The effects of advance care planning on end-of-life care: A systematic review

@article{BrinkmanStoppelenburg2014TheEO,
  title={The effects of advance care planning on end-of-life care: A systematic review},
  author={A. Brinkman-Stoppelenburg and J. Rietjens and A. van der Heide},
  journal={Palliative Medicine},
  year={2014},
  volume={28},
  pages={1000 - 1025}
}
Background: Advance care planning is the process of discussing and recording patient preferences concerning goals of care for patients who may lose capacity or communication ability in the future. [...] Key Method Data sources: We systematically searched PubMed, EMBASE and PsycINFO databases for experimental and observational studies on the effects of advance care planning published in 2000–2012. Results: The search yielded 3571 papers, of which 113 were relevant for this review.Expand

Paper Mentions

Interventional Clinical Trial
The purpose of this study is to refine and field-test a mobile application intervention (PACT) aimed at improving engagement in Advance Care Planning.  
ConditionsTo Evaluate PACT, a Mobile Application for Improving Engagement in Advance Care Planning
InterventionBehavioral
Interventional Clinical Trial
The purpose of this study is to pilot test a telehealth Advance Care Planning (ACP) intervention among those with either mild cognitive impairment (MCI) or unrecognized dementia… Expand
ConditionsAdvance Care Planning, Dementia, Mild Cognitive Impairment, (+2 more)
InterventionBehavioral
The economic evidence for advance care planning: Systematic review of evidence
TLDR
There is need for clearer articulation of the likely mechanisms by which advance care planning can lead to reduced care costs or improved cost-effectiveness, particularly for people who retain capacity. Expand
Does facilitated Advance Care Planning reduce the costs of care near the end of life? Systematic review and ethical considerations
TLDR
The limited data indicate net cost savings may be realised with Advance Care Planning, and methodologically robust trials with clearly defined Advance Care planning interventions are needed to make the costs and returns of Advance care Planning transparent. Expand
Impact of advance care planning on end-of-life management
Purpose of review The aim of this review is to critically appraise the recent evidence on different aspects of impact of advance care planning (ACP) in palliative care and to reflect on furtherExpand
Advance Care Planning in Palliative Care for People With Intellectual Disabilities: A Systematic Review.
TLDR
There are some indications that ACP could be useful for people with ID, but more knowledge is needed about whether and how ACP should be used. Expand
Exploring the cost-effectiveness of advance care planning (by taking a family carer perspective): Findings of an economic modelling study.
Advance care planning is considered an important part of high-quality end-of-life care. Its cost-effectiveness is currently unknown. In this study, we explore the cost-effectiveness of a strategy, inExpand
Advance care planning: A systematic review about experiences of patients with a life-threatening or life-limiting illness
TLDR
A need for advance care planning to be personalised in a form which is both feasible and relevant at moments suitable for the individual patient is suggested. Expand
Advance care planning: A systematic review of randomised controlled trials conducted with older adults.
TLDR
While ACP interventions are well received by older adults and generally have positive effects on outcomes, this review highlights the need for well-designed RCTs that examine the economic impact of ACP and its effect on quality of care in nursing homes and other sectors. Expand
The Effects of Advance Care Planning Interventions on Nursing Home Residents: A Systematic Review.
TLDR
ACP has beneficial effects in the nursing home population although results vary considerably between studies although hospitalization, place of death, and actions being consistent with resident's wishes are by far the most common. Expand
The Effect of Advance Care Planning on Heart Failure: a Systematic Review and Meta-analysis
TLDR
ACP improved quality of life, patient satisfaction with end- of-life care and the quality of end-of-life communication for patients suffering from heart failure and could be most effective when the right timing, follow-up and involvement of important others was considered. Expand
Advance care planning for patients with cancer in palliative care: A scoping review from a professional perspective.
TLDR
The results support the use of ACP by a multidisciplinary team from the early stages of cancer as a discussion forum around patients' wishes and choices and highlight the importance of standardising ACP contents and practices. Expand
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References

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Advance care planning in advanced cancer: Can it be achieved? An exploratory randomized patient preference trial of a care planning discussion
TLDR
New evidence is provided on its acceptability and effectiveness for patients with advanced cancer, whether randomized or preference, and happiness with communication was unchanged or worse, and satisfaction with services decreased. Expand
The impact of advance care planning on end of life care in elderly patients: randomised controlled trial
TLDR
Advance care planning improves end of life care and patient and family satisfaction and reduces stress, anxiety, and depression in surviving relatives. Expand
Advance care planning: pitfalls, progress, promise.
TLDR
The approach that emphasizes communication, building trust over time, and working within the patient's most important relationships offers a hopeful model for clinicians working in intensive care units. Expand
An introduction to advance care planning in practice
TLDR
Advance care planning has been defined as a process of formal decision making that aims to help patients establish decisions about future care that take effect when they lose capacity, which has implications for its acceptability to patients. Expand
Evidence-based recommendations for information and care planning in cancer care.
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  • Medicine
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TLDR
Evidence supporting high-quality clinical practices for information and care planning in cancer care in the context of cancer care is identified as part of the RAND Cancer Quality-Assessing Symptoms, Side Effects, and Indicators of Supportive Treatment Project. Expand
Do hospital-based palliative teams improve care for patients or families at the end of life?
TLDR
It is suggested that hospital-based palliative care teams offer some benefits, although this finding should be interpreted with caution. Expand
Role of advance directives in palliative care units: a prospective study
TLDR
Each patient with an advanced progressive disease should be informed about ADs and be encouraged to complete the ADs with the aim to ease many fears as well as to improve communication. Expand
Planning for the end of life
of more than 100 research articles advance care planning and AD forms, Miles and colleagues concluded, “Advance treatment preferences have been shown to be difficult to form, communicate, andExpand
End-of-life decisions: influence of advance directives on patient care.
TLDR
The presence of a living will seemed to influence health care providers' decisions to write do-not-resuscitate orders more often and to use cardiopulmonary resuscitation less often for patients possessing the document. Expand
Managed death in a PACE: pathways in present and advance directives.
TLDR
Introduction of a novel pathways method of documenting HCW in a PACE site was associated with increased completion, preferences toward less invasive levels of care at life's end, and increased compliance with participants' wishes and deaths at home. Expand
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