ArticleJournal of palliative medicine2014
Use of the Physician Orders for Life-Sustaining Treatment program for patients being discharged from the hospital to the nursing facility.
Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.
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
15 citing papers in PubMed, 31 citations in OpenAlex.
- POLST completion and continuity in California nursing homes.Journal of the American Geriatrics Society · 2022Article
- Aligning POLST orders with wishes: Time to put evidence into practice.Journal of the American Geriatrics Society · 2021Article
- Factors associated with concordance between POLST orders and current treatment preferences.Journal of the American Geriatrics Society · 2021Article
- POLST Signature Requirements: Responding With Compassion While Ensuring Informed Consent.The American journal of hospice & palliative care · 2021Article
- Do Life-sustaining Treatment Orders Match Patient and Surrogate Preferences? The Role of POLST.Journal of general internal medicine · 2021Article
- Underutilization of Portable Orders for Life-Sustaining Treatment at Discharge from Hospital: Observational Study at US Academic Trauma Center.Journal of general internal medicine · 2020Observational
- Changes Over Time in the Oregon Physician Orders for Life-Sustaining Treatment Registry: A Study of Two Decedent Cohorts.Journal of palliative medicine · 2019Article
- Partnership to Enhance Resident Outcomes for Community Living Center Residents With Dementia: Description of the Protocol and Preliminary Findings.Journal of gerontological nursing · 2019Article
- Care in Nursing Facilities after Palliative Consult.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2018Article
- Ongoing Medical Management to Maximize Health and Well-being for Persons Living With Dementia.The Gerontologist · 2018Review
- Use of Medical Orders for Scope of Treatment for Heart Failure Patients During Postacute Care in Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2017Article
- The Role of Advanced Practice Registered Nurses in the Completion of Physician Orders for Life-Sustaining Treatment.Journal of palliative medicine · 2017Article
- Nursing Home Residents' Preferences on Physician Orders for Life Sustaining Treatment.The Gerontologist · 2016Article
- Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life.Current gerontology and geriatrics research · 2015Article
- Bioethics in Practice - A Quarterly Column About Medical Ethics: LaPOST - Communicating Treatment Goals across the Continuum of Care.Ochsner journal · 2014Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe Physician Orders for Life-Sustaining Treatment (POLST) documents patient preferences as medical orders that transfer across settings with patients.
objectivesThe objectives were to pilot test methods and gather preliminary data about POLST including (1) use at time of hospital discharge, (2) transfers across settings, and (3) consistency with prior decisions. STUDY
designDescriptive with chart abstraction and interviews.
participantsParticipants were hospitalized patients discharged to a nursing facility and/or their surrogates in La Crosse County, Wisconsin. MEASUREMENTS: POLST forms were abstracted from hospital records for 151 patients. Hospital and nursing facility chart data were abstracted and interviews were conducted with an additional 39 patients/surrogates.
resultsOverall, 176 patients had valid POLST forms at the time of discharge from the hospital, and many (38.6%; 68/176) only documented code status. When the whole POLST was completed, orders were more often marked as based on a discussion with the patient and/or surrogate than when the form was used just for code status (95.1% versus 13.8%, p<.001). In the follow-up and interview sample, a majority (90.6%; 29/32) of POLST forms written in the hospital were unchanged up to three weeks after nursing facility admission. Most (71.9%; 23/32) appeared consistent with patient or surrogate recall of prior treatment decisions.
conclusionPOLST forms generated in the hospital do transfer with patients across settings, but are often used only to document code status. POLST orders appeared largely consistent with prior treatment decisions. Further research is needed to assess the quality of POLST decisions.
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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.