{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:36:03Z","timestamp":1789500963121,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K01HL171819"],"award-info":[{"award-number":["K01HL171819"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether physicians' perspectives of outcomes or personal choices are associated with prenatal counseling for termination of pregnancy (TOP) or perinatal hospice for severe congenital heart defects (CHDs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Multicenter survey of pediatric cardiologists and congenital heart surgeons in the United States, 2016\u20132018. The survey measured perspectives of CHD outcomes, personal choices\/considerations, and prenatal counseling for TOP or perinatal hospice. Bivariate comparisons estimated associations between outcome perspectives, personal choices, and counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Response rate was 77% (135\/176); 47% (63\/135) believed that single\u2010ventricle portends good long\u2010term quality of life or transplant\u2010free survival. The majority (70%\u201390% depending on CHD type) would consider perinatal hospice for their own child, but a minority (2%\u201316% depending on CHD type) would choose perinatal hospice over TOP or postnatal intervention. Physicians who would consider TOP for themselves\/their partner were more likely to counsel about TOP than physicians who would not consider TOP for themselves\/their partner (99% vs. 67%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). There were no associations between institutional practice, outcome perspectives, personal consideration for hospice, and counseling practices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physician perspectives of single\u2010ventricle outcomes remain guarded but were not associated with counseling. However, personal choices\/considerations are associated with counseling practices; therefore, considering personal beliefs is crucial to help families make fully informed decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pd.6901","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T03:35:26Z","timestamp":1758684926000},"page":"1402-1408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Associations of Physician Perspectives, Personal Choices, and Counseling for Severe Congenital Heart Defects"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6958-4903","authenticated-orcid":false,"given":"Joyce L.","family":"Woo","sequence":"first","affiliation":[{"name":"Ann &amp; Robert H. Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara M.","family":"Swanson","sequence":"additional","affiliation":[{"name":"Kansas City Pediatric Cardiology Associates  Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-0934","authenticated-orcid":false,"given":"Shiraz A.","family":"Maskatia","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaine A.","family":"Morris","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Lantos","sequence":"additional","affiliation":[{"name":"JDL Bioethics Consulting Group  Ossining New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angira","family":"Patel","sequence":"additional","affiliation":[{"name":"Ann &amp; Robert H. Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp\u201020\u2010267"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1071"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2019.1621814"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp\u201020\u2010164"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010017\u20101601\u20101"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009\u20101678"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.6706"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010022\u201002882\u20104"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010017\u20101663\u20100"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2020.101312"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000437597.44550.5d"},{"key":"e_1_2_11_13_1","unstructured":"Dobbs V.Jackson2021 https:\/\/www.supremecourt.gov\/opinions\/21pdf\/19\u20101392_6j37.pdf."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.52109"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010020\u201002367\u20102"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.5.436"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109149(03)00412\u20100"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010022\u201003006\u20108"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcab009"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008\u20102572"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0305"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.120.018488"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/circresaha.116.309302"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2013.12.215"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12747"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl\u20102015\u2010308144"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2025.04.028"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372\u2010024\u201001884\u20109"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1047951104006286"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20103783"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.6901","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T15:15:28Z","timestamp":1765379728000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.6901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,23]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/pd.6901"],"URL":"https:\/\/doi.org\/10.1002\/pd.6901","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,23]]},"assertion":[{"value":"2025-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}