ReviewEinstein (Sao Paulo, Brazil)2020
Variables that influence the medical decision regarding Advance Directives and their impact on end-of-life care.
Review in Einstein (Sao Paulo, Brazil), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluating outcomes of advance care planning interventions for adults living with advanced illness and people close to them: A systematic meta-review.Palliative medicine · 2025Pooled it
- "SpezPat"- common advance directives versus disease-centred advance directives: a randomised controlled pilot study on the impact on physicians' understanding of non-small cell lung cancer patients' end-of-life decisions.BMC palliative care · 2022Trial
- Oncology physicians' and nurses' perspectives on barriers to advanced care planning for patients with cancer in Oman: A cross-sectional study.International journal of nursing sciences · 2026Article
- Family satisfaction with the end-of-life discussions and resuscitation orders for patients with severe COVID-19: a multicenter study in Saudi Arabia.BMC medical ethics · 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
- Knowledge, Attitudes, and Practices of Healthcare Providers Towards Advance Directive for COPD Patients in Riyadh, Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- A Resident-Led Quality Improvement Initiative to Increase End-of-Life Planning in Primary Care.Journal of graduate medical education · 2024Article
- Communication, Shared Decision-making and Goals of Care in the ICU through Electronic Health Records: A Scoping Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Therapeutic Obstinacy in End-of-Life Care-A Perspective of Healthcare Professionals from Romania.Healthcare (Basel, Switzerland) · 2024Article
- End-of-life health literacy, knowledge and behaviours towards advance care planning among older adults: cross-sectional evidence from Switzerland.BMJ public health · 2024Article
- Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare.Cureus · 2024Article
- Doctor's Perceptions of the Systemic Influences on Advance Care Plan Application: A Thematic Analysis.Journal of multidisciplinary healthcare · 2024Article
- The Meaning of Words and Why They Matter During End-of-Life Conversations.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021Article
- Medical decisions concerning the end of life for cancer patients in three Colombian hospitals - a survey study.BMC palliative care · 2021Article
- Development and psychometric properties of the general public's attitudes toward advance care directives scale in Portugal.Journal of public health research · 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
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to identify the variables that influence physicians to implement Advance Directives and assess their impact on end-of-life care. It is a narrative literature review of 25 articles published between 1997 and 2018, in the following databases: CAPES, EBSCOhost, BDTD, VHL, Google Scholar, MEDLINE®/PubMed. The keywords utilized were: "advance directives", "living wills", "physicians", "attitude", "decision making", "advance care planning". The main factors that influenced physicians to implemente the directives were patients prognosis, medical paternalism, and patients understanding of their medical condition. Respect for autonomy, lack of knowledge and experience with directives, legal concerns, family influence, cultural and religious factors also contributed to medical decision. Most studies (86%) showed that having a directive led to lower rates of invasive interventions in the last days of patient´s life. Physicians were interested in respecting their patients' autonomy and agreed that having an advance directive helped in the decision-making process; however, they stated other factors were also taken into account, mainly prognosis and reversibility conditions. Having directives contributed to reducing the use of life support therapies and adoption of comfort measures.
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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.