ArticleAging clinical and experimental research2025
Rate of advance care planning practice during the COVID-19 outbreak in Japan: a cross-sectional survey study.
Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Shared Decision Making and Advance Care Planning in the Context of Promoting Home Medical Care in Japan: A Narrative Review.Geriatrics & gerontology international · 2026Review
- Advance care planning in Japan: Gaps between policy, ethical understanding, and its translation into clinical practice.Palliative care and social practice · 2026Article
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Authors and funding
6 authors.
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Abstract
backgroundAdvance care planning (ACP) ensures that future care is provided during serious illness, considering an individual's wishes; it is particularly important for older adults. Regarding ACP practices during the coronavirus disease (COVID-19) outbreak, although there are reports on patients, reports on geriatricians are scarce.
aimThis study evaluated the rate of ACP practice during the COVID-19 outbreak through a questionnaire survey of geriatricians.
methodsThis cross-sectional study surveyed geriatric specialists, who were members of the Japanese Geriatric Society, between October and December 2022 using an anonymous online questionnaire. The questionnaire covered the treatment of COVID-19 patients, difficulties encountered when caring for older patients with COVID-19 infection, and COVID-19 sequelae. Multiple logistic regression with a forward stepwise method was performed to determine the factors associated with ACP practices.
resultsOf the 258 surveyed doctors, 74 (28.7%) practiced ACP. Multiple logistic regression identified that age 20-49 years and experience in treating (or visiting facilities to treat) patients with COVID-19 infection were factors related to doctors that were significantly and positively associated with ACP practice. Additionally, a significant decline in the patients' cognitive functions and difficulties in preventing COVID-19 infection were positively associated with ACP practiced by doctors.
conclusionsThis study suggested that ACP should be practiced for older patients with dementia before COVID-19 infection, which would worsen their dementia symptoms. Moreover, ACP should be emphasized for older patients admitted to facilities. Our results could help devise effective measures to facilitate ACP practices.
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