":[12],"and":[13,50,57,81,106,128],"then":[14],"devastating":[16],"diagnosis,":[17],"after":[18],"which":[19],"they":[20],"expected":[22],"to":[23,75,95],"make":[24],"an":[25,85,111,134,146],"\"informed":[26],"decision\"":[27],"regarding":[28],"intervention.":[29],"Informed":[30],"decision-making":[31],"is":[32,43,94],"term":[34],"that,":[35],"unlike":[36],"informed":[37,112],"consent,":[38],"implies":[39],"that":[40,99],"the":[41,46,48,51,102,104,107,129,137],"decision":[42,113],"made":[44],"by":[45],"physician,":[47,103],"patient":[49,80,105],"family":[52,108],"based":[53],"on":[54],"available":[55,156],"evidence":[56],"information.":[58],"The":[59,89],"3-hour":[60],"treatment":[61],"window":[62],"for":[63,72,118,157],"thrombolysis":[64],"in":[65,84,109,114,121,133],"ischemic":[66],"imparts":[68],"very":[69],"little":[70],"time":[71],"clinician":[74],"sit":[76],"down":[77],"present":[82],"information":[83],"unbiased,":[86],"useful":[87],"manner.":[88],"purpose":[90],"of":[91,131,149],"this":[92,150],"paper":[93],"offer":[96],"tool":[98,124,152],"may":[100],"assist":[101],"making":[110],"time-sensitive":[116],"manner":[117],"thrombolytic":[119],"intervention":[120],"stroke.":[122],"This":[123],"visually":[125],"displays":[126],"outcomes":[127],"role":[130],"chance":[132],"intuitive":[135],"\"spin":[136],"wheel\"":[138],"type":[139],"fashion.":[140],"Until":[141],"at":[142,159],"least":[143],"May":[144],"2011,":[145],"interactive":[147],"version":[148],"clinical":[151],"kit":[153],"will":[154],"download":[158],"www.sem-bc.com/cvatoolkit.":[160]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}