Evidence map›Paper›PMID 29890967›Full record

ArticleBMC medical ethics2018

Advance directive: does the GP know and address what the patient wants? Advance directive in primary care.

Guda Scholten, Sofie Bourguignon, Anthony Delanote, Bieke Vermeulen, Geert Van Boxem, Birgitte Schoenmakers

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In one paragraph

Article in BMC medical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Advance Directives in Portugal: A Qualitative Survey.Healthcare (Basel, Switzerland) · 2024
    Article
  5. Article
  6. Article
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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

6 authors.

Guda ScholtenDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium.
Sofie BourguignonDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium.
Anthony DelanoteDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium.
Bieke VermeulenDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium.
Geert Van BoxemDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium.
Birgitte SchoenmakersDepartment of Public Health and Primary Care, University of Leuven, Kapucijnenvoer 33, block J, Box 7001, 3000, Leuven, Belgium. Birgitte.schoenmakers@kuleuven.be.ORCID 0000-0003-1909-9613

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the rapid changes in the medical world and the aging population, the need for advanced care planning grows. Despite efforts to make this topic discussed, only a minority of patients discusses the advance directive with their general practitioner (GP). This study aimed to map thresholds: What barriers are identified by GPs and patients in preparing and discussing an advance directive?

methodsA cross section survey in patients and GP's was performed. Citizens were recruited by multimedia and by street interviews. GP's were recruited by mailing.

resultsMost of the 502 citizens already heard of an advance directive but only 17 had declared one while 21 never want one. Eighty percent wants to take the initiative themselves but half of the participants wants the GP to be actively involved. Thirty percent finds the document too difficult to understand. The need to draw an advance directive grew with increasing age. Of the 117 GP's involved, 65% drafted five or less advance directives the past year. A lack of time, experience and a poor access to the correct administrative requirements were only a few of the barriers.

conclusionsPreparing and drafting an advance directive is a time-consuming and difficult procedure. Patients and GP's have the right to be informed and instructed on how to prepare an advance directive.

Indexed as

Advance DirectivesAwarenessCommunicationComprehensionGeneral PractitionersHealth Knowledge, Attitudes, PracticePrimary Health CareAgedAged, 80 and overAttitude of Health PersonnelCross-Sectional StudiesFemaleHealth Services Needs and DemandHumansInformation DisseminationMaleAdvance care planningGeneral practiceLiving willPrimary care

Identifiers

PMID29890967
PMCPMC5996478

What OpenQuestion holds

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Registered trials

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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.