ArticlePsycho-oncology2017
Advance care planning as a shared endeavor: completion of ACP documents in a multidisciplinary cancer program.
Article in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of online advance care planning (ACP) decision aid programmes on adults with cancer: a systematic review and meta-analysis.BMC palliative care · 2026Pooled it
- Predictors of Readiness to Engage in Advance Care Planning Among Older Adults With Serious Illness: Baseline Findings From the EQUAL ACP Study.Journal of the American Geriatrics Society · 2026Trial
- Thematic Analysis of Barriers to Completion of a Healthcare Proxy at a Comprehensive Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- A Letter to Your Care Providers: Implementation and Analysis of a Letter-based Advance Care Planning Initiative for Gynecologic Oncology Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Feasibility and acceptability of advance care planning facilitated by nonphysician clinicians in Japanese primary care: Implementation pilot study.Journal of general and family medicine · 2023Article
- A model for the uptake of advance care planning in older cancer adults: a scoping review.Aging clinical and experimental research · 2022Article
- Advance Directives in Oncology and Haematology: A Long Way to Go-A Narrative Review.Journal of clinical medicine · 2022Review
- Advance Care Planning and Communication Skills Improve after an Interprofessional Team Simulation with Standardized Patients.Palliative medicine reports · 2022Article
- Use of a State Registry to Compare Practices of Physicians and Nurse Practitioners in Completing Physician Orders for Life-Sustaining Treatment Forms.Journal of palliative medicine · 2021Observational
- Optimizing the delivery of early palliative care for hematology patients receiving a stem cell transplant: A role for a Nurse Practitioner.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2020Article
- Article
- End-of-life decisions guiding the palliative care of cancer patients visiting emergency department in South Western Finland: a retrospective cohort study.BMC palliative care · 2018Article
- Room for improvement: An examination of advance care planning documentation among gynecologic oncology patients.Gynecologic oncology · 2016Article
- Current Engagement in Advance Care Planning in Japan and Its Associated Factors.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveWe examined the roles of oncology providers in advance care planning (ACP) delivery in the context of a multidisciplinary cancer program.
methodsSemi-structured interviews were conducted with 200 women with recurrent and/or metastatic breast or gynecologic cancer. Participants were asked to name providers they deemed important in their cancer care and whether they had discussed and/or completed ACP documentation. Evidence of ACP documentation was obtained from chart reviews.
resultsFifty percent of participants self-reported completing an advance directive (AD) and 48.5% had named a healthcare power of attorney (HPA), 38.5% had completed both, and 39.0% had completed neither document. Among women who self-reported completion of the documents, only 24.0% and 14.4% of women respectively had documentation of an AD and HPA in their chart. Completion of an AD was associated with number (adjusted odds ratio [AOR] = 1.49) and percentage (AOR = 6.58) of providers with whom the participant had a conversation about end-of-life decisions. Participants who named a social worker or nurse practitioner were more likely to report having completed an AD. Participants who named at least one provider in common (e.g., named the same oncologist) were more likely to have comparable behaviors related to naming a HPA (AOR = 1.13, p = 0.011) and completion of an AD (AOR = 1.06, p = 0.114).
conclusionsDespite the important role of physicians in facilitating ACP discussions, involvement of other staff was associated with a greater likelihood of completion of ACP documentation. Patients may benefit from opportunities to discuss ACP with multiple members of their cancer care team. Copyright © 2015 John Wiley & Sons, Ltd.
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