ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2012
Is hospitalisation for COPD an opportunity for advance care planning? A qualitative study.
Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2012. 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.
What it found
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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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Can early introduction of specialized palliative care limit intensive care, emergency and hospital admissions in patients with severe and very severe COPD? a randomized study.BMC palliative care · 2014Trial
- Trial
- Chronic obstructive pulmonary disease: A narrative synthesis of its hallmarks for palliative care clinicians.European journal of internal medicine · 2025Review
- Advance care planning in patients with respiratory failure.European respiratory review : an official journal of the European Respiratory Society · 2024Review
- The experience of hospitalization in people with advanced chronic obstructive pulmonary disease: A qualitative, phenomenological study.Chronic illness · 2023Article
- The experiences of adult patients, families, and healthcare professionals of CPR decision-making conversations in the United Kingdom: A qualitative systematic review.Resuscitation plus · 2023Review
- Patients' perspectives on point-of-care diagnostics and treatment by emergency medical technicians in acute COPD exacerbations: A qualitative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- What can we learn from patients to improve their non-invasive ventilation experience? 'It was unpleasant; if I was offered it again, I would do what I was told'.BMJ supportive & palliative care · 2020Article
- How do hospital-based nurses and physicians identify the palliative phase in their patients and what difficulties exist? A qualitative interview study.BMC palliative care · 2019Article
- CPR decision-making conversations in the UK: an integrative review.BMJ supportive & palliative care · 2019Review
- "A palliative end-stage COPD patient does not exist": a qualitative study of barriers to and facilitators for early integration of palliative home care for end-stage COPD.NPJ primary care respiratory medicine · 2018Article
- Danish respiratory society position paper: palliative care in patients with chronic progressive non-malignant lung diseases.European clinical respiratory journal · 2018Review
- Severe COPD and the transition to a palliative approach.Breathe (Sheffield, England) · 2017Article
- Progressive respiratory disease: the importance of prognostic conversations and advance care planning.Breathe (Sheffield, England) · 2017Article
- Palliative and end-of-life care conversations in COPD: a systematic literature review.ERJ open research · 2017Review
- Understanding fear and anxiety in patients at the time of an exacerbation of chronic obstructive pulmonary disease: a qualitative study.JRSM open · 2015Article
- Anticipating the outcomes and care choices for people living with COPD.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
- A narrative review of proactive palliative care models for people with COPD.Therapeutic advances in respiratory diseaseReview
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundIt is recognised that patients with chronic obstructive pulmonary disease (COPD) should have the chance to discuss end-of-life care and advance care planning (ACP). Admission to hospital with an exacerbation may be a possible opportunity.
aimsTo examine whether an admission to hospital for an exacerbation of COPD is an opportunity for ACP and to understand, from the patient perspective, the optimum circumstances for ACP.
methodsPatients who had a recent admission for an exacerbation of COPD were identified. Sixteen patients and their carers were interviewed. The interviews were analysed using qualitative methodology.
resultsNo patients recalled discussions about resuscitation or planning for the future. Hospital admission and discharge was seen as chaotic and lacking in continuity. Some patients welcomed the opportunity to discuss ACP and felt that their general practitioner (GP) would be the best person for this. Others wished to avoid end-of-life care discussions but there was evidence that, with empathetic and knowledgeable support, these discussions could be initiated.
conclusionsThe period of hospitalisation may not be an appropriate time to initiate ACP but may be a milestone that can lead to discussions. GPs should be alert to that opportunity after discharge from hospital.
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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.