Evidence map›Paper›PMID 34711599›Full record

ArticleBMJ open2021

Awareness and attitudes towards advance care planning in primary care: role of demographic, socioeconomic and religiosity factors in a cross-sectional Lebanese study.

Georges Assaf, Sarah Jawhar, Kamal Wahab, Rita El Hachem, Tanjeev Kaur, Maria Tanielian, Lea Feghali, Adina Zeki Al Hazzouri, Martine Elbejjani

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Enhancing Advance Care Planning in India through a 12-step Pathway.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  4. Article
  5. Article
  6. 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

9 authors at 4 institutions in 2 countries.

Georges AssafDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Sarah JawharDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Kamal WahabDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Rita El HachemClinical Research Institute, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Tanjeev KaurDepartment of Academic Internal Medicine and Geriatrics, University of Illinois at Chicago, Chicago, Illinois, USA.
Maria TanielianDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Lea FeghaliDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Adina Zeki Al HazzouriEpidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
Martine ElbejjaniClinical Research Institute, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon me158@aub.edu.lb.ORCID 0000-0002-5035-0370
American University of Beirut Medical Center · LBClinical Research Institute · USUniversity of Illinois Chicago · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess awareness and attitudes towards engaging in advance care planning (ACP) and their relationship with demographic, socioeconomic and religiosity factors among Lebanese middle-aged to older-aged adults in primary care.

designA cross-sectional survey study.

settingTertiary referral hospital in Beirut, Lebanon.

participantsA total of 215 middle-aged to older-aged adults.

resultsOut of 215 participants, 18.6% of participants knew about ACP; 94% favoured truth-telling; 87.4% favoured healthcare autonomy; 77.2% favoured documenting their own health values and preferences; and 29.3% were willing to undergo life-prolonging interventions. Among participants who were aware of ACP, 67.5% preferred ACP documentation and 85% had negative attitudes towards life-sustaining interventions. Women were more aware about ACP than men. Those who were willing to undergo life-prolonging interventions were found to be men and had higher religiosity scores.

conclusionLarge deficit in ACP awareness was evident despite the high preference for healthcare autonomy. Medical and public health efforts should strive to enhance patients' ACP awareness and engagement in ACP while considering factors relevant to gender, culture and religiosity.

Indexed as

Advance Care PlanningAdultAttitudeCross-Sectional StudiesDemographyFemaleHumansMaleMiddle AgedPrimary Health CareSocioeconomic Factorsadult palliative caregeriatric medicineprimary care

Identifiers

PMID34711599
PMCPMC8557299
OpenAlexW3209358470

What OpenQuestion holds

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LicenceCC BY-NC
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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.