ArticleJournal of pain and symptom management2017
Timing of Advance Directive Completion and Relationship to Care Preferences.
Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 55 citations in OpenAlex.
- Planning for the Future: Advance Care Planning Knowledge, Discussion and Decision-Making Among Older, Sexual Minority Adults.The American journal of hospice & palliative care · 2026Article
- Multi Components in the Implementation of Advanced Care Planning for Patients with Cancer: A Scoping Review.Journal of caring sciences · 2025Review
- Role of Uncertainty in Illness and Coping Strategies in Advance Directive Completion in Patients With End-stage Liver Disease.Journal of clinical gastroenterology · 2025Article
- Achieving goal-concordant care: Formal and informal advance care planning for White, Black, and Hispanic older adults.Journal of the American Geriatrics Society · 2024Article
- Evaluating the transition of adolescents and young adults with palliative care needs from pediatric to adult care.Health care transitions · 2024Article
- Advance Directives for Patients With Breast Cancer: Applying the Right Info/Right Care/Right Patient/Right Time Oncology Model.The Permanente journal · 2023Article
- Patient Engagement With Early Stage Advance Care Planning at a Comprehensive Cancer Center.The oncologist · 2023Article
- Life-Sustaining Treatment Decision in Palliative Care Based on Electronic Health Records Analysis.Journal of clinical nursing · 2023Review
- Advance directives completion and hospital out-of-pocket expenditures.Journal of hospital medicine · 2022Article
- Understanding Factors That Predict Advance Directive Completion.Palliative medicine reports · 2022Article
- Is Primary Care Physician Involvement Associated with Earlier Advance Care Planning?: A Study of Patients in an Academic Primary Care Setting.Journal of palliative medicine · 2022Article
- Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients.Journal of hospice and palliative care · 2021Article
- Improved Serious Illness Communication May Help Mitigate Racial Disparities in Care Among Black Americans with COVID-19.Journal of general internal medicine · 2021Article
- Integration of Specialist Palliative Care into Tertiary Hospitals: A Multicenter Point Prevalence Survey from Thailand.Palliative medicine reports · 2021Article
- Conflicting Orders in Physician Orders for Life-Sustaining Treatment Forms.Journal of the American Geriatrics Society · 2020Article
- The Association between Chronic Conditions, End-of-Life Health Care Use, and Documentation of Advance Care Planning among Patients with Cancer.Journal of palliative medicine · 2020Article
- Advance directives of lung cancer patients and caregivers in China: A cross sectional survey.Thoracic cancer · 2020Article
- Advance Care Planning and End-of-Life Decision Making for Patients with Cancer.Seminars in oncology nursing · 2018Review
- Palliative care and advance care planning for pancreas and other cancers.Chinese clinical oncology · 2017Review
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 at 1 institution in 1 country.
Funding
Abstract
contextGiven recent Medicare rules reimbursing clinicians for engaging in advance care planning, there is heightened need to understand factors associated with the timing of advance directive (AD) completion before death and how the timing impacts care decisions.
objectiveThe purpose of this study was to investigate patterns in timing of AD completion and the relationship between timing and documented care preferences. We hypothesize that ADs completed late in the course of illness or very early in the disease trajectory will reflect higher preferences for aggressive care.
methodsWe conducted a retrospective study using logistic regressions to analyze data from the Health and Retirement Study, a nationally representative longitudinal survey of older adults.
resultsThe analytic sample included exit interviews conducted from 2000 to 2012 among 2904 proxy reporters of deceased participants who had an AD. Nearly three-quarters (71%) of ADs were completed a year or more before death. Being younger or a racial/ethnic minority, and having lower education, a diagnosis of cancer or lung disease, and an expected death were associated with completing an AD within the three months before death, while having the lowest quartile of assets and memory problems were inversely associated with AD completion. Minorities, those with lower education, expected death, and timing of AD completion were associated with electing aggressive care.
conclusionEarly documentation of care wishes may not be associated with an increased likelihood of electing aggressive care; however, ADs completed in the last months of life have higher rates of election of aggressive care.
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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.