Evidence map›Paper›PMID 40522923›Full record

ArticlePloS one2025

Factors influencing the participation of surrogate decision-makers for advanced cancer patients in advance care planning: A cross-sectional study.

Zhihao Han, Jingjing Su, Guiyue Ma, Yong Fang, Linxia Tang, Xiaoqin Ma

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Zhihao HanDepartment of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.
Jingjing SuDepartment of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.
Guiyue MaDepartment of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.
Yong FangDepartment of Nursing, Changsha Medical College, Changsha City, Hunan Province, China.
Linxia TangDepartment of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.
Xiaoqin MaDepartment of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.ORCID 0009-0002-4600-5600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to explore the factors influencing surrogate decision-makers (SDMs) engagement in Advance Care Planning (ACP).

designA cross-sectional Study.

methodA total of 285 SDMs of advanced cancer patients were recruited using convenience sampling methods. All eligible participants completed the structured questionnaires. Univariate and correlation analyses were used to explore the relationship between different variables and the ACP engagement of SDMs. Factors significant previously in univariate or correlation analyses were included in the multiple linear regression analyses with P < 0.05.

resultsEight factors in univariate analyses and three factors in correlation analyses with P < 0.05 were taken into multiple linear regression analyses. Finally, seven variables revealed a statistically significant association with ACP engagement of SDMs and were included in the multiple linear regression model.

conclusionThis cross-sectional study demonstrated that multiple factors, including experiences of medical decision-making, education level, knowledge of ACP, treatment expenditure, uncertainty of disease, social support, and life orientation, significantly impacted the engagement of SDMs in ACP. IMPACT: Based on this study, we have identified some factors influencing the ACP engagement of SDMs, which might provide basic information for construction of the educational scheme of ACP in mainland China and help to improve SDMs' engagement in clinical ACP practice in the future. PATIENT OR PUBLIC CONTRIBUTION: SDMs of advanced cancer patients participated in this study, and assisted in assessing the validation of the measurements.

Indexed as

Advance Care PlanningDecision MakingNeoplasmsAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40522923
PMCPMC12169540

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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.