ArticleBMC palliative care2014
Creating an advance-care-planning decision aid for high-risk surgery: a qualitative study.
Article in BMC palliative care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Anesthesiologist to Patient Communication: A Systematic Review.JAMA network open · 2020Pooled it
- A Multicenter, Randomized Controlled Trial of Perioperative Palliative Care Surrounding Cancer Surgery for Patients and Their Family Members (PERIOP-PC).Journal of palliative medicine · 2019Trial
- Trial
- A Scoping Review on Goals of Care Discussions in Surgery: How Are We Doing and How Can We Do Better?World journal of surgery · 2025Article
- Patient-Reported Goals of Care in the Preoperative Clinic: Barriers to and Facilitators of Patient Values Elicitation and Documentation.Journal of surgical oncology · 2025Article
- Top Ten Tips Palliative Care Clinicians Should Know Before Their Patient Undergoes Surgery.Journal of palliative medicine · 2025Article
- Development and perception of surgery-specific goals of care discussions in the preoperative setting: A learning pilot.Journal of surgical oncology · 2024Article
- Views of health care professionals on the implementation of preoperative advance care planning in older patients with head and neck cancer: Q methodology.International journal of nursing sciences · 2024Article
- Current use of the National Surgical Quality Improvement Program surgical risk calculator in academic surgery: a mixed-methods study.Surgery in practice and science · 2023Article
- Physicians' perspectives of prognosis and goals of care discussions after hip fracture.Journal of the American Geriatrics Society · 2022Article
- Crucial Conversations for High-Risk Populations before Surgery: Advance Care Planning in a Preoperative Setting.Palliative medicine reports · 2021Article
- A review of paper-based advance care planning aids.BMC palliative care · 2018Article
- Improving outcomes from high-risk surgery: a multimethod evaluation of a patient-centred advanced care planning intervention.BMJ open · 2017Article
- A Conceptual Framework for Appropriateness in Surgical Care: Reviewing Past Approaches and Looking Ahead to Patient-centered Shared Decision Making.Anesthesiology · 2015Review
- Enhanced perioperative communication elevates patients' understanding, perception, and satisfaction for anesthesia services: Insights from a survey study.Saudi journal of anaesthesiaArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh-risk surgery patients may lose decision-making capacity as a result of surgical complications. Advance care planning prior to surgery may be beneficial, but remains controversial and is hindered by a lack of appropriate decision aids. This study sought to examine stakeholders' views on the appropriateness of using decision aids, in general, to support advance care planning among high-risk surgery populations and the design of such a decision aid.
methodsKey informants were recruited through purposive and snowball sampling. Semi-structured interviews were conducted by phone until data collected reached theoretical saturation. Key informants were asked to discuss their thoughts about advance care planning and interventions to support advance care planning, particularly for this population. Researchers took de-identified notes that were analyzed for emerging concordant, discordant, and recurrent themes using interpretative phenomenological analysis.
resultsKey informants described the importance of initiating advance care planning preoperatively, despite potential challenges present in surgical settings. In general, decision aids were viewed as an appropriate approach to support advance care planning for this population. A recipe emerged from the data that outlines tools, ingredients, and tips for success that are needed to design an advance care planning decision aid for high-risk surgical settings.
conclusionsStakeholders supported incorporating advance care planning in high-risk surgical settings and endorsed the appropriateness of using decision aids to do so. Findings will inform the next stages of developing the first advance care planning decision aid for high-risk surgery patients.
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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.