ArticlePloS one2018
Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors related to advance directives completion among cancer patients: a systematic review.BMC palliative care · 2024Pooled it
- Predictors of Readiness to Engage in Advance Care Planning Among Older Adults With Serious Illness: Baseline Findings From the EQUAL ACP Study.Journal of the American Geriatrics Society · 2026Trial
- The influence of an interactive educational approach on advance care planning counseling in individuals with psychiatric disorders.BMC palliative care · 2025Trial
- Primary Palliative Care Improves Uptake of Advance Care Planning Among Patients With Advanced Cancers.Journal of the National Comprehensive Cancer Network : JNCCN · 2023Trial
- Trial
- Exploring barriers and facilitators to shared decision-making for older adults in East Asian health systems: a scoping review.Innovation in aging · 2026Review
- Multi Components in the Implementation of Advanced Care Planning for Patients with Cancer: A Scoping Review.Journal of caring sciences · 2025Review
- The effectiveness of a virtual reality teaching module on advance care planning and advance decision for medical professionals.BMC medical education · 2024Article
- Attitudes towards advance care planning amongst community-based older people in England.PloS one · 2024Article
- Communication in Cancer Care in Asia: A Narrative Review.JCO global oncology · 2023Review
- Palliative Care and End-of-Life Issues in Patients with Brain Cancer Admitted to ICU.Medicina (Kaunas, Lithuania) · 2023Review
- Prevalence and predictors of advance directive among terminally ill patients in Taiwan before enactment of Patient Right to Autonomy Act: a nationwide population-based study.BMC palliative care · 2022Article
- The Medical Orders for Scope of Treatment (MOST) form completion: a retrospective study.BMC health services research · 2022Article
- Important Factors Influencing Willingness to Participate in Advance Care Planning among Outpatients: A Pilot Study in Central Taiwan.International journal of environmental research and public health · 2022Article
- Comparison of intuitive assessment and palliative care screening tool in the early identification of patients needing palliative care.Scientific reports · 2022Article
- Factors Associated with Advance Directives Documentation: A Nationwide Cross-Sectional Survey of Older Adults in Korea.International journal of environmental research and public health · 2022Article
- How Acculturation Influences Attitudes about Advance Care Planning and End-of-Life Care among Chinese Living in Taiwan, Hong Kong, Singapore, and Australia.Healthcare (Basel, Switzerland) · 2021Article
- Factors associated with do-not-resuscitate document completion among patients hospitalized in geriatric ward.BMC geriatrics · 2021Article
- Perceptions of Behavioral Awareness, Intention, and Readiness for Advance Care Planning: A Mixed-Method Study among Older Indigenous Patients with Late-Stage Cancers in Remote Areas of Eastern Taiwan.International journal of environmental research and public health · 2021Article
- Prevalence and Predictors of Willingness to Make Advance Directives among Macao Chinese.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough advance directives (AD) have been implemented for years in western countries, the concept of AD is not promoted extensively in eastern countries. In this study we evaluate a program to systematically conduct advance care planning (ACP) communication for hospitalized patients in Taiwan and identify the factors associated with AD completion.
methodsIn this retrospective evaluation of a clinical ACP program, we identified adult patients with chronic life-limiting illness admitted to Taipei City Hospital between April 2015 and January 2016. Trained healthcare providers held an ACP meeting to discuss patients' preference regarding end-of-life care and AD completion. A multiple logistic regression was performed to determine the factors associated with the AD completion.
resultsA total of 2878 patients were determined to be eligible for ACP during the study, among which 1798 (62.5%) completed ACP and data was available for 1411 patients (49.1%). Of the 1411 patients who received ACP communication with complete data, the rate of AD completion was 82.6%. The overall mean (SD) age was 78.2 (14.4) years. Adjusting for other variables, AD completion was associated with patients aged ≥ 85 years [adjusted odds ratio (AOR) = 1.80, 95% CI 1.21-2.67], critical illness (AOR = 1.17, 95% CI 1.06-1.30), and social workers participating in ACP meetings (AOR = 1.74, 95% CI 1.24-2.45).
conclusionThe majority of inpatients with chronic life-limiting illness had ACP communication as part of this ACP program and over 80% completed an AD. Our study demonstrates the feasibility of implementing ACP discussion in East Asia and suggests that social workers may be an important component of ACP communication with patients.
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