Evidence map›Paper›PMID 30818027›Full record

ArticleJournal of pain and symptom management2019

Chronic Pain, Functional Status, and Life Satisfaction Are Associated With Patients Living With HIV Discussing Advance Care Planning With Their Family or Friends.

Eric D Hansen, Mary M Mitchell, Dulce M Cruz Oliver, Fahid A Alghanim, Michelle Walter, Amy A Case, Tom Smith, Amy R Knowlton

Open access · greenAbstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. A mixed-methods exploration of faith, spirituality, and health program interest among older African Americans with HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Eric D HansenDepartment of Supportive Care, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA. Electronic address: eric.hansen@roswellpark.org.
Mary M MitchellFriends Research Institute, Baltimore, Maryland, USA.
Dulce M Cruz OliverPalliative Medicine Program, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Fahid A AlghanimDepartment of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
Michelle WalterDepartment of Supportive Care, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Amy A CaseDepartment of Supportive Care, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Tom SmithPalliative Medicine Program, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Amy R KnowltonDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Roswell Park Comprehensive Cancer Center · USJohns Hopkins Hospital · USJohns Hopkins University · USFriends Research Institute · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Sustaining palliative care to drug users with HIV/AIDS & health disparitiesR01NR014050 · NINR · JOHNS HOPKINS UNIVERSITY · PI KNOWLTON, AMY · 2013 to 2017
$2.3M
Informal Caregiving & Medical Adherence Among HIV+ IDUsR01DA019413 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KNOWLTON, AMY · 2006 to 2009
$2.2M
NCI NIH HHS P30 CA016056NIAID NIH HHS P30 AI094189NIDA NIH HHS R01 DA019413NINR NIH HHS R01 NR014050
6 · The paper itself

Abstract

contextIn the era of effective antiretroviral therapy, persons living with HIV/AIDS (PLWHA) are living longer, transforming HIV from a universally fatal disease to a serious chronic illness, warranting discussions between patients and their loved ones about advance care planning (ACP). Evidence is needed on factors associated with patients' likelihood to discuss ACP with loved ones.

objectivesTo further characterize factors associated with successful ACP in PLWHAs with their loved ones, we examined associations between patients having ACP discussions with the need for assistance with personal care, chronic pain, life satisfaction, prior family disagreements over health care decisions, sex, age, and interference in daily routines due to memory problems.

methodsData were from the Affirm Care study (N = 370), which examined social and environmental factors associated with health outcomes among PLWHAs and their informal caregivers.

resultsSlightly more than half of respondents discussed ACP with loved ones (57%). In adjusted analysis, higher levels of chronic pain (odds ratio [OR] = 2.09, P = 0.045), needing assistance with personal care (OR = 1.63, P = 0.023), greater life satisfaction (OR = 1.02, P = 0.002), prior family arguments over health care decisions (OR = 2.80, P < 0.001), and female sex (OR = 2.22, P = 0.001) were associated with higher odds of discussing ACP with loved ones, whereas age, drug use, education level, depression, and memory problems were nonsignificant.

conclusionThese results suggest that interventions to increase ACP among PLWHAs and their loved ones should target males. The findings also suggest PLWHAs with chronic pain, the need for assistance with personal care, and those with a history of prior family arguments over health care decisions may be primed for ACP.

Indexed as

Advance Care PlanningHealth CommunicationPersonal SatisfactionAdultAgedCaregiversChronic PainCross-Sectional StudiesFamilyFemaleFriendsHIV InfectionsHumansMaleMemory DisordersMiddle Agedadvance care planningAfrican American or blackAIDSchronic painfamily or caregiver

Identifiers

PMID30818027
PMCPMC6486419
OpenAlexW2917649043

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.