Trial reportJournal of pain and symptom management2017
Level of Care Preferences Among Nursing Home Residents With Advanced Dementia.
Trial report 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 43 papers.
What it found
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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.
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
43 citing papers in PubMed, 55 citations in OpenAlex.
- Fact Box decision support tools reduce decisional conflict about antibiotics for pneumonia and artificial hydration in advanced dementia: a randomized controlled trail.Age and ageing · 2019Trial
- Association of Prognostic Estimates With Burdensome Interventions in Nursing Home Residents With Advanced Dementia.JAMA internal medicine · 2018Trial
- A Novel Screening Method to Identify Late-Stage Dementia Patients for Palliative Care Research and Practice.Journal of pain and symptom management · 2018Trial
- Treatment Satisfaction with Nonoperative Management of Suspected Hip Fractures in Nursing Home Patients with a Do-Not-Hospitalize Directive: A Prospective Case Series (NONU-HIP).Journal of palliative care · 2026Article
- Nationwide trends and forecasts in Alzheimer's and cerebrovascular disease-related mortality in the United States, 1999-2023: A CDC WONDER analysis.The Journal of international medical research · 2026Article
- Stage of Disease Among Hospitalized Persons Living With Dementia: A Multisite Study.Journal of the American Medical Directors Association · 2026Article
- Language Preference Is Associated with Goals-of-Care Communication and End-of-Life Care in Dementia.Journal of general internal medicine · 2026Article
- Understanding the family caregivers' needs in late-stage dementia: a qualitative perspective to inform policy action.BMC geriatrics · 2026Article
- Communication Surrounding Treatment Preferences for Older Adults With Dementia During Emergency Medical Services Response.Journal of the American Geriatrics Society · 2026Article
- Differences in survival and healthcare utilization amongst nursing home residents with advanced dementia and frailty compared to other end-of-life conditions: a retrospective cohort study.BMC palliative care · 2025Article
- Review
- Exploring Goal-Concordant Medication Use Among VA Community Living Center Residents With Dementia.Journal of the American Geriatrics Society · 2025Article
- Predicting hospice eligibility among dementia patients using language models.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- End-of-Life Care and Health Care Spending for Medicare Beneficiaries With Dementia in Accountable Care Organizations.JAMA health forum · 2025Article
- Satisfaction and quality of dying with nonoperative end-of-life care for hospitalized and non-hospitalized frail older patients with (suspected) hip fractures: a combined cohort study.Acta orthopaedica · 2025Article
- Nursing Interventions in Palliative Care for Advanced Dementia: A Systematic Review of Symptom, Relief, Comfort, and Caregiver Support.Journal of multidisciplinary healthcare · 2025Review
- Prognostication in Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2025Article
- Transitional Care of People With Dementia and Caregivers in the ADRD-PC Trial: A Mixed Methods Study.Journal of pain and symptom management · 2024Article
- Symptom- and function-based trajectories of patients with dementia in hospital and community palliative care settings in the last two weeks of life: a retrospective cohort study.BMC palliative care · 2024Article
- Mechanical Ventilation in Older Adults With Dementia: Opportunities to Promote Goal-Concordant Care.Journal of pain and symptom management · 2024Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
contextDelivering goal-directed care is a hallmark of high-quality palliative care, but requires an understanding of preferences.
objectivesTo describe and identify factors associated with level of care preferences among proxies of nursing home (NH) residents with advanced dementia.
methodsNH residents with advanced dementia and their proxies (N = 402 dyads) were recruited from 62 Boston-area facilities as part of an ongoing randomized clinical trial. At baseline, all proxies were asked to select which level of care they felt the resident should receive: intensive, basic, or comfort care. Multivariable logistic regression identified resident and proxy factors associated with a preference for comfort care (vs. basic or intensive medical care).
resultsProxy level of care preferences were: comfort, 62.2%; basic, 31.1%; and intensive medical care, 6.5%. In multivariable analyses, proxy perception that the resident had less than six months to live was most strongly associated with a preference for comfort-focused care (adjusted odds ratio 12.25, 95% CI 4.04-37.08). Additional factors significantly associated with a preference for comfort care included older resident age, worse resident cognitive impairment, and the proxy having been asked about goals of care preferences by a NH health care provider (adjusted odds ratio 1.71, 95% CI 1.07, 2.74).
conclusionMost proxies select comfort as the preferred level of care for NH residents with advanced dementia. Discussions regarding prognosis, as well as inquiry about goals of care, are modifiable factors that may promote a preference for comfort care in this population.
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What OpenQuestion holds
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.