ArticleInternational journal of environmental research and public health2023
Advance Care Planning and Goals of Care Discussion: Barriers from the Perspective of Medical Residents.
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Ceiling of Care in Acute Care Settings: A Concept Analysis.Journal of nursing management · 2026Pooled it
- Early and simultaneous palliative care in cancer patients: an overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Pooled it
- Oncology physicians' and nurses' perspectives on barriers to advanced care planning for patients with cancer in Oman: A cross-sectional study.International journal of nursing sciences · 2026Article
- Goals of Care Discussions in Medical Training: Integrating Palliative Care for Holistic, Patient-Centered Care.Healthcare (Basel, Switzerland) · 2026Review
- Differences in Goals of Care and Advance Care Planning Note Templates.Journal of pain and symptom management · 2026Article
- Advance care planning knowledge, attitudes, and experiences among hospital healthcare professionals: A survey.Palliative & supportive care · 2026Article
- Perceived self-efficacy on advance care planning in Latin America: ACP-SEs Latam validation.Frontiers in psychology · 2026Article
- Article
- An assessment of evidence to inform best practice for the communication of acute venous thromboembolism diagnosis: a scoping review.Research and practice in thrombosis and haemostasis · 2025Article
- Go Wish Card Game for Meaningful Conversations in the Oncology Healthcare Context: A Narrative Review.Cancers · 2025Review
- Clinicians' Perspectives on the Telehealth Serious Illness Care Program for Older Adults With Myeloid Malignancies: Single-Arm Pilot Study.JMIR formative research · 2024Article
- The impact of a multidisciplinary goals-of-care program on unplanned readmission rates at a comprehensive cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Leveraging Clinical Informatics to Address the Quintuple Aim for End-of-Life Care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvance care planning (ACP) and goals of care discussion involve the exploration of what is most important to a person to prepare for health-care decision making. Despite their well-established benefits, they are still not frequently performed in clinical oncology practice. This study aims to describe the barriers to discussion goals of care with oncology patients from the perspective of medical residents.
methodsThis cross-sectional and qualitative study applied the "Decide-Oncology" questionnaire, adapted to Portuguese language, to assess barriers to goals of care discussion among medical residents from three university hospitals in Brazil. Residents were asked to rank the importance of various barriers to discuss goals of care (ranging from 1-extremely unimportant to 7-extremely important).
resultsTwenty-nine residents answered the questionnaire (30.9%). The most reported barriers were related to patients and their families' difficulty in understanding and accepting the diagnosis and the prognosis as well as patients' desire to receive full active treatment. Furthermore, the physician and external factors such as lack of training and lack of time to have these conversations were also very important barriers. The identification of the key barriers that limit the discussion of ACP and early palliative care referrals can certainly help to prioritize the next steps for future studies aimed at improving ACP and goals of care discussions.
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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.