ArticlePalliative medicine2025
Definition and recommendations of advance care planning: A Delphi study in five Asian sectors.
Article in Palliative medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed.
- Effectiveness of a Short-Term Advance Care Planning Intervention (VOICE) for Dialysis Patients with ESRD: A Randomized Controlled Trial.Patient preference and adherence · 2025Trial
- Frailty and the confidence to plan ahead: Decision-making self-efficacy and advance care planning among older adults receiving home healthcare.Palliative & supportive care · 2026Article
- When advance directives clash with family consent: designing an operational framework for end-of-life decision-making in China and Korea.BMC medical ethics · 2026Article
- Experiences of Family Caregivers of Older Patients with End-Stage Kidney Disease from Dialysis Initiation to End-of-Life Care: An Exploratory Qualitative Descriptive Study.Nursing reports (Pavia, Italy) · 2026Article
- Understanding Advance Care Planning in oncology: Barriers, perceptions, and pathways toward patient-centered decision-making.Palliative & supportive care · 2026Article
- Tree of peaches: exploring what matters most at the end-of-life among healthy older adults in Taiwan: a qualitative study.BMC palliative care · 2026Article
- Advanced cancer patients' knowledge and opinions regarding the French law on advance directives: a multicenter cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Association between advance care planning combined with super-enhanced transitional care and outcomes of facility death and bed availability in a Japanese geriatric health services facility.Journal of rural medicine : JRM · 2026Article
- Patients' attitudes towards advance care planning (ACP) and factors affecting ACP discussion: A cross-sectional questionnaire study.PloS one · 2026Article
- Perspectives of Japanese Citizens on Advance Care Planning in Clinical Settings: Findings From a Focus Group Study.Journal of general and family medicine · 2026Article
- Status of Physician-Ordered Advance Code in Patients With Acute Heart Failure.Circulation reports · 2025Article
- [Advance Directives in Geriatrics: Proposed Management Algorithm].Revista medica del Instituto Mexicano del Seguro Social · 2025Review
- Home ventilation patients: associations of having advance care plans with end-of-life healthcare utilisation.Journal of thoracic disease · 2025Article
- Cultural and ethical barriers to implementing end-of-life advance care planning among oncology nursing professionals: a content analysis of open-ended questions.BMC medical ethics · 2025Article
- Cross-cultural adaptation and validation of the Chinese version of the quality of communication questionnaire.BMC palliative care · 2025Article
- The Impact of Advanced Care Planning on Hospice Utilization in Patients with Cancer: A Nationwide Analysis in Korea.Cancers · 2025Article
- Frailty as a Predictor of Post-Traumatic Stress Disorder After Advance Care Planning Communication Intervention by Trained Care Managers in Long-Term Care Service Users in Japan: A Secondary Analysis.Journal of personalized medicine · 2025Article
- Using an implementation science approach to enhance advance care planning practice: a community case study.Frontiers in health services · 2025Article
- Article
- Advance Care Planning in Palliative Care in Asia: Barriers and Implications.Journal of hospice and palliative care · 2024Review
Corrections and comments
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Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Confucian-influenced Asian societies, explicit end-of-life conversations are uncommon and family involvement in decision-making is crucial, which complicates the adoption of culturally sensitive advance care planning.
aimTo develop a consensus definition of advance care planning and provide recommendations for patient-centered and family-based initiatives in Asia.
designA five-round Delphi study was performed. The rating of a definition and 84 recommendations developed based on systematic reviews was performed by experts with clinical or research expertise using a 7-point Likert scale. A median = 1 and an inter-quartile range = 0-1 were considered very strong agreement and very strong consensus, respectively. SETTING/
participantsThe Delphi study was carried out by multidisciplinary experts on advance care planning in five Asian sectors (Hong Kong/Japan/Korea/Singapore/Taiwan).
resultsSeventy-seven of 115 (67%) experts rated the statements. Advance care planning is defined as "a process that enables individuals to identify their values, to define goals and preferences for future medical treatment and care, to discuss these values, goals, and preferences with family and/or other closely related persons, and health-care providers, and to record and review these preferences if appropriate." Recommendations in the domains of considerations for a person-centered and family-based approach, as well as elements, roles and tasks, timing for initiative, policy and regulation, and evaluations received high levels of agreement and consensus.
conclusionsOur definition and recommendations can guide practice, education, research, and policy-making in advance care planning for Asian populations. Our findings will aid future research in crafting culturally sensitive advance care planning interventions, ensuring Asians receive value-aligned care.
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Registered trials
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.