Evidence map›Paper›PMID 28655280›Full record

ArticleThe American journal of hospice & palliative care2018

Factors Associated With End-of-Life Planning in Huntington Disease.

Nancy R Downing, Siera Goodnight, Sena Chae, Joel S Perlmutter, Michael McCormack, Elizabeth Hahn, Stacey K Barton, Noelle Carlozzi

Open access · greenAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.4field-weighted citation impact, top 47% of its field
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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Primary Palliative Care in Huntington's Disease.Movement disorders clinical practice · 2023
    Article
  3. Article
  4. Article
  5. Advance Directive Documentation in a Huntington's Disease Clinic: A Retrospective Chart Review.Tremor and other hyperkinetic movements (New York, N.Y.) · 2022
    Article
  6. Article
  7. Article
  8. Palliative Care in Movement Disorders: an Evolving Field.Current neurology and neuroscience reports · 2021
    Review
  9. Article
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

8 authors at 6 institutions in 1 country.

Nancy R Downing1 Texas A&M College of Nursing, Bryan, TX, USA.ORCID http://orcid.org/0000-0002-4975-3789
Siera Goodnight2 University of Michigan, Department of Physical Medicine & Rehabilitation, Ann Arbor, MI, USA.
Sena Chae3 University of Iowa College of Nursing, Iowa City, IA, USA.
Joel S Perlmutter4 HDSA Center of Excellence, Washington University at St Louis School of Medicine, St Louis, MO, USA.
Michael McCormack5 Department of Pathology, Rowan SOM, Piscataway, NJ, USA.
Elizabeth Hahn7 Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-8313-0254
Stacey K Barton4 HDSA Center of Excellence, Washington University at St Louis School of Medicine, St Louis, MO, USA.
Noelle Carlozzi2 University of Michigan, Department of Physical Medicine & Rehabilitation, Ann Arbor, MI, USA.
University of Michigan · USWashington University in St. Louis · USBryan College · USNorthwestern University · USRutgers, The State University of New Jersey · USUniversity of Iowa · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
NEUROBIOLOGICAL PREDICTORS OF HUNTINGTON'S DISEASER01NS040068 · NINDS · UNIVERSITY OF IOWA · PI PAULSEN, JANE S · 2001 to 2013
$48.5M
Validation of the HD-HRQOL (Huntington disease quality of life measure)R01NS077946 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARLOZZI, NOELLE E. · 2012 to 2016
$3.2M
Health-Related Quality of Life in Huntington?s Disease Research and Practice: DeR03NS065194 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARLOZZI, NOELLE E. · 2009 to 2010
$155k
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240NINDS NIH HHS R01 NS040068NINDS NIH HHS R01 NS077946NINDS NIH HHS R03 NS065194
6 · The paper itself

Abstract

objectiveKnowledge of one's gene status for adult onset conditions provides opportunity to make advance end-of-life (EOL) plans. The purposes of these analyses were to (1) determine the prevalence of EOL plans, including advance directives (ADs) among persons across 3 stages of Huntington disease (HD) and (2) examine factors associated with having ADs in this sample.

methodsData are from 503 participants in the HD Quality of Life study. Participants completed an online health-related quality-of-life survey that included questions regarding EOL planning and self-reported HD symptoms. Frequencies were calculated for EOL planning by the HD stage. Bivariate analysis and logistic regression were used to identify variables associated with having ADs.

resultsA total of 38.2% of participants stated they had ADs and fewer than half had other EOL plans. Being older, increased HD stage, more years of education, lower anxiety, more swallowing symptoms, and higher meaning and purpose were associated with having ADs.

conclusionThe prevalence of ADs in our sample is comparable to the general US population, but surprisingly low, considering the severity and long disease course of HD. PRACTICE IMPLICATIONS: Health-care providers should develop specific interventions early in the disease process to increase ADs in this population.

Indexed as

AdolescentAdultAdvance Care PlanningAdvance DirectivesAgedAged, 80 and overFemaleHumansHuntington DiseaseMaleMiddle AgedSeverity of Illness IndexSocioeconomic FactorsTerminal CareYoung Adultadult onset conditionsadvance directivesHuntington diseasepalliative care

Identifiers

PMID28655280
PMCPMC6074046
OpenAlexW2727150200

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.