Evidence map›Paper›PMID 37697265›Full record

ArticleBMC palliative care2023

Association between physicians' characteristics and their knowledge, attitudes, and practices regarding advance care planning: a cross-sectional study.

Ayaka Sakamoto, Ryota Inokuchi, Masao Iwagami, Kyoko Hanari, Nanako Tamiya

Abstract read
In one paragraph

Article in BMC palliative care, 2023. 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
–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.

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.

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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

5 authors.

Ayaka SakamotoHealth Services Research and Development Center, University of Tsukuba, 1-1-1 Tenno-Dai, Tsukuba, Ibaraki, 305-8577, Japan.
Ryota InokuchiHealth Services Research and Development Center, University of Tsukuba, 1-1-1 Tenno-Dai, Tsukuba, Ibaraki, 305-8577, Japan. inokuchir-icu@md.tsukuba.ac.jp.
Masao IwagamiHealth Services Research and Development Center, University of Tsukuba, 1-1-1 Tenno-Dai, Tsukuba, Ibaraki, 305-8577, Japan.
Kyoko HanariHealth Services Research and Development Center, University of Tsukuba, 1-1-1 Tenno-Dai, Tsukuba, Ibaraki, 305-8577, Japan.
Nanako TamiyaHealth Services Research and Development Center, University of Tsukuba, 1-1-1 Tenno-Dai, Tsukuba, Ibaraki, 305-8577, Japan.

Funding

Health and Labor Sciences Research Grant 23IA1005Ministry of Health, Labour and Welfare 22CA2028
6 · The paper itself

Abstract

backgroundDespite physicians' vital role in advance care planning, a limited number of physicians practice it. This study assessed factors associated with physicians' knowledge, attitudes, and practices regarding advance care planning.

methodsThis cross-sectional study used data from an anonymous survey conducted by the Japanese Ministry of Health, Labour and Welfare. Questionnaires were mailed to 4500 physicians in November and December 2022. Data from 1260 respondents were analyzed.

resultsOf the respondents, 46.4%, 77.0%, and 82.0% reported good knowledge of advance care planning, agreed with promoting it, and with its provision by medical/care staff, respectively. Male physicians were significantly less likely to support advance care planning (odds ratio: 0.54, 95% confidence interval: 0.35-0.84) or agree to its provision by medical/care staff (odds ratio: 0.47, 95% confidence interval: 0.29-0.78) but significantly more likely to practice it (odds ratio: 1.58, 95% confidence interval: 1.05-2.36). Physicians specialized in surgery or internal/general/palliative medicine were more knowledgeable about advance care planning and more likely to practice it. Physicians working in clinics were significantly less knowledgeable (odds ratio: 0.33, 95% confidence interval: 0.25-0.44) about advance care planning and less likely to support it (odds ratio: 0.37, 95% confidence interval: 0.27-0.50), agree with its provision by medical/care staff (odds ratio: 0.54, 95% confidence interval: 0.39-0.75), or to practice it (odds ratio: 0.16, 95% confidence interval: 0.12-0.22).

conclusionsPhysicians working in clinics had less knowledge of advance care planning, less supportive attitudes, and less likely to practice it. Knowledge, attitudes and practice also varied by gender and specialty. Interventions should target physicians working in clinics.

Indexed as

Advance Care PlanningGeneral PracticePhysiciansCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansMaleAdvance care planningCross-sectional studyJapanPhysiciansTerminal care

Identifiers

PMID37697265
PMCPMC10494406

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Registered trials

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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.