ArticleJournal of palliative medicine2011
Advance directives in an oncologic intensive care unit: a contemporary analysis of their frequency, type, and impact.
Article in Journal of palliative medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- Factors related to advance directives completion among cancer patients: a systematic review.BMC palliative care · 2024Pooled it
- What does it mean to die a bad death? Provider perspectives in the surgical intensive care unit.Surgery · 2026Article
- Thematic Analysis of Barriers to Completion of a Healthcare Proxy at a Comprehensive Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Advanced cancer patients' knowledge and opinions regarding the French law on advance directives: a multicenter cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Role of Uncertainty in Illness and Coping Strategies in Advance Directive Completion in Patients With End-stage Liver Disease.Journal of clinical gastroenterology · 2025Article
- Translation of patients' advance directives in intensive care units: are we there yet?Journal of intensive care · 2023Review
- Don't Throw the Baby Out With the Bathwater: Meta-Analysis of Advance Care Planning and End-of-life Cancer Care.Journal of pain and symptom management · 2023Review
- Completion Rates of Advance Directives in a Trauma Emergency Room: Association with Age.Emergency medicine international · 2021Article
- Advance directives in Austrian intensive care units: An analysis of prevalence and barriers.Resuscitation plus · 2020Article
- Content analysis of Advance Directives completed by patients with advanced cancer as part of an Advance Care Planning intervention: insights gained from the ACTION trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Variables that influence the medical decision regarding Advance Directives and their impact on end-of-life care.Einstein (Sao Paulo, Brazil) · 2020Review
- Dying Well-Informed: The Need for Better Clinical Education Surrounding Facilitating End-of-Life Conversations.The Yale journal of biology and medicine · 2019Review
- Pragmatic methods to avoid intensive care unit admission when it does not align with patient and family goals.The Lancet. Respiratory medicine · 2019Review
- Advance Directives and Powers of Attorney in Intensive Care Patients.Deutsches Arzteblatt international · 2017Article
- Patient and caregiver characteristics related to completion of advance directives in terminally ill patients.Palliative & supportive care · 2017Article
- [Existential questions prior to elective surgery. Survey in a preoperative anesthesia consultation service].Der Anaesthesist · 2016Article
- The Impact of Advance Directives on End-of-Life Care for Adolescents and Young Adults Undergoing Hematopoietic Stem Cell Transplant.Journal of palliative medicine · 2016Article
- Rates and risks for late referral to hospice in patients with primary malignant brain tumors.Neuro-oncology · 2016Article
- The Validity of Advance Directives in Acute Situations.Deutsches Arzteblatt international · 2015Article
- The process of advance care planning in HCT candidates and proxies: self-efficacy, locus of control, and anxiety levels.The American journal of hospice & palliative care · 2014Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOur objective was to provide a contemporary analysis of the prevalence, types, and impact of advance health care directives in critically ill cancer patients.
methodsWe retrospectively reviewed all intensive care unit (ICU) admissions (January 1, 2006 to April 25, 2008) at an oncologic center and identified all patients who completed a living will (LW), or health care proxy (HCP), or neither prior to ICU admission. Demographics, clinical data, end-of-life (EOL) parameters and outcomes were compared among three groups: LWs, HCPs, and no LW or HCP.
resultsOf 1,333 ICU admissions, 1,121 patients (84%) were included for analysis: 176 patients (15.7%) had LW, 534 (47.6%) had HCP and 411 (36.7%) had no LW or HCP. Patients with LW were significantly more likely to be older and white as compared to patients with HCP alone, or no LW or HCP. There were no significant demographic differences between patients with HCP or no LW or HCP. Patients with HCP alone, or no LW or HCP, were significantly more likely to have Medicaid than patients with LW. There were no differences noted in ICU care, EOL management, or outcomes among the three groups.
conclusionsThe prevalence of LWs in patients admitted to our oncologic ICU is low. More than half of the remaining patients had designated HCPs. Older age and white race were associated with the presence of LWs. However, the presence of LWs or HCPs did not influence ICU care, EOL management or outcomes at our institution.
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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.