Evidence map›Paper›PMID 39537243›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2024

Advance care planning in patients with respiratory failure.

Carla Ribeiro, Paula Pamplona, Anita K Simonds

Abstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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

3 authors.

Carla RibeiroPulmonology Department, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, Portugal carlafarinharibeiro@gmail.com.ORCID https://orcid.org/0000-0002-8270-3687
Paula PamplonaPulmonology Department, Hospital Pulido Valente - Unidade Local de Saúde de Santa Maria, Lisboa, Portugal.
Anita K SimondsSleep and Ventilation Unit, Royal Brompton and Harefield Hospital (Guys and St Thomas' NHS Foundation Trust), London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advance care planning (ACP) is a complex and iterative communication process between patients, surrogates and clinicians that defines goals of care that may include, but is not limited to, documentation of advance directives. The aim of ACP is to promote patient-centred care tailored to the patient's clinical situation through informed preparation for the future and improved communication between patient, clinicians and surrogates, if the latter need to make decisions on patient's behalf.The aim of this article is to review research related to ACP in acute and chronic respiratory failure, regarding the process, communication, shared decision-making, implementation and outcomes.Research has produced controversial results on ACP interventions due to the heterogeneity of measures and outcomes, but positive outcomes have been described regarding the quality of patient-physician communication, preference for comfort care, decisional conflict and patient-caregiver congruence of preferences and improved documentation of ACP or advance directives.The main barriers to ACP in chronic respiratory failure are the uncertainty of prognosis (particularly in the organ failure trajectory), the choice of the best timing for initiation and the lack of training of healthcare workers. In acute respiratory failure, the ACP process can be very short, should include the patient whenever possible, and is based on a discussion of treatments appropriate to the patient's functional status prior to the event (

Indexed as

Advance Care PlanningCommunicationDecision Making, SharedPhysician-Patient RelationsRespiratory InsufficiencyAdvance DirectivesAttitude of Health PersonnelChronic DiseaseHealth Knowledge, Attitudes, PracticeHumansPatient ParticipationPatient Preference

Identifiers

PMID39537243
PMCPMC11558536

What OpenQuestion holds

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LicenceCC BY-NC
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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.