Review
Oncology
Adela Wu, Gabriela Ruiz Colon, Rebecca Aslakson, Erqi Pollom, Chirag B. Patel
Summary: Glioblastoma is the most common primary brain malignancy in adults, with a devastating prognosis despite standard treatments. Advance care planning and palliative care are critical for these patients, yet many do not pursue it or have access to these services. More focused and high-quality studies on end-of-life care are needed to address gaps in palliative care resource utilization for glioblastoma patients.
Review
Geriatrics & Gerontology
Collin E. Burks, Omid Salaami, Sarah E. Cantrell, Neema K. Sharda, Mamata Yanamadala Mbbs
Summary: This article reviews and evaluates the outcomes of ACP interventions in nursing homes, with a focus on action, process, quality of care, health status, and healthcare utilization.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Review
Health Care Sciences & Services
Charless Dupont, Tinne Smets, Fanny Monnet, Lara Pivodic, Aline De Vleminck, Chantal Van Audenhove, Lieve Van den Block
Summary: This study systematically evaluated web-based advance care planning (ACP) support tools and found that they vary in their characteristics, readability, and content quality. Some tools were developed in collaboration with healthcare professionals, while others incorporated user involvement, however, most tools did not provide proven information sources.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Nursing
Hyejin Kim, Jeonghyun Cho, Won Seok Park, Sang Suk Kim
Summary: The study aimed to compare characteristics of ACP interventions across dementia stages, finding major differences in intervention recipients between mild and advanced dementia stages. Most interventions included structured discussions on life goals, values, care preferences, but lacked designs to promote ongoing discussions and documentation. Nurses played important roles in implementing ACP interventions.
JOURNAL OF NURSING SCHOLARSHIP
(2021)
Review
Geriatrics & Gerontology
Diah Martina, Cheng-Pei Lin, Martina S. Kristanti, Wichor M. Bramer, Masanori Mori, Ida J. Korfage, Agnes van der Heide, Carin C. D. van der Rijt, Judith A. C. Rietjens
Summary: Despite acknowledging the importance of advance care planning (ACP), Asian healthcare professionals find it challenging to engage in ACP due to various barriers such as lack of knowledge, skills, and standard systems. They recognize the essential role of families in ACP but often struggle to involve patients in the process. Capacity building for ACP in Asia should focus on culturally adapting ACP models, providing education for healthcare professionals and the public, and offering institutional support.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Review
Geriatrics & Gerontology
Mun Kit Lim, Pei Se Wong, Sajaratulnisah Othman, Fadzilah Hanum Mohd Mydin, Pei Shan Lim, Pauline Siew Mei Lai
Summary: This study systematically synthesized the views of community-dwelling Asians on advance care planning (ACP) and summarized the factors and reasons affecting their uptake of ACP. The findings showed that although Asian adults in the community were willing to engage in ACP, their awareness and uptake of ACP remained low. Background factors such as sociodemographic factors and health status, as well as underlying beliefs and attitudes towards ACP, were found to influence their uptake of ACP.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Review
Public, Environmental & Occupational Health
Svenja Diegelmann, Sonja Bidmon, Ralf Terlutter
Summary: This systematic review examines the message design of mediated advance care planning (ACP) interventions targeted at adults, and highlights the positive impact of mediated ACP resources on ACP outcomes. Most message design techniques were associated with positive ACP outcomes.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Neurosciences
Heather Ma, Rachel E. Kiekhofer, Sarah M. Hooper, Sarah Dulaney, Katherine L. Possin, Winston Chiong
Summary: This study found that people with dementia who had goals of care conversations with their caregivers tended to have advance directives, health care agents, and were more likely to die at their desired place of death. Goals of care conversations were significantly associated with the perceived usefulness of advance directives, adherence to advance directives, and whether decedents were able to achieve their desired place of death.
JOURNAL OF ALZHEIMERS DISEASE
(2021)
Review
Geriatrics & Gerontology
Apiradee Pimsen, Chi-Yin Kao, Sheng-Tzu Hsu, Bih-Ching Shu
Summary: ACP interventions can reduce hospitalization rates for nursing home residents but have no impact on emergency department visits, hospice enrollment, mortality, and satisfaction with care. Policymakers should support the implementation of ACP programs in nursing homes, and further robust studies are needed to determine the effects of ACP on these outcomes.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Review
Health Care Sciences & Services
Li Liu, Ya-Yi Zhao, Chen Yang, Helen Yue-Lai Chan
Summary: This study integrated quantitative and qualitative evidence and found that games for advance care planning can effectively increase self-efficacy, readiness, knowledge, and process of advance care planning behaviors, which are highly acceptable and enjoyable according to the participants.
PALLIATIVE MEDICINE
(2021)
Review
Health Care Sciences & Services
Diah Martina, Olaf P. Geerse, Cheng-Pei Lin, Martina S. Kristanti, Wichor M. Bramer, Masanori Mori, Ida J. Korfage, Agnes van der Heide, Judith A. C. Rietjens, Carin C. D. van der Rijt
Summary: The study found that 39% to 90% of Asian patients are willing to engage in advance care planning. Patients' willingness to engage is influenced by various factors, including their knowledge of their diseases and advance care planning, beliefs, family and physician wishes, and barriers. It is important to respect patients' preferences for involvement, timing, and documentation in the process of advance care planning.
PALLIATIVE MEDICINE
(2021)
Review
Pediatrics
Nadine Lusney, Camara van Breemen, Edlyn Lim, Colleen Pawliuk, Zahra Hussein
Summary: To assess pediatric advance care planning (pACP) documentation and implementation, clinicians at a Canadian pediatric hospice conducted a scoping review. Sixty-four articles and fifteen pACP forms/tools were reviewed, highlighting the importance of a structured, collaborative, and iterative process between families and healthcare providers. No single ACP tool was identified as the gold standard, and implementation strategies included a structured pACP tool, ongoing training, mentorship, and organizational structures.
Article
Cardiac & Cardiovascular Systems
Hiroki Kitakata, Takashi Kohno, Shun Kohsaka, Daisuke Fujisawa, Naomi Nakano, Yasuyuki Shiraishi, Yoshinori Katsumata, Yuji Nagatomo, Shinsuke Yuasa, Keiichi Fukuda
Summary: The study found that patients with heart failure have positive attitudes towards advance care planning but low actual engagement rates, with a discrepancy between preferences and participation. Patients have different preferences for end-of-life care, and doctors need to consider appropriate care planning methods that align with patients' care goals.
Article
Cardiac & Cardiovascular Systems
Hiroki Kitakata, Takashi Kohno, Shun Kohsaka, Daisuke Fujisawa, Naomi Nakano, Yasuyuki Shiraishi, Yoshinori Katsumata, Yuji Nagatomo, Shinsuke Yuasa, Keiichi Fukuda
Summary: Most patients with heart failure recognize the importance of advance care planning (ACP) but have not engaged in ACP conversations before. Preferences for end-of-life (EOL) care vary among patients, highlighting the need for physicians to align ACP approaches with individual care goals.
Review
Health Care Sciences & Services
Megumi Kishino, Clare Ellis-Smith, Oladayo Afolabi, Jonathan Koffman
Summary: This mixed-methods systematic review examines the components, contexts, effects, and linkages of involving family members in advance care planning for people with advanced cancer. The review provides a comprehensive understanding of family involvement in advance care planning and offers insights for its assessment and implementation in clinical practice.
PALLIATIVE MEDICINE
(2022)
