Trial reportJournal of pain and symptom management2019
Did a Goals-of-Care Discussion Happen? Differences in the Occurrence of Goals-of-Care Discussions as Reported by Patients, Clinicians, and in the Electronic Health Record.
Trial report in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
22 citing papers in PubMed, 47 citations in OpenAlex.
- Seriously Ill Patients' Prioritized Goals and Their Clinicians' Perceptions of Those Goals.Journal of pain and symptom management · 2022Trial
- Efficacy of a Communication-Priming Intervention on Documented Goals-of-Care Discussions in Hospitalized Patients With Serious Illness: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Patient-Reported Receipt of Goal-Concordant Care Among Seriously Ill Outpatients-Prevalence and Associated Factors.Journal of pain and symptom management · 2020Trial
- Surviving Severe Acute Brain injury: Care trajectories and missed opportunities.medRxiv : the preprint server for health sciences · 2026Article
- "He said he could take his own advice": Stigmatizing language in notes documenting discharges against medical advice.Journal of hospital medicine · 2026Article
- "What are you afraid of?" A mixed methods exploration of serious illness communication with oncology patients on general internal medicine wards in Canada.BMC health services research · 2025Article
- Patient-Centered Measures of Goal Concordance in Geriatrics and Palliative Care: A Scoping Review.JAMA network open · 2025Article
- Goals of Care Assessment during Hospitalization for Sepsis.Annals of the American Thoracic Society · 2025Article
- Communicating to the Intellect, Heart, and Person: A Model Describing Participants' Experience of Goals of Care Discussions Conducted During Acute Inpatient Care.Palliative medicine reports · 2025Article
- Redefining conversations at the crossroads of care using the SAFE-GOALS framework.Trauma surgery & acute care open · 2025Article
- SAFE-GOALS: a protocol for goals of care discussions in the intensive care unit.Trauma surgery & acute care open · 2025Review
- A conceptual model of the nurse's role as primary palliative care provider in goals of care communication.PEC innovation · 2024Article
- Classification of Documented Goals of Care Among Hospitalized Patients with High Mortality Risk: a Mixed-Methods Feasibility Study.Journal of general internal medicine · 2024Article
- The trajectory of prognostic cognition in patients with advanced cancer: is the traditional advance care planning approach desirable for patients?Japanese journal of clinical oncology · 2024Review
- Quality and Satisfaction With Advance Care Planning Conversations Among English- and Spanish-Speaking Older Adults.Journal of palliative medicine · 2023Article
- Predictors of Documented Goals-of-Care Discussion for Hospitalized Patients With Chronic Illness.Journal of pain and symptom management · 2023Article
- Article
- Serious Illness Conversation Training for Inpatient Medical Oncology Advanced Practice Providers: A Quality Improvement Project.Journal of the advanced practitioner in oncology · 2023Article
- Mixed-methods evaluation of three natural language processing modeling approaches for measuring documented goals-of-care discussions in the electronic health record.Journal of pain and symptom management · 2022Article
- Goal-Concordant Care After Severe Acute Brain Injury.Frontiers in neurology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
contextGoals-of-care discussions are associated with improved end-of-life care for patients and therefore may be used as a process measure in quality improvement, research, and reimbursement programs.
objectivesTo examine three methods to assess occurrence of a goals-of-care discussion-patient report, clinician report, and documentation in the electronic health record (EHR)-at a clinic visit for seriously ill patients and determine whether each method is associated with patient-reported receipt of goal-concordant care.
methodsWe conducted a secondary analysis of a multicenter cluster-randomized trial, with 494 patients and 124 clinicians caring for them. Self-reported surveys collected from patients and clinicians two weeks after a clinic visit assessed occurrence of a goals-of-care discussion. Documentation of a goals-of-care discussion was abstracted from the EHR. Patient-reported receipt of goal-concordant care was assessed by survey two weeks after the visit.
resultsFifty-two percent of patients reported occurrence of a goals-of-care discussion at the clinic visit; clinicians reported occurrence of a discussion at 66% of visits. EHR documentation occurred in 42% of visits (P < 0.001 for each compared with other two). Patients who reported occurrence of a goals-of-care discussion at the visit were more likely to report receipt of goal-concordant care than patients who reported no discussion (β 0.441, 95% CI 0.190-0.692; P = 0.001). Neither occurrence of a discussion by clinician report nor by EHR documentation was associated with goal-concordant care.
conclusionDifferent approaches to assess goals-of-care discussions give differing results, yet each may have advantages. Patient report is most likely to correlate with patient-reported receipt of goal-concordant care.
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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.