Evidence map›Paper›PMID 35764201›Full record

ArticleJournal of pain and symptom management2022

National End-of-Life-Treatment Preferences are Stable Over Time: National Health and Aging Trends Study.

Lesli E Skolarus, Chun Chieh Lin, Amy S Kelley, James F Burke

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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.

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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.

Lesli E SkolarusDepartment of Neurology (L.E.S., C.C.L.), Health Services Research Program, University of Michigan Medical School, Ann Arbor, Michigan, USA. Electronic address: lerusche@umich.edu.
Chun Chieh LinDepartment of Neurology (L.E.S., C.C.L.), Health Services Research Program, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Amy S KelleyDepartment of Geriatrics and Palliative Medicine (A.S.K.), Icahn School of Medicine at Mount Sinai, New York, New York, USA; James J Peters VA Medical Center (A.S.K.), Bronx, New York, USA.
James F BurkeDepartment of Neurology (J.F.B.), Health Services Research Program, Ohio State University, Columbus, Ohio, USA.

Funding

Understanding Implications of End-of-life Preferences to Optimize Advance Care Planning Among Older AmericansR01AG059733 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURKE, JAMES FRANCIS, SKOLARUS, LESLI ELIZABETH · 2018 to 2022
$3.1M
NIA NIH HHS R01 AG059733
6 · The paper itself

Abstract

contextAdvance Care Planning is a process of understanding and sharing preferences regarding future medical care.

objectiveTo explore individual and national stability of end-of-life treatment preferences among a sample of older adults.

methodsNational Health and Aging Trends Study is a nationally representative sample of older adults. In 2012, a random sample, and in 2018, the entire sample were queried on end-of-life treatment preferences defined as acceptance or rejection of life prolonging treatment (LPT) if they had a serious illness and were at the end of their life and in severe pain or had severe disability. Using a cohort design, we explored individual trends in preferences for LPT among those with responses in both waves (pain scenario: N = 606, disability scenario: N = 628) and, using a serial cross-sectional design, national trends in LPT among the entire sample (1702 older adults in wave 2 and 4342 in wave 8).

resultsIn the cohort study, individual preferences were stable over time (overall percent agreement = 86% for disability and 76% for pain scenarios), particularly for older adults who would reject LPT in wave 2 (overall agreement 92% for disability and 86% for pain). In the serial cross-sectional study, national trends in preferences for receipt of LPT were stable over time in the pain (27.4% vs. 27.0%, P = 0.80) and disability (15.8% vs. 15.7%, P = 0.99) scenarios.

conclusionsWe found that national trends in preferences for end-of-life treatment did not substantially change over time and may be stable within individual older adults.

Indexed as

Advance Care PlanningTerminal CareAgedAgingCohort StudiesCross-Sectional StudiesDeathHumansPainPatient PreferenceAdvance care planningend-of-life preferencesolder adults

Identifiers

PMID35764201
PMCPMC12318610

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