A model for the uptake of advance care planning in older cancer adults: a scoping review

Hou, Lei; Zhang, Xianhui; Du, Yang; Zhang, Xiaoqing; Li, Min; Gao, Chaoyue; Yang, Hui

doi:10.1007/s40520-022-02184-y

Cited by 3 publications

(14 citation statements)

References 78 publications

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“…Recent studies highlighted the roles of cultural, and religious factors and the need to consider minority groups’ preferences when assessing the appropriateness of ACP [16,18–22]. These findings are in line with those of a recent review of ACP uptake among older adults with cancer [13 ▪▪ ].…”

Section: Advance Care Planning Uptake-predisposing Factors and Barrierssupporting

confidence: 78%

“…ACP uptake was more frequent among male patients in Israel [15], whereas female patients and relatives in Australia were more likely to have legally appointed surrogates [23]. These findings reflect the differences in the impact of patient gender on ACP uptake revealed by the review [13 ▪▪ ]. This review also shows that higher educational levels increased the likelihood of ACP uptake in China [13 ▪▪ ].…”

Section: Advance Care Planning Uptake-predisposing Factors and Barriersmentioning

confidence: 71%

“…Thirty-eight studies [15–52] and three reviews were identified [6 ▪ ,8 ▪▪ ,13 ▪▪ ]. Studies were heterogeneous in terms of cancer care contexts, population size and characteristics, research designs, and assessment methods (Table 1).…”

Section: Literature Search and Samplementioning

confidence: 99%

“…Factors associated with ACP communication were allocated to five categories (based on ACP uptake [13 ▪▪ ] and communication in healthcare [14] models): ACP uptake-predisposing factors and barriers [15–23], ACP uptake-enabling factors and barriers [15,18,24,25,26 ▪ ,27–29], perceived need for ACP communication and barriers [15], ACP communication–enabling factors and barriers [17,18,23,25,26 ▪ ,30–38], and willingness to communicate about ACP [23,30–32]. Fourteen articles that were not included in these categories are reported in Table 1.…”

Section: Overview Of Factors Influencing Advance Care Planning Commun...mentioning

confidence: 99%

“…Regarding patients’ demographic characteristics, older age increased the likelihood of ACP uptake in Israel [15], whereas younger age was associated with increased uptake in Australia [23]. The authors of a recent review noted that older patient age may be a facilitator or barrier to ACP uptake, and that older patients were less likely to engage in ACP when they believed that their relatives or physicians would make relevant decisions for them [13 ▪▪ ]. ACP uptake was more frequent among male patients in Israel [15], whereas female patients and relatives in Australia were more likely to have legally appointed surrogates [23].…”

Section: Advance Care Planning Uptake-predisposing Factors and Barriersmentioning

confidence: 99%

See 4 more Smart Citations

Advance care planning in oncology: a scoping review and some recommendations

Libert,

Choucroun,

Razavi

et al. 2023

Current Opinion in Oncology

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Purpose of reviewCancer patients' communication with their relatives and healthcare professionals (HCPs) is essential for advance care planning (ACP). The purpose of this scoping review was to synthesize recent research findings about factors enabling cancer patients', their relatives', and physicians' communication about ACP, and to propose recommendations for future ACP implementation in cancer care. Recent findingsThis review confirmed the importance of aspects of the cancer care context (i.e., culture) as ACP uptakepredisposing and -enabling factors. It highlighted the difficulty of determining who should initiate ACP discussion, with which patients and at what time-points. It also highlighted a lack of consideration for socioemotional processes in the study of ACP uptake despite evidence that cancer patients', relatives' and physicians' discomforts that arise from communication about end-of-life and the wish to safeguard each other are main obstacles to ACP implementation.

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Section: Advance Care Planning Uptake-predisposing Factors and Barrierssupporting

confidence: 78%

Section: Advance Care Planning Uptake-predisposing Factors and Barriersmentioning

confidence: 71%

Section: Literature Search and Samplementioning

confidence: 99%

Section: Overview Of Factors Influencing Advance Care Planning Commun...mentioning

confidence: 99%

Section: Advance Care Planning Uptake-predisposing Factors and Barriersmentioning

confidence: 99%

See 3 more Smart Citations

Advance care planning in oncology: a scoping review and some recommendations

Libert,

Choucroun,

Razavi

et al. 2023

Current Opinion in Oncology

View full text Add to dashboard Cite

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Advance care planning among older adults with cancer in the United States: Findings from the National Health and Aging Trends Study

Zhou,

Shang,

Cho

2024

Journal of Geriatric Oncology

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Factors Associated with Antimicrobial Use at the End-Of-Life Among Hospitalized Cancer Patients

Pandey

Wisniewski

Morjaria

et al. 2023

Am J Hosp Palliat Care

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Background: Antimicrobials are frequently administered at end-of-life (EOL) and their non-beneficial use may subject patients to unnecessary harms. Studies analyzing factors for antimicrobial prescribing in solid tumor cancer patients at the EOL are lacking. Thus, we aimed to identify factors and patterns associated with antimicrobial use in hospitalized adults with cancer at EOL. Methods: We used a retrospective cohort design to review electronic medical records of terminal hospitalized patients ≥18 years with solid tumors admitted to non-intensive care units in a metropolitan comprehensive cancer center during 2019 and assessed antimicrobial use in the last 7 days of life. Results: Among 633 cancer patients, 59% ( n = 376) received antimicrobials (AM+) within the last 7 days of life. AM + patients were older (P = .012), mostly of male gender (55%), and non-Hispanic ethnicity (87%). AM + patients were significantly more likely to have a foreign device, suspected signs of infection, neutropenia, positive blood culture result, documented advance directive; receive laboratory or radiologic testing, and a palliative care or infectious disease consultation (all P < .05). No statistically significant differences were observed in the presence of documented goals of care discussions, or EOL discussions/EOL care orders. Conclusion: Antimicrobial use at the EOL is common in solid tumor cancer patients at the EOL and is associated with increased utilization of invasive interventions. There is an opportunity for infectious disease specialists to build primary palliative care skills and partner with antimicrobial stewardship programs to better advise patients, decision makers, and primary teams on the use of antimicrobials at the EOL.

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A model for the uptake of advance care planning in older cancer adults: a scoping review

Cited by 3 publications

References 78 publications

Advance care planning in oncology: a scoping review and some recommendations

Advance care planning in oncology: a scoping review and some recommendations

Advance care planning among older adults with cancer in the United States: Findings from the National Health and Aging Trends Study

Factors Associated with Antimicrobial Use at the End-Of-Life Among Hospitalized Cancer Patients

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