Evidence map›Paper›PMID 39401969›Full record

ArticleBMJ open quality2024

Improving completion rate of advance care planning at a tertiary rheumatological centre in Singapore: a quality improvement project.

Yu Heng Kwan, Zheng Cong Lee, Meredith Wei-Yuan Tan, Michelle Huiye Lee, Pei Xin Chong, Li Khoon Tan, Evelyn Shuting Loh, Wei Ling Poh, Esther Jia Ning Seow, Ting Hui Woon and 3 more

Abstract read
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Yu Heng KwanDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore phakyh@nus.edu.sg.
Zheng Cong LeeDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Meredith Wei-Yuan TanInternal Medicine Residency, SingHealth Group, Singapore.
Michelle Huiye LeeInternal Medicine Residency, SingHealth Group, Singapore.
Pei Xin ChongDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Li Khoon TanDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Evelyn Shuting LohDepartment of Medical Social Work, Singapore General Hospital, Singapore.
Wei Ling PohDepartment of Medical Social Work, Singapore General Hospital, Singapore.
Esther Jia Ning SeowDuke-NUS Graduate Medical School, Singapore.ORCID http://orcid.org/0009-0003-6022-6909
Ting Hui WoonDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Charmaine Wai Yan SumDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Serene Xiaosi XinDepartment of Process Transformation and Improvement, Singapore General Hospital, Singapore.
Warren Weng Seng FongDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced care planning (ACP) is a series of ongoing voluntary discussions between patients, families and healthcare professionals to plan for their future healthcare needs. Despite patients with rheumatic diseases having high symptom burden and disease complications, the ACP completion rates in patients with rheumatic diseases remain low. In this quality improvement project, we aimed to increase the number of completed ACP in a tertiary referral rheumatology centre in Singapore from 0 to 1 per month. We showed a statistically significant increase in ACP completion across 1 year with two Plan-Do-Study-Act cycles. Further studies are needed to explore further interventions for ACP completion in patients with rheumatic diseases.

Indexed as

Advance Care PlanningQuality ImprovementRheumatic DiseasesTertiary Care CentersFemaleHumansMaleMiddle AgedRheumatologySingaporeAdvance DirectivesHealthcare quality improvementPatient PreferenceQuality improvement

Identifiers

PMID39401969
PMCPMC11474902

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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.