Evidence map›Paper›PMID 36357725›Full record

ArticleJournal of general internal medicine2023

The Association of Chinese Ethnicity and Language Preference with Advance Directive Completion Among Older Patients in an Integrated Health System.

David Hyung Won Oh, Carol Conell, Liisa Lyon, Nirmala D Ramalingam, Loveleena Virk, Ruben Gonzalez

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

6 authors at 3 institutions in 1 country.

David Hyung Won OhDepartment of Internal Medicine, Kaiser Permanente Oakland Medical Center, 275 W. McArthur Blvd, Oakland, CA, 94611, USA. david.h.oh@kp.org.ORCID 0000-0002-9496-4796
Carol ConellDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Liisa LyonDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Nirmala D RamalingamGraduate Medical Education, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.
Loveleena VirkDepartment of Internal Medicine, Kaiser Permanente Oakland Medical Center, 275 W. McArthur Blvd, Oakland, CA, 94611, USA.
Ruben GonzalezNapa-Solano Family Medicine Residency Program, Kaiser Permanente, Vallejo, CA, USA.
Kaiser Permanente Oakland Medical Center · USKaiser Permanente · USKaiser Permanente Vallejo Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about possible differences in advance directive completion (ADC) based on ethnicity and language preference among Chinese Americans on a regional level.

objectiveTo understand the association of ethnicity and language preference with ADC among Chinese Americans.

designRetrospective cohort analysis with direct standardization.

participantsA total of 31,498 Chinese and 502,991 non-Hispanic White members enrolled in Kaiser Permanente Northern California during the entire study period between 2013 and 2017 who were 55 or older as of January 1, 2018. MAIN MEASURES: We compared the proportion of ADC among non-Hispanic White and Chinese patients, and also analyzed the rates according to language preference within the Chinese population. We calculated ADC rates with direct standardization using covariates previously found in literature to be significant predictors of ADC such as age and utilization. KEY

resultsAmong Chinese members, 60% preferred English, 16% preferred another language without needing an interpreter, and 23% needed an interpreter. After standardizing for age and utilization, non-Hispanic Whites were more than twice as likely to have ADC as Chinese members (20.6% (95% confidence interval (CI): 20.5-20.7%) vs. 10.0% (95% CI: 9.6-10.3%), respectively). Among Chinese members, there was an inverse association between preference for a language other than English and ADC (13.3% (95% CI: 12.8-13.8%) if preferring English, 6.1% (95% CI: 5.4-6.7%) if preferring non-English language but not needing an interpreter, and 5.1% (95% CI: 4.6-5.6%) if preferring non-English language and needing an interpreter).

conclusionsChinese members are less likely to have ADC relative to non-Hispanic White members, and those preferring a language other than English are most affected. Further studies can assess reasons for lower ADC among Chinese members, differences in other Asian American populations, and interventions to reduce differences among Chinese members especially among those preferring a language other than English.

Indexed as

Delivery of Health Care, IntegratedEthnicityAdvance DirectivesAsianHispanic or LatinoHumansLanguageRetrospective StudiesWhiteAdvance care planningAdvance directiveEpidemiologyPublic healthRacial differences

Identifiers

PMID36357725
PMCPMC10110817
OpenAlexW4308772690

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.