Evidence map›Paper›PMID 39482584›Full record

ArticleBMC geriatrics2024

Social, health and lifestyle-related determinants of older adults' preferences for place of death in South Tyrol, Italy - a cross-sectional survey study.

Dietmar Ausserhofer, Giuliano Piccoliori, Adolf Engl, Angelika Mahlknecht, Barbara Plagg, Verena Barbieri, Nicoletta Colletti, Stefano Lombardo, Timon Gärtner, Heike Wieser and 2 more

Abstract read
In one paragraph

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

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0citing papers in PubMed
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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

12 authors.

Dietmar AusserhoferInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.ORCID 0000-0002-0319-4766
Giuliano PiccolioriInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy. giuliano.piccoliori@am-mg.claudiana.bz.it.
Adolf EnglInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.
Angelika MahlknechtInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.
Barbara PlaggInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.
Verena BarbieriInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.
Nicoletta CollettiProvincial Institute of Statistics (ASTAT), Bolzano-Bozen, Italy.
Stefano LombardoProvincial Institute of Statistics (ASTAT), Bolzano-Bozen, Italy.
Timon GärtnerProvincial Institute of Statistics (ASTAT), Bolzano-Bozen, Italy.
Heike WieserClaudiana Research, College of Healthcare Professions, Bolzano-Bozen, Italy.ORCID 0000-0002-5271-4182
Waltraud TappeinerClaudiana Research, College of Healthcare Professions, Bolzano-Bozen, Italy.ORCID 0000-0001-6165-2270
Christian J WiedermannInstitute of General Practice and Public Health, Claudiana, Lorenz-Böhler-Str. 13, Bolzano-Bozen, 39100, Italy.ORCID 0000-0002-4639-8195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the global aging population expands, understanding older adults' preferences for place of death becomes pivotal in ensuring person-centered end-of-life care.

objectiveThis study aimed to investigate the influence of sociodemographic, health, and lifestyle-related factors on end-of-life care preferences of older adults in South Tyrol, Italy.

methodsEmploying a cross-sectional design, a population-based survey was conducted with a stratified probabilistic sample of adults aged ≥ 75 years in South Tyrol (Autonomous Province of Bolzano/Bozen, Italy). From a randomly selected sample of 3,600 older adults, participants were invited to respond to a questionnaire that included items on older adults' preferences for place of death and socio-demographic and health- and lifestyle-related factors, including frailty (e.g., PRISMA-7). Descriptive and multinomial logistic regression analyses were performed.

resultsThe majority (55.3%) of the 1,695 older adults (participation rate: 47%) expressed a preference for dying at home and 12.7% indicated a desire for specialized end-of-life care in a healthcare facility. However, 27.9% refrained from disclosing their end-of-life care preferences. The factors influencing these preferences concerning the place of death included age, native language, educational level, living situation, and community. Compared to the preference of dying at own home or home of family or friends, older adults aged ≥ 85 years (OR = 0.57, P = 0.002) and living in an urban area (OR = 0.40, P < 0.001) were less likely to prefer dying at a hospital, palliative care unit, or hospice. Older adults living alone (OR = 1.90, P < 0.001), Italian-speaking (OR = 1.46, P = 0.03), and those with an educational level above high school (OR = 1.69, P = 0.002) were more likely to prefer dying at a hospital, palliative care unit, or hospice.

conclusionsEnd-of-life care preferences among older adults in South Tyrol were associated with socio-demographic, yet not health- and lifestyle-related factors. Recognizing and integrating these preferences is essential for developing, implementing, and evaluating interventions to promote advance care planning and provide effective, patient-centered end-of-life care.

Indexed as

AgingAttitude to DeathPatient-Centered CareTerminal CareAgedAged, 80 and overCross-Sectional StudiesFrail ElderlyHumansItalyLife StyleMalePatient PreferenceSurveys and QuestionnairesAdult, frail olderAttitude to deathCare, patient focusedCross-sectional studyPlace of deathPopulation-based surveyStratified probabilistic sampling

Identifiers

PMID39482584
PMCPMC11526506

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.