Observational studyJournal of the American Geriatrics Society2018
Community-Based Palliative Care and Advance Care Planning Documentation: Evidence from a Multispecialty Group.
Observational study in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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
6 citing papers in PubMed, 11 citations in OpenAlex.
- Normality and compassionate care: experiences from advanced cancer patients in their last time at home.BMC primary care · 2024Article
- Practicing Surgeons' Perception of Barriers to Palliative Care Delivery in British Columbia.Cureus · 2024Article
- Compassionate engagement of communities in support of palliative and end-of-life care: challenges in post-pandemic era.Frontiers in medicine · 2024Article
- Cancer patients spend more time at home and more often die at home with advance care planning conversations in primary health care: a retrospective observational cohort study.BMC palliative care · 2022Observational
- Accessibility of information on patients' and family members' end-of-life wishes in advance care planning.Nursing open · 2022Article
- Implementation of advance care planning amid the COVID-19 crisis: A narrative review and synthesis.Geriatrics & gerontology international · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
BACKGROUND/
objectivesWith the growing public demand for access to critical health data across care settings, it is essential that advance care planning (ACP) information be included in the electronic health record (EHR) so that multiple clinicians can access it and understand individuals' preferences for end-of-life care. Community-based palliative care programs often incorporate ACP services. This study examined whether a community-based palliative care program is associated with digitally extractable ACP documentation in the EHR.
designObservational study using propensity score-weighted generalized estimation equations to examine patterns of digitally extractable ACP documentation.
settingPalo Alto Medical Foundation (PAMF), a multispecialty ambulatory healthcare system in northern California.
participantsIndividuals aged 65 and older with serious illnesses between January 1, 2013, and December 31, 2014 (N = 3,444).
interventionCommunity-based palliative care program in PAMF. MEASUREMENTS: Digitally extractable ACP in EHR.
resultsWe found that only 14% (n = 483) of individuals with serious illnesses had digitally extractable ACP in electronic health records. Of the 6% of individuals receiving palliative care, 65% had ACP, versus 11% of those not receiving palliative care. Study results showed a strong positive association between palliative care and ACP.
conclusionOnly a small percentage of individuals with serious illnesses had ACP documentation in the EHR. Individuals with serious illnesses infrequently used palliative care delivered by board-certified palliative care specialists. Palliative care service use was associated with higher rates of ACP after controlling for organizational and individual characteristics using a propensity score weighting method. Scalable interventions targeted at non-palliative care clinicians for universal access to ACP are needed.
Indexed as
Identifiers
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.