SynthesisFrontiers in medicine2025
Implementation and effectiveness of advance care planning in hospitalized older adults with chronic heart failure: a mixed-methods systematic review and meta-analysis.
Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Palliative care interventions and outcomes in patients with heart failure: an umbrella review.Heart failure reviews · 2026Pooled it
- Barriers and facilitators to advance care planning implementation: a qualitative interprofessional study in the Spanish public health and social care system.BMC palliative care · 2026Article
- Influencing factors and profile differences in death attitudes of advance care planning readiness among patients with chronic heart failure: a latent profile analysis.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: This study aims to integrate the data on the effects of a pre-established medical care program on hospitalized older adults with chronic heart failure (CHF). Method: A comprehensive systematic review incorporating mixed research methodologies was undertaken. Quality assessment was conducted using the Critical Appraisal Tool developed by Joanna Briggs Institute, adhering to the PRISMA guidelines for studies. Where appropriate, data were synthesized and aggregated for meta-analysis or meta-aggregation. Results: A total of 2,825 articles were found, of which 11 met the inclusion criteria. Meta-analysis showed that the implementation of advance care planning (ACP) can significantly increase the willingness and proportion of patients with CHF to choose and receive hospice services during their end-of-life phase. Meta-aggregation showed that the ACP intervention has a positive impact on participants, promotes their knowledge and understanding, and makes them share their decision-making with their families. Conclusion: ACP is a promising and feasible intervention that can help older adults with CHF accurately understand ACP and express their wishes timely. This study provides insights and empirical evidence to improve ACP, and valuable guidance and reference for future clinical practice. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, PROSPERO, identifier: CRD42024580814.
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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.