Evidence map›Paper›PMID 12130597›Full record

ArticleBMJ (Clinical research ed.)2002

Planning for death but not serious future illness: qualitative study of housebound elderly patients.

Joseph A Carrese, Jamie L Mullaney, Ruth R Faden, Thomas E Finucane

Open access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Do the elderly have a voice? Advance care planning discussions with frail and older individuals: a systematic literature review and narrative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Pooled it
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  5. Perspectives on Aging-Related Preparation.Journal of elder policy · 2021
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  16. Understanding advance care planning as a process of health behavior change.Journal of the American Geriatrics Society · 2009
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  18. Article
  19. Planning and Decision Making for Care Transitions.Annual review of gerontology & geriatrics
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Joseph A CarresePhoebe R Berman Bioethics Institute, Johns Hopkins University, and Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, USA. jcarrese@JHMI.edu
Jamie L Mullaney
Ruth R Faden
Thomas E Finucane
Johns Hopkins Berman Institute of Bioethics · USGoucher College · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand how elderly patients think about and approach future illness and the end of life.

designQualitative study conducted 1997-9.

settingPhysician housecall programme affiliated to US university.

participants20 chronically ill housebound patients aged over 75 years who could participate in an interview. Participants identified through purposive and random sampling.

main outcome measuresIn-depth semistructured interviews lasting one to two hours.

resultsSixteen people said that they did not think about the future or did not in general plan for the future. Nineteen were particularly reluctant to think about, discuss, or plan for serious future illness. Instead they described a "one day at a time," "what is to be will be" approach to life, preferring to "cross that bridge" when they got to it. Participants considered end of life matters to be in the hands of God, though 13 participants had made wills and 19 had funeral plans. Although some had completed advance directives, these were not well understood and were intended for use only when death was near and certain.

conclusionsThe elderly people interviewed for this study were resistant to planning in advance for the hypothetical future, particularly for serious illness when death is possible but not certain.

Indexed as

Attitude to DeathAttitude to HealthAdvance DirectivesAgedAged, 80 and overBaltimoreCritical IllnessDecision MakingFemaleHomebound PersonsHumansMaleTerminal CareDeath and EuthanasiaEmpirical ApproachProfessional Patient Relationship

Identifiers

PMID12130597
PMCPMC117227
OpenAlexW1988232946

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.