ArticleBMJ open2019
Prevalence and correlates of advance care directives among older Australians accessing health and residential aged care services: multicentre audit study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- [Clinical and sociodemographic characterization of older adults with chronic diseases and advance directives].Revista medica del Instituto Mexicano del Seguro Social · 2026Observational
- A Review of In-Hospital Mortality Among Patients Transferred From Residential Aged Care Facilities, 2015-2022.Australasian journal on ageing · 2026Article
- Supporting Advance Care Planning Among Mandarin and Cantonese Speaking Communities: A Qualitative Exploratory Study.Current oncology (Toronto, Ont.) · 2026Article
- Advance care planning by proxy for residential aged care facility residents: results of a pilot interventional study.Innovation in aging · 2026Article
- Advance Care Planning in Multicultural Communities: A Document Analysis of Resources to Support Healthcare Staff and Consumers in Australia.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Home ventilation patients: associations of having advance care plans with end-of-life healthcare utilisation.Journal of thoracic disease · 2025Article
- Advanced Care Plan Among Older Chinese in Residential Aged Care: A Retrospective Review.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025Article
- Article
- Family and carer experiences of advanced care planning processes and outcomes.Palliative & supportive care · 2025Article
- The practice of advance care planning among ambulatory cancer patients at a tertiary hospital in Kenya: descriptive cross-sectional survey.Ecancermedicalscience · 2025Article
- Association of advance care planning with hospital use and costs at the end of life: a population-based retrospective cohort study.BMJ open · 2024Article
- Increasing the uptake of advance care directives through staff education and one-on-one support for people facing end-of-life.BMJ open quality · 2024Article
- Co-designing strategies to improve advance care planning among people from culturally and linguistically diverse backgrounds with cancer: iCanCarePlan study protocol.BMC palliative care · 2024Article
- A Revised Approach to Advance Personal Planning: The Role of Theory in Achieving "The Good Result".Journal of bioethical inquiry · 2023Article
- Junior medical doctors' decision making when using advance care directives to guide treatment for people with dementia: a cross-sectional vignette study.BMC medical ethics · 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
- Advance directives in patients with head and neck cancer - status quo and factors influencing their creation.BMC palliative care · 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
- A Survey of Clinicians Regarding Goals of Care for Patients with Severe Comorbid Illnesses Hospitalized for an Acute Deterioration.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIt is important that the outcomes of advance care planning (ACP) conversations are documented and available at the point of care. Advance care directives (ACDs) are a subset of ACP documentation and refer to structured documents that are completed and signed by competent adults. Other ACP documentation includes informal documentation by the person or on behalf of the person by someone else (eg, clinician, family). The primary objectives were to describe the prevalence and correlates of ACDs among Australians aged 65 and over accessing health and residential aged care services. The secondary aim was to describe the prevalence of other ACP documentation. DESIGN AND
settingA prospective multicentre health record audit in general practices (n=13), hospitals (n=12) and residential aged care facilities (RACFs; n=26).
participants503 people attending general practice, 574 people admitted to hospitals and 1208 people in RACFs. PRIMARY AND SECONDARY OUTCOME MEASURES: Prevalence of one or more ACDs; prevalence of other ACP documentation.
results29.8% of people had at least one ACD on file. The majority were non-statutory documents (20.9%). ACD prevalence was significantly higher in RACFs (47.7%) than hospitals (15.7%) and general practices (3.2%) (p<0.001), and varied across jurisdictions. Multivariate logistic regression showed that the odds of having an ACD were positively associated with greater functional impairment and being in an RACF or hospital compared with general practice. 21.6% of people had other ACP documentation.
conclusionsIn this study, 30% of people had ACDs accessible and a further 20% had other ACP documentation, suggesting that approximately half of participants had some form of ACP. Correlates of ACD completion were greater impairment and being in an RACF or hospital. Greater efforts to promote and standardise ACDs across jurisdictions may help to assist older people to navigate and complete ACDs and to receive care consistent with their preferences. TRIAL REGISTRATION NUMBER: ACTRN12617000743369.
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