Evidence map›Paper›PMID 40576772›Full record

Observational studyZeitschrift fur Gerontologie und Geriatrie2025

Advance directives in German memory clinics.

Daniel Garmann, Christina Abele, Stefanie Baisch, Jonas Karneboge, Gregor Lindl, Janina Florack, Anna Theile-Schürholz, Julia Haberstroh

Abstract readObservational Study
In one paragraph

Observational study in Zeitschrift fur Gerontologie und Geriatrie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Daniel GarmannDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Christina AbeleDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Stefanie BaischDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Jonas KarnebogeDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Gregor LindlDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Janina FlorackDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Anna Theile-SchürholzDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany.
Julia HaberstrohDepartment of Psychology, Psychological Aging Research, University of Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Germany. julia.haberstroh@uni-siegen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People have the right to accept or refuse medical treatment provided they give voluntary, prior and informed consent. When capacity to consent is impaired, autonomy can be preserved through a clear, legally valid advance directive. Cognitive impairments, such as dementia, increase the risk of compromised capacity to consent. This study examines the prevalence of advance directives among patients at German memory clinics and explores predictors influencing their presence, focusing on compliance with informed consent standards.Using an observational cross-sectional design, 289 outpatients were assessed. Data included the presence of advance directives, circumstances of their creation and the patient characteristics age, gender, education, cognitive status, physical and mental health, need for autonomy in medical decision-making and health literacy. Descriptive statistics were calculated, and multivariable logistic regression models were applied to analyze the data.The results indicate that age is the strongest predictor for the presence of advance directives. Beyond age, specific events or experiences, rather than personal traits, may prompt individuals to create advance directives.

Indexed as

Advance DirectivesDementiaInformed ConsentMemory DisordersAgedAged, 80 and overAge DistributionCross-Sectional StudiesFemaleGermanyHumansMaleMental CompetencyMiddle AgedPrevalenceSex DistributionAdvance care planningDementiaEnd-of-life decisionsInformed consentPatient autonomy

Identifiers

PMID40576772
PMCPMC12644161

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.