Evidence map›Paper›PMID 19269928›Full record

ArticleJournal of aging and health2009

Surrogate decision makers' understanding of dementia patients' prior wishes for end-of-life care.

Betty S Black, Linda A Fogarty, Hilary Phillips, Thomas Finucane, David J Loreck, Alva Baker, David M Blass, Peter V Rabins

Open access · greenAbstract read
In one paragraph

Article in Journal of aging and health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Betty S BlackDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Meyer Building, Room 279, Baltimore, MD 21287, USA. bblack@jhmi.edu
Linda A Fogarty
Hilary Phillips
Thomas Finucane
David J Loreck
Alva Baker
David M Blass
Peter V Rabins
Johns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

END OF LIFE CARE IN LATE STAGE DEMENTIAR01NS039810 · NINDS · JOHNS HOPKINS UNIVERSITY · PI RABINS, PETER V · 2000 to 2004
$2.5M
NINDS NIH HHS NS39810NINDS NIH HHS R01 NS039810
6 · The paper itself

Abstract

objectiveThis study examines how surrogate decision makers for dementia patients developed an understanding of patient preferences about end-of-life (EOL) care and patient wishes.

methodsSemistructured interviews were conducted with 34 surrogate decision makers for hospice-eligible nursing home patients with dementia. The data were content analyzed.

resultsMost surrogates reported that patients had previously completed an advance directive (59%), discussed preferences for EOL care (56%), or done both (38%). Catalysts for and barriers to completing an advance directive or having EOL care discussions included factors that were both intrinsic and extrinsic to the patient. The most commonly reported wish for EOL care was to not be kept alive by "machines" or "extraordinary measures." DISCUSSION: Health care providers may be able to assist patients and families by normalizing discussions of dying, encouraging advance care planning, helping them identify goals for EOL care, and providing information to support treatment decisions consistent with patients' wishes.

Indexed as

Advance Care PlanningAdvance Directive AdherenceAdvance DirectivesDementiaProxyTerminal CareAgedAged, 80 and overCaregiversComprehensionDecision MakingFemaleHumansInterviews as TopicMaleUnited States

Identifiers

PMID19269928
PMCPMC2832743
OpenAlexW2118495035

What OpenQuestion holds

Textmetadata
LicenceTDM
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.