ArticleAnnals of emergency medicine2019
Goals-of-Care Conversations for Older Adults With Serious Illness in the Emergency Department: Challenges and Opportunities.
Article in Annals of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.
What it found
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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.
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Who cites it
69 citing papers in PubMed.
- Improving End-of-Life Screening in the Emergency Department With Collaborative Artificial Intelligence.Annals of emergency medicine · 2026Article
- Effect of Clinicians' Empathetic Communication on Anxiety: A Randomized Video Vignette Study.Journal of general and family medicine · 2026Article
- Effect of a multi-component palliative care intervention on goals of care discussions for critical patients in the emergency department.Internal and emergency medicine · 2026Article
- Impact of nurse-led advance care planning in a primary care setting.Palliative & supportive care · 2026Article
- Cultural Adaptation and Acceptability of the Crisis Conversation Guide by Emergency Physicians for Serious Illness Patients: Mixed Methods Study.Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2025Article
- Difficult Conversation Case: Death Notification.Journal of education & teaching in emergency medicine · 2025Article
- A Qualitative Study of Health Priorities of People With Dementia and Care Partners in Emergency Department and Hospital Care in a Public Safety-Net Setting.Journal of the American Geriatrics Society · 2025Article
- Evaluation of a Novel Goals-of-Care Discussion Priming Tool (MyCare) in Inpatient General Internal Medicine Ward Settings: Feasibility, Acceptability, and Usability Study.JMIR formative research · 2025Article
- Goals of Care Documentation for Older Patients Admitted Through the Emergency Department: A Whisper in Geriatric Acute Care.Journal of the American Medical Directors Association · 2025Article
- Absence of Medical Record Documentation of Advance Care Planning Status in At-Risk Emergency Department Patients.Cureus · 2025Article
- Benefits of Emergency Department-Initiated Goals of Care Conversations and Palliative Care Consultations Among Older Adults with Chronic or Serious Life-Limiting Illnesses.Journal of the American College of Emergency Physicians open · 2025Article
- Healthy days at home and prognosis of older adults with cancer and non-cancer serious life-limiting illnesses.BMC geriatrics · 2025Article
- Emergency department early mortality model for patients admitted after presenting to a tertiary medical center emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.Journal of general internal medicine · 2025Article
- Applying collaborativist theory to reenvision small-group learning in emergency medicine education.AEM education and training · 2025Review
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Applying recommendations for diagnostic disclosure of mild cognitive impairment and dementia: Practical guidance for clinicians.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Observational
- Knowledge, Attitude, and Practice of Palliative Care Among Physicians and Nurses in Intensive Care Units in Shanghai, China.Journal of multidisciplinary healthcare · 2025Article
- "What Matters" in the Emergency Department: A Prospective Analysis of Older Adults' Concerns and Desired Outcomes.Medical care · 2024Observational
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
During the last 6 months of life, 75% of older adults with preexisting serious illness, such as advanced heart failure, lung disease, and cancer, visit the emergency department (ED). ED visits often mark an inflection point in these patients' illness trajectories, signaling a more rapid rate of decline. Although most patients are there seeking care for acute issues, many of them have priorities other than to simply live as long as possible; yet without discussion of preferences for treatment, they are at risk of receiving care not aligned with their goals. An ED visit may offer a unique "teachable moment" to empower patients to consider their ability to influence future medical care decisions. However, the constraints of the ED setting pose specific challenges, and little research exists to guide clinicians treating patients in this setting. We describe the current state of goals-of-care conversations in the ED, outline the challenges to conducting these conversations, and recommend a research agenda to better equip emergency physicians to guide shared decisionmaking for end-of-life care. Applying best practices for serious illness communication may help emergency physicians empower such patients to align their future medical care with their values and goals.
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