Evidence map›Paper›PMID 42920159›Full record

ArticleBMC palliative care2026

Facilitating advance care planning in oncology: study protocol for the evaluation of a tailored implementation of an advance care planning tool (the INDEED study).

Joica A M Benschop, Ida J Korfage, Agnes van der Heide, Annemieke van der Padt-Pruijsten, Carin C D van der Rijt, Wendy H Oldenmenger

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06350968 (Implementation of Online Advance Care Planning Tool for), which is not on this map. Not yet cited in PubMed.

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

NCT06350968 recruitingnot on this map

Implementation of Online Advance Care Planning Tool for (Hemato-)Oncological Patients Within the Cancer Network Concord

Typeobservational_patient_registrySponsorErasmus Medical CenterRan2023 to 2026Enrolled30ConditionsOncology, Advance Care Planning, Implementation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Joica A M BenschopDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Centre Rotterdam, P.O. Box 2040, Rotterdam, 3000 CA, the Netherlands. j.benschop@erasmusmc.nl.
Ida J KorfageDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Agnes van der HeideDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Annemieke van der Padt-PruijstenDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, the Netherlands.
Carin C D van der RijtDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Centre Rotterdam, P.O. Box 2040, Rotterdam, 3000 CA, the Netherlands.
Wendy H OldenmengerDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Centre Rotterdam, P.O. Box 2040, Rotterdam, 3000 CA, the Netherlands.

Funding

ZonMw 10200012110003
6 · The paper itself

Abstract

backgroundAdvance care planning (ACP) improves patient outcomes, but integration of ACP in daily practice for patients with cancer in hospitals remains suboptimal. Systematic implementation of tools to facilitate ACP could overcome the barriers for ACP. In this study we will evaluate the multifaceted tailored implementation of a digital ACP tool embedded in the electronic health record (EHR) in daily clinical cancer care. We will analyse the implementation process, its effect on use of the ACP tool, and the impact of use of the tool on healthcare use and healthcare costs.

methodsWe will perform a multicentre, convergent mixed-methods implementation study. The digital ACP tool supports healthcare professionals in conducting and documenting ACP conversations, and sharing this documentation with colleagues within and outside the hospital. The implementation will encompass four phases guided by the Implementation of Change model: 1) diagnostic analysis; 2) tailored implementation protocol development; 3) protocol implementation and testing; and 4) evaluation of the implementation process and its effects. We will evaluate both qualitative and quantitative aspects of the implementation process. Additionally, use of the tool and its impact on in-hospital healthcare use in the last three months of life and associated costs are measured. DISCUSSION: This study will provide knowledge on how to effectively implement ACP in routine care in hospitals for patients with cancer, by identifying effective implementation strategies. Furthermore, it will give insight in the effect of integration of ACP conversations in daily clinical care on healthcare use of patients with cancer in the last three months of life and the associated costs.

trial registrationThis study is registered at ClinicalTrials.gov (NCT06350968, Registration date: April 8, 2024).

Indexed as

Advance Care PlanningMedical OncologyNeoplasmsElectronic Health RecordsHumansQualitative ResearchAdvance care planningElectronic health care recordHospitalImplementationMixed methods study.OncologyPalliative and supportive careTailored strategies

Identifiers

PMID42920159

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.