ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Advance care planning for cancer patients in primary care: a feasibility study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- Barriers to advance care planning at the end of life: an explanatory systematic review of implementation studies.PloS one · 2015Pooled it
- Barriers and facilitators for general practitioners to engage in advance care planning: a systematic review.Scandinavian journal of primary health care · 2013Pooled it
- Advance care planning in older hospitalised patients following an emergency admission: A mixed methods study.PloS one · 2021Trial
- Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relatives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Advance care planning before and during the COVID-19 pandemic: an observational cohort study of 73 675 patients' records.BJGP open · 2024Article
- Hematologists' perspective on advance directives, a French national cross-sectional survey - the ADORE-H study.BMC medical ethics · 2024Article
- Oncologists' perspective on advance directives, a French national prospective cross-sectional survey - the ADORE study.BMC medical ethics · 2024Article
- Factors Impacting Advance Decision Making and Health Care Agent Appointment among Taiwanese Urban Residents after the Passage of Patient Right to Autonomy Act.Healthcare (Basel, Switzerland) · 2023Article
- Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens.JCO global oncology · 2023Article
- How can advance care planning support hope in patients with advanced cancer and their families: A qualitative study as part of the international ACTION trial.European journal of cancer care · 2022Article
- Advance Directives in Oncology and Haematology: A Long Way to Go-A Narrative Review.Journal of clinical medicine · 2022Review
- Knowledge, attitude and practice of community-dwelling adults regarding advance care planning in Malaysia: a cross-sectional study.BMJ open · 2022Article
- Views of advance care planning in caregivers of older hospitalised patients following an emergency admission: A qualitative study.Journal of health psychology · 2022Article
- General practitioners' views of advance care planning: a questionnaire-based study.Irish journal of medical science · 2022Article
- Views of advance care planning in older hospitalized patients following an emergency admission: A qualitative study.PloS one · 2022Article
- Healthcare Providers' Perceptions on the Timing of Initial Advance Care Planning Discussions in Japan: a Mixed-Methods Study.Journal of general internal medicine · 2021Article
- Shifting palliative care paradigm in primary care from better death to better end-of-life: a Swiss pilot study.BMC health services research · 2021Observational
- Exploring advance care planning awareness, experiences, and preferences of people with cancer and support people: an Australian online cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Advance Care Planning Conversations in the Oncology Setting: Tips from the Experts.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdvance care planning is being promoted as a central component of end-of-life policies in many developed countries, but there is concern that professionals find its implementation challenging.
aimTo assess the feasibility of implementing advance care planning in UK primary care. DESIGN OF STUDY: Mixed methods evaluation of a pilot educational intervention.
settingFour general practices in south-east Scotland.
methodInterviews with 20 GPs and eight community nurses before and after a practice-based workshop; this was followed by telephone interviews with nine other GPs with a special interest in palliative care from across the UK.
resultsEnd-of-life care planning for patients typically starts as an urgent response to clear evidence of a short prognosis, and aims to achieve a 'good death'. Findings suggest that there were multiple barriers to earlier planning: prognostic uncertainty; limited collaboration with secondary care; a desire to maintain hope; and resistance to any kind of 'tick-box' approach. Following the workshop, participants' knowledge and skills were enhanced but there was little evidence of more proactive planning. GPs from other parts of the UK described confusion over terminology and were concerned about the difficulties of implementing inflexible, policy-driven care.
conclusionA clear divide was found between UK policy directives and delivery of end-of-life care in the community that educational interventions targeting primary care professionals are unlikely to address. Advance care planning has the potential to promote autonomy and shared decision making about end-of-life care, but this will require a significant shift in attitudes.
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What OpenQuestion holds
Registered trials
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.