Evidence map›Paper›PMID 32549238›Full record

ArticleInternational journal of environmental research and public health2020

Exploring Advance Directive Perspectives and Associations with Preferences for End-of-Life Life-Sustaining Treatments among Patients with Implantable Cardioverter-Defibrillators.

JinShil Kim, Hyung Wook Park, Minjeong An, Jae Lan Shim

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

JinShil KimDepartment of Nursing, College of Nursing, Gachon University, 191 Hambakmoero, Yeonsugu, Incheon 21936, Korea.ORCID 0000-0002-9355-6942
Hyung Wook ParkDepartment of Cardiovascular Medicine Chonnam National University Medical School, Chonnam National University Hospital, 42 Jebong-ro, Donggu, Gwangju 61469, Korea.
Minjeong AnDepartment of Nursing, College of Nursing, Chonnam National University, Chonnam National University Hospital, 160 Baekseoro, Donggu, Gwangju 61469, Korea.ORCID 0000-0003-4318-8755
Jae Lan ShimDepartment of Nursing, Dongguk University, 123 Dongdaero, Gyeongju-si, Gyeongsangbuk-do 38066, Korea.ORCID 0000-0002-7795-0149

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deactivation of an implantable cardioverter-defibrillator (ICD) is a critical issue in the advance care planning (ACP) of ICD recipients; however, related perspectives have rarely been explored. Thus, this study aimed to provide an initial investigation of ICD recipients' perceived susceptibility and barriers/benefits regarding ACP and/or advance directives (ADs), and associations of these modifiable factors with preferences for end-of-life life-sustaining treatments (LSTs) (cardiopulmonary resuscitation (CPR), ventilator support, hemodialysis, and hospice care). Using a descriptive correlational design, 48 ICD recipients (age, 50.1 years; male, 85.4%) completed survey questionnaires. "No burden on family" was the most highly valued (59.1%), followed by "comfortable death" (20.4%), and both (11.4%). LST preference was 43.8% for ventilator support, 45.8% for both hemodialysis and hospice care, and 54.2% for CPR. Perceived susceptibility to having unexpected end-of-life experiences increased the likelihood of preference for aggressive LSTs, with preferences increasing by 15% for CPR, 17% for ventilator support, and 23% for hemodialysis. A non-modifiable factor, older age, was the only predictor of increased preference for hospice care (odds ratio = 1.09,

Indexed as

Advance DirectivesDefibrillators, ImplantablePatient PreferenceTerminal CareAgedFemaleHumansMaleMiddle AgedStroke VolumeVentricular Function, Leftadvance care planningadvance directivebarriers/benefitsimplantable cardioverter-defibrillatorperceived susceptibility

Identifiers

PMID32549238
PMCPMC7345790

What OpenQuestion holds

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LicenceCC BY
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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.