Evidence map›Paper›PMID 34488509›Full record

SynthesisPalliative medicine2021

Asian patients' perspectives on advance care planning: A mixed-method systematic review and conceptual framework.

Diah Martina, Olaf P Geerse, Cheng-Pei Lin, Martina S Kristanti, Wichor M Bramer, Masanori Mori, Ida J Korfage, Agnes van der Heide, Judith Ac Rietjens, Carin Cd van der Rijt

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07733973 (Evaluating the Effectiveness, Acceptability and Feasibility of a Communication and Care Coordinator), which is not on this map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 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.

NCT07733973 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Effectiveness, Acceptability and Feasibility of a Communication and Care Coordinator (CCC) Model in Facilitating Serious Illness Communication (SIC) and Care in Patients With Cancer

TypeinterventionalSponsorNational Cancer Centre, SingaporeRan2026 to 2029Enrolled560ConditionsCancerArmsCCC Intervention
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. End-of-life emergency medical service transport among patients with terminal cancer by cardiopulmonary arrest status: A nationwide mortality follow-back survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  20. End-of-life discussions, preference concordance, and good death: insights from a nationwide mortality follow-back survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
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

10 authors.

Diah MartinaDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0889-223X
Olaf P GeerseDepartment of Internal Medicine, Amsterdam University Medical Center, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-8864-4887
Cheng-Pei LinInstitute of Community Health Care, School of Nursing, National Yang Ming Chiao Tung University, Taipei.ORCID https://orcid.org/0000-0001-5810-8776
Martina S KristantiSchool of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.ORCID https://orcid.org/0000-0001-6609-6285
Wichor M BramerMedical Library, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Masanori MoriPalliative and Supportive Care Division, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Ida J KorfageDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6538-9115
Agnes van der HeideDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Judith Ac RietjensDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0538-5603
Carin Cd van der RijtDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsian healthcare professionals hold that patients' families play an essential role in advance care planning.

aimTo systematically synthesize evidence regarding Asian patients' perspectives on advance care planning and their underlying motives.

designMixed-method systematic review and the development of a conceptual framework (PROSPERO: CRD42018099980). DATA SOURCES: EMBASE, MEDLINE, Web of Science, and Google Scholar were searched for studies published until July 27, 2020. We included studies concerning seriously-ill Asian patients' perspectives on advance care planning or their underlying motives for engaging or not engaging in it.

resultsThirty-six articles were included; 22 were quantitative and 27 were from high-income countries. Thirty-nine to ninety percent of Asian patients were willing to engage in advance care planning. Our framework highlighted that this willingness was influenced not only by their knowledge of their disease and of advance care planning, but also by their beliefs regarding: (1) its consequences; (2) whether its concept was in accordance with their faith and their families' or physicians' wishes; and (3) the presence of its barriers. Essential considerations of patients' engagement were their preferences: (1) for being actively engaged or, alternatively, for delegating autonomy to others; (2) the timing, and (3) whether or not the conversations would be documented.

conclusionThe essential first step to engaging patients in advance care planning is to educate them on it and on their diseases. Asian patients' various beliefs about advance care planning should be accommodated, especially their preferences regarding their role in it, its timing, and its documentation.

Indexed as

Advance Care PlanningAsian PeopleCommunicationHealth PersonnelHumansPatient ParticipationAsian continental ancestry groupattitudecritical illnessmixed designpatient preferencesystematic review

Identifiers

PMID34488509
PMCPMC8637390

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.