ArticleBMJ supportive & palliative care2019
Advance directives in European long-term care facilities: a cross-sectional survey.
Article in BMJ supportive & palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Palliative extubation after ROSC in the emergency setting-a guideline for emergency physicians].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Guideline
- Timing of Goals of Care Discussions in Nursing Homes: A Systematic Review.Journal of the American Medical Directors Association · 2023Pooled it
- Advance directives in Finnish long-term care: Do sociodemographic characteristics and regional factors matter?Scandinavian journal of public health · 2026Article
- From inferring preferences to enabling choice: potentials of digital tools to improve substitute decision-making.Frontiers in digital health · 2026Article
- Advance care planning among stroke patients: A scoping review.International journal of nursing sciences · 2025Review
- Preparing for the end-of-life: public attitudes towards advance directives and assisted suicide in Switzerland.BMC palliative care · 2025Article
- Mapping provider and consumer voices using the AACTT framework: a focus group study of advance care planning.BMC health services research · 2025Article
- Effects of Advance Care Planning on End-of-Life Indicators for Nursing Home Residents-An Experimental Study with a Retrospective Chart Review.Geriatrics (Basel, Switzerland) · 2024Article
- Information and Advance Care Directives for End-of-Life Residents with and without Dementia in Nursing Homes.Healthcare (Basel, Switzerland) · 2023Article
- Factors associated with living will among older persons receiving long-term care in Finland.Palliative care and social practice · 2023Article
- Measuring relatives' perceptions of end-of-life communication with physicians in five countries: a psychometric analysis.European journal of ageing · 2022Article
- Advance Care Planning Preferences in Hong Kong: A Cross-Sectional Study in a Community.Healthcare (Basel, Switzerland) · 2022Article
- Telecommunication for Advance Care Planning in Heart Failure.Cardiac failure review · 2022Review
- Accessibility of information on patients' and family members' end-of-life wishes in advance care planning.Nursing open · 2022Article
- Advance care planning in nursing homes: new conversation and documentation tools.BMJ supportive & palliative care · 2021Article
- Before the 2020 Pandemic: an observational study exploring public knowledge, attitudes, plans, and preferences towards death and end of life care in Wales.BMC palliative care · 2021Observational
- The Advance Care Compass- A New Mechanics for Digitally Transforming Advance Directives.Frontiers in digital health · 2021Article
- Could we have done better with COVID-19 in nursing homes?European geriatric medicine · 2020Article
- Associations between Length of Stay in Long Term Care Facilities and End of Life Care. Analysis of the PACE Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Implementing advance care planning in routine nursing home care: The development of the theory-based ACP+ program.PloS one · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnd-of-life care practices in long-term care facilities (LTCFs) are the focus of growing attention in Europe, due to rapidly increasing number of older persons living in LTCFs. The knowledge about end-of-life discussions or existence of written advance directives in the European LTCFs is scarce. This study's aim is to investigate the prevalence of written advance directives and their sociodemographic associates, among recently deceased LTCF residents, in six European countries.
methodsData from the European Union-funded PACE database were collected from 322 LTCFs in six European countries in 2014. The assessments were performed by using two questionnaires designed for LTCF administrative staff and for staff member.LTCFs were selected within each country by using proportional stratified random sampling procedure. Facilities with certain types and sizes were included from each country.Multilevel multivariate analyses were performed to evaluate associations between written advance directives and selected predictors.
resultsIn total, 32.5 % of the 1384 deceased LTCF residents had a written advance directive with a range from 0% to 77 % between countries. The proportion of the most common advance directive, 'Do not resuscitate in case of cardiac or respiratory arrest (DNR)', varied correspondingly from 0% to 75%.LTCF type (OR 2.86 95% CI 1.59 to 5.23) and capability of expressing at the time of admission (OR 3.26 95% CI 2.26 to 4.71) were the independent predictors for advance directive. Residents living in LTCFs where physician was available were less likely to have advance directive compared with residents from LTCFs where physician was not available.
conclusionExtensive differences for prevalence of written advance directive exist between countries among older LTCF residents in Europe. Timely and appropriate response to LTCF resident's health needs and preferences efforts advance care planning.
Indexed as
Identifiers
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.