ArticleCanadian family physician Medecin de famille canadien2018
Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey.
Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled 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.
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
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to and readiness for advance care planning: a systematic review and meta-analysis of quantitative and qualitative evidence.BMC palliative care · 2025Pooled it
- Experiences with implementing advance care planning (ACP-GP) in Belgian general practice in the context of a cluster RCT: a process evaluation using the RE-AIM framework.BMC primary care · 2024Trial
- Complex advance care planning intervention in general practice (ACP-GP): a cluster-randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Trial
- Advance care planning engagement in patients with chronic, life-limiting illness: baseline findings from a cluster-randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- Trial
- Resuscitation preference conversation typologies: a constructivist grounded theory study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026Article
- Older adults with advanced chronic kidney disease and access to palliative care: Retrospective cohort study in primary care.Canadian family physician Medecin de famille canadien · 2025Article
- Advance care planning readiness among community-dwelling older adults and the influencing factors: a scoping review.BMC palliative care · 2024Article
- Clinicians' experiences implementing an advance care planning pathway in two Canadian provinces: a qualitative study.BMC primary care · 2024Article
- ACP Conversations with Chinese and South Asian Patients: Physicians' Perspectives of Barriers and Facilitating Factors.Canadian geriatrics journal : CGJ · 2023Article
- Article
- Fighting Fires and Battling the Clock: Advance Care Planning in Family Medicine Residency.Family medicine · 2023Article
- A framework for elderly participation in Primary Health Care in Tabriz Health complexes.BMC geriatrics · 2023Article
- How do respondents of primary care surveys compare to typical users of primary care? A comparison of two surveys.BMC primary care · 2023Article
- Cultural adaptation of a community-based advance serious illness planning decision aid to the Quebec context involving end-users.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- "I was not able to keep myself away from tending to her immediate needs": Primary Care Physicians' Perspectives of Serious Illness Conversations at Community Health Centers.Journal of general internal medicine · 2022Article
- A rapid scoping review of end-of-life conversations with frail older adults in Canada.Canadian family physician Medecin de famille canadien · 2021Article
- Factors associated with do-not-resuscitate document completion among patients hospitalized in geriatric ward.BMC geriatrics · 2021Article
- Advance care planning conversations in primary care: a quality improvement project using the Serious Illness Care Program.BMC palliative care · 2021Article
- Facilitating advance care planning in the general practice setting for patients with a chronic, life-limiting illness: protocol for a phase-III cluster-randomized controlled trial and process evaluation of the ACP-GP intervention.BMC palliative care · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess primary care patients' engagement in advance care planning (ACP) and predictors of engagement.
designCross-sectional survey using a revised version of a validated questionnaire.
settingAlberta, Ontario, and British Columbia.
participantsConvenience sample of 20 family practices that provided a consecutive sample of 810 patients aged 50 years and older.
main outcome measuresEngagement in ACP activities, and sociodemographic and health-related predictors of having engaged in ACP activities.
resultsPatients had a mean age of 66 years (55.6% women). Two-thirds of patients (68.5%; 555) had thought about the kinds of medical treatments they would want or not want if they were sick and in hospital, 52.8% (n = 428) had talked with someone about what they would want, 32.0% (n = 259) had written down their wishes, 50.4% (n = 408) had named someone to be their substitute decision maker, and 23.0% (n = 186) had engaged in all 4 key ACP activities. Of those patients who had talked to someone about medical treatments wanted or not, 17.5% (n = 75) had talked to their family doctors. Age (adjusted odds ratio per 10-year category of 1.55; 95% CI 1.26 to 1.90;
conclusionMany patients have engaged in some ACP activities, but few have discussed ACP with their family physicians. Strategies should be implemented in primary care to reduce the barriers to discussing ACP.
Indexed as
Identifiers
29760260PMC5951655What 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.