Evidence map›Paper›PMID 26198573›Full record

Trial reportBMC geriatrics2015

A cluster randomized controlled trial on the effects and costs of advance care planning in elderly care: study protocol.

Ida J Korfage, Judith A C Rietjens, Anouk Overbeek, Lea J Jabbarian, Pascalle Billekens, Bernard J Hammes, Ellen Hansen-van der Meer, Suzanne Polinder, Johan Severijnen, Siebe J Swart and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Article
  6. Operation of a triage committee for advanced life support during the COVID-19 pandemic.Philosophy, ethics, and humanities in medicine : PEHM · 2022
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ida J KorfageDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. i.korfage@erasmusmc.nl.
Judith A C RietjensDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. j.rietjens@erasmusmc.nl.
Anouk OverbeekDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. a.overbeek@erasmusmc.nl.
Lea J JabbarianDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. l.jabbarian@erasmusmc.nl.
Pascalle BillekensLaurens, Rotterdam, The Netherlands. p.billekens@laurens.nl.
Bernard J HammesGundersen Lutheran Medical Foundation, La Crosse, WI, USA. bjhammes@gundersenhealth.org.
Ellen Hansen-van der MeerLaurens, Rotterdam, The Netherlands. e.hansen@laurens.nl.
Suzanne PolinderDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. s.polinder@erasmusmc.nl.
Johan SeverijnenLaurens, Rotterdam, The Netherlands. j.severijnen@laurens.nl.
Siebe J SwartLaurens, Rotterdam, The Netherlands. s.swart@laurens.nl.
Frederika E WitkampDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. f.witkamp@erasmusmc.nl.
Agnes van der HeideDepartment of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. a.vanderheide@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, health care and medical decision-making at the end of life for older people are often insufficiently patient-centred. In this trial we study the effects of Advance Care Planning (ACP), a formalised process of timely communication about care preferences at the end of life, for frail older people. METHODS/

designWe will conduct a cluster randomised controlled trial among older people residing in care homes or receiving home care in the Netherlands. The intervention group will receive the ACP program Respecting Choices® in addition to usual care. The control group will receive usual care only. Participants in both groups will fill out questionnaires at baseline and after 12 months. We hypothesize that ACP will lead to better patient activation in medical decision making and quality of life, while reducing the number of medical interventions and thus health care costs. Multivariate analysis will be used to compare differences between the intervention group and the control group at baseline and to compare differences in changes after 12 months following the inclusion. DISCUSSION: Our study can contribute to more understanding of the effects of ACP on patient activation and quality of life in frail older people. Further, we will gain insight in the costs and cost-effectiveness of ACP. This study will facilitate ACP policy for older people in the Netherlands.

trial registrationNederlands Trial Register: NTR4454.

Indexed as

Advance Care PlanningQuality of LifeAgedAged, 80 and overAgingCluster AnalysisCost-Benefit AnalysisDecision MakingFemaleHealth Services for the AgedHumansMaleNetherlandsPatient-Centered CarePatient PreferenceQuality Improvement

Identifiers

PMID26198573
PMCPMC4509612

What OpenQuestion holds

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Registered trials

None linked

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.