SynthesisThe American journal of hospice & palliative care2019
Examining Interventions Designed to Support Shared Decision Making and Subsequent Patient Outcomes in Palliative Care: A Systematic Review of the Literature.
Synthesis in The American journal of hospice & palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses 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
26 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Evaluating outcomes of advance care planning interventions for adults living with advanced illness and people close to them: A systematic meta-review.Palliative medicine · 2025Pooled it
- Feasibility and effectiveness of tools that support communication and decision making in life-prolonging treatments for patients in hospital: a systematic review.BMJ supportive & palliative care · 2022Pooled it
- Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review.Frontiers in psychology · 2021Pooled it
- The evidence supporting educational videos for patients and caregivers receiving hospice and palliative care: A systematic review.Patient education and counseling · 2020Pooled it
- Trial
- Digital Patient-Controlled Follow-Up in Palliative Cancer Care: Protocol for a Mixed Methods Feasibility Study.JMIR research protocols · 2026Article
- A nursing perspective on human-AI collaboration in personalized breast cancer care pathways.Frontiers in oncology · 2026Article
- Why Is Community-Based Palliative Care Declined? Older Adult, Caregiver, and Provider Perspectives.Journal of palliative medicine · 2026Article
- Patients' perceptions of autonomy in palliative care: Two patient interview exemplars.Palliative care and social practice · 2026Article
- The effect of shared decision-making for critically ill patients: a systematic review and meta-analysis.Frontiers in medicine · 2026Review
- Video Conversation Aids to Assist in Goals-Of-Care Discussions With Older Adults in a Medical Setting: A Systematic Review.The American journal of hospice & palliative care · 2025Article
- Shared Decision-Making Tools Implemented in the Electronic Health Record: Scoping Review.Journal of medical Internet research · 2025Article
- Patients' Experiences With Advance Care Planning and Decision-Making: An Interview Study in Finnish Hospital Palliative Care Wards.Nursing open · 2025Article
- Is shared decision making an aspect of palliative care integration? An observation of collaboration between oncologists and palliative care professionals.BMC palliative care · 2024Observational
- Application of Terror Management Theory to End-Of-Life Care Decision-Making: A Narrative Literature Review.Omega · 2024Review
- Destigmatizing Palliative Care among Young Adults-A Theoretical Intervention Mapping Approach.Healthcare (Basel, Switzerland) · 2024Article
- "It is very hard to just accept this" - a qualitative study of palliative care teams' ethical reasoning when patients do not want information.BMC palliative care · 2024Article
- Shared decision making with Oncologists and Palliative care specialists (SOP) model help advanced pancreatic cancer patients reaching goal concordant care: A prospective cohort study.Cancer medicine · 2023Article
- Concerns and priority outcomes for children with advanced cancer and their families in the Middle East: A cross-national qualitative study.Frontiers in oncology · 2023Article
- Leveraging the timing and frequency of patient decision aids in longitudinal shared decision-making: A narrative review and applied model.Health expectations : an international journal of public participation in health care and health policy · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
background: Shared decision making (SDM) is a key attribute of patient-centered care, which empowers palliative care patients to be able to make optimal medical decisions about end-of-life treatments based on their own values and preferences.
aim: The aim of this systematic literature review is to detail and compare interventions supporting SDM over the last 10 years (January 2008 to December 2017) and to analyze patient/caregiver outcomes at the end of life.
methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, CINAHL, Embase, and Cochrane Library were searched with key search terms: SDM, decision aid, decision support, palliative care, and hospice care. The Mixed Methods Appraisal Tool was used to assess the quality of the included studies.
results: The initial search yielded 2705 articles, and 12 studies were included in the final review. The quality of the studies was modest and technology-enabled delivery modes (e.g., video, DVD, web-based tool) were most commonly used. Patient/caregiver knowledge of end-of-life care was the most common primary outcome across studies. The strength of the association between the SDM interventions and patient/caregiver outcomes varied.
conclusion: The findings from the studies that examined the effects of the SDM intervention on patient outcomes were inconsistent, highlighting the need for further SDM intervention studies among diverse patient populations using consistent measures. Given the availability of health technologies, future studies should focus on developing individual-tailored, technology-enabled interventions to support patient-centered medical decision making.
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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.