ArticleBMC palliative care2015
General practitioners perceptions on advance care planning for patients living with dementia.
Article in BMC palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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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.
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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
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors associated with participation in advance care planning among people with different degrees of cognitive impairment: a systematic review.BMC palliative care · 2026Pooled it
- Palliative Care in Early Dementia.Journal of pain and symptom management · 2024Pooled it
- Barriers and facilitators for GPs in dementia advance care planning: A systematic integrative review.PloS one · 2018Pooled it
- Factors influencing readiness for advance care planning in dementia: a qualitative interview study.BMC palliative care · 2026Article
- Hindering Factors and Perceived Needs for the Decision Making of Advanced Directives Among People with Dementia and Their Families.Geriatrics (Basel, Switzerland) · 2025Article
- Interventions that may increase control at the end of life in persons with dementia: the cross-cultural CONT-END acceptability study protocol and pilot-testing.BMC palliative care · 2023Article
- 'A perfect storm' or missed care? Focus group interviews with dementia care professionals on Advance Care Planning.BMC geriatrics · 2023Article
- Family caregivers' concerns about advance care planning for home-dwelling people with dementia: a cross-sectional observational study in Japan.BMC palliative care · 2022Observational
- Practice of end-of-life care for patients with advanced dementia by hospital physicians and nurses: Comparison between medical and surgical wards.Dementia (London, England) · 2022Article
- Practitioner Bias as an Explanation for Low Rates of Palliative Care Among Patients with Advanced Dementia.Health care analysis : HCA : journal of health philosophy and policy · 2022Article
- General practitioners' views of advance care planning: a questionnaire-based study.Irish journal of medical science · 2022Article
- Family-Centered Primary Care for Older Adults with Cognitive Impairment.Contemporary family therapy · 2022Article
- Factor structure of Pre-Loss Grief-12 in caregivers of people living with dementia.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- Review
- A narrative review of facilitating and inhibiting factors in advance care planning initiation in people with dementia.European geriatric medicine · 2020Review
- A narrative review of facilitating and inhibiting factors in advance care planning initiation in people with dementia.European geriatric medicine · 2020Review
- What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review.BMC health services research · 2019Review
- The importance of trust-based relations and a holistic approach in advance care planning with people with dementia in primary care: a qualitative study.BMC geriatrics · 2018Article
- Advance care planning in dementia: recommendations for healthcare professionals.BMC palliative care · 2018Review
- Religious leaders' perceptions of advance care planning: a secondary analysis of interviews with Buddhist, Christian, Hindu, Islamic, Jewish, Sikh and Bahá'í leaders.BMC palliative care · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvance care planning (ACP) facilitates communication and understanding of preferences, nevertheless the use of ACPs in primary care is low. The uncertain course of dementia and the inability to communicate with the patient living with dementia are significant challenges for GPs to initiate discussions on goals of care.
methodsA cross-sectional survey, using a purposive, cluster sample of GPs across Northern Ireland with registered dementia patients was used. GPs at selected practices received the survey instrument and up to four mail contacts was implemented.
resultsOne hundred and thirty-three GPs (40.6%) participated in the survey, representing 60.9% of surveyed practices. While most respondents regarded dementia as a terminal disease (96.2%) only 37.6% felt that palliative care applied equally from the time of diagnosis to severe dementia. While most respondents thought that early discussions would facilitate decision-making during advanced dementia (61%), respondents were divided on whether ACP should be initiated at the time of diagnoses. While most respondents felt that GPs should take the initiative to introduce and encourage ACP, most survey participants acknowledged the need for improved knowledge to involve families in caring for patients with dementia at the end of life and that a standard format for ACP documentation was needed.
conclusionOptimal timing of ACP discussions should be determined by the readiness of the patient and family carer to face end of life. ACP discussions can be enhanced by educational strategies directed towards the patient and family carer that enable shared decision-making with their GP when considering options in future care.
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