Systematic scoping review and meta analysis of end-of-life decision making tools and strategies
This project was a systematic review of the evidence about the effectiveness of tools and strategies for advanced care planning (ACP) and end-of-life (EOL) decision-making.
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About the Project
With the advances in medical care over past decades, EOL decision-making has become an integral part of quality health care, as a way to ensure that treatment at the EOL is aligned with patients’ values and preferences. Given that patients at the end of life may not be able to state their treatment preferences due to either acute or chronic illness, and because many substitute-decision makers (SDMs) are unable to accurately predict patients’ wishes at the end of life, ACP has been used to elicit and record EOL preferences. However, it is still uncertain what tools, strategies or interventions to facilitate EOL decisions are most effective and acceptable to patients and their SDMs.
We conducted a systematic review of the efficacy of these tools by assessing the impact of published ACP or EOL decision-making tools or strategies on outcomes such as creation of advance care plans and documentation of goals of care or resuscitation status.
John You, MD, MSc, FRCPC -- McMaster University
Knowledge Users and Partners:
Louise Hanvey -- Canadian Hospice Palliative Care Association (CHPCA)
Project Contact: John You -- email@example.com
Key words: advance care planning; advance directive; end-of-life; communication tool; palliative care