ArticleJournal of aging and health2015
Patient-Physician End-of-Life Discussions in the Routine Care of Medicare Beneficiaries.
Article in Journal of aging and health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed.
- Trust in Physicians and End-of-Life Discussions and Preferences for Place of Care Among US Chinese Older Adults.Journal of the American Geriatrics Society · 2025Article
- Mid-Atlantic primary care providers' perception of barriers and facilitators to end-of-life conversation.Palliative care and social practice · 2024Article
- Article
- Fielding the quality of communication questionnaire to persons with cognitive impairment and their family in primary care: A pilot study.Journal of the American Geriatrics Society · 2023Article
- End-of-Life Wishes Among Non-Hispanic Black and White Middle-Aged and Older Adults.Journal of racial and ethnic health disparities · 2021Article
- Disparities in Care Management During Terminal Hospitalization Among Adults With Metastatic Cancer From 2010 to 2017.JAMA network open · 2021Observational
- Prognostic Awareness, Disease and Palliative Understanding Among Caregivers of Patients With Dementia.The American journal of hospice & palliative care · 2020Article
- Preparing Older Patients With Serious Illness for Advance Care Planning Discussions in Primary Care.Journal of pain and symptom management · 2019Article
- Validation of a Novel Electronic Health Record Patient Portal Advance Care Planning Delivery System.Journal of medical Internet research · 2018Article
- A Contemporary Paradigm: Integrating Spirituality in Advance Care Planning.Journal of religion and health · 2018Article
- Aggressive End-of-Life Care for Metastatic Cancer Patients Younger Than Age 65 Years.Journal of the National Cancer Institute · 2017Article
- End-of-Life Discussions with Older Adults.Journal of the American Geriatrics Society · 2016Article
- Improving health care proxy documentation using a web-based interview through a patient portal.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Prevalence of Advance Directives Among Older Adults Admitted to Intensive Care Units and Requiring Mechanical Ventilation.Journal of gerontological nursing · 2016Article
- Advance Directives and Communication Skills of Prehospital Physicians Involved in the Care of Cardiovascular Patients.Medicine · 2015Article
- Perceived Barriers and Facilitators of Implementing a Multicomponent Intervention to Improve Communication With Older Adults With and Without Dementia (SHARING Choices) in Primary Care: A Qualitative Study.Journal of primary care & community healthArticle
- Advance directives and intensity of care delivered to hospitalized older adults at the end-of-life.Heart & lung : the journal of critical careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
objectiveMedicare reimbursement for physicians who discussed end-of-life care and planning with a patient during an office visit was cut from the 2010 Affordable Care Act. We assessed the characteristics of patients who reported having had such discussions, and whether these discussions are associated with trust in one's physicians and with rates of family advance care planning (FACP).
methodThe sample consisted of 5,199 Medicare beneficiaries who reported having an ongoing relationship with a primary care physician. We estimated ordinal and multinomial logistic regressions that controlled for health care utilization, current health, and recent family deaths.
resultsLess than 1% (n = 310) reported an end-of-life conversation with a physician during the course of routine care. However, conversations were associated with greater trust in one's physician and higher rates of completion of FACP. DISCUSSION: Findings support renewed efforts to reimburse physicians for discussing end of life with their Medicare patients.
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Registered trials
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