How Should Cost-Informed Goals of Care Decisions Be Facilitated at Life's End?
Sign Up to like & getrecommendations! Published in 2022 at "AMA journal of ethics"
DOI: 10.1001/amajethics.2022.1040
Abstract: Interventions near patients' deaths in the United States are often expensive, burdensome, and inconsistent with patients' goals and preferences. For patients and their loved ones to make informed care decisions, physicians must share adequate information… read more here.
Keywords: goals care; cost informed; decisions facilitated; care ... See more keywords
Effect of a Patient and Clinician Communication-Priming Intervention on Patient-Reported Goals-of-Care Discussions Between Patients With Serious Illness and Clinicians: A Randomized Clinical Trial
Sign Up to like & getrecommendations! Published in 2018 at "JAMA Internal Medicine"
DOI: 10.1001/jamainternmed.2018.2317
Abstract: Importance Clinician communication about goals of care is associated with improved patient outcomes and reduced intensity of end-of-life care, but it is unclear whether interventions can improve this communication. Objective To evaluate the efficacy of… read more here.
Keywords: intervention; communication; goals care; patient ... See more keywords
Efficacy of a Communication-Priming Intervention on Documented Goals-of-Care Discussions in Hospitalized Patients With Serious Illness: A Randomized Clinical Trial.
Sign Up to like & getrecommendations! Published in 2022 at "JAMA network open"
DOI: 10.1001/jamanetworkopen.2022.5088
Abstract: Importance High-quality goals-of-care communication is critical to delivering goal-concordant, patient-centered care to hospitalized patients with chronic life-limiting illness. However, implementation and documentation of goals-of-care discussions remain important shortcomings in many health systems. Objective To evaluate… read more here.
Keywords: goals care; communication; intervention; communication priming ... See more keywords
Patient Characteristics Associated With Occurrence of Preoperative Goals-of-Care Conversations
Sign Up to like & getrecommendations! Published in 2023 at "JAMA Network Open"
DOI: 10.1001/jamanetworkopen.2022.55407
Abstract: Key Points Question What is the association between patient risk of hospitalization or death, measured with a Care Assessment Need (CAN) score, and occurrence of goals-of-care conversations documented with a completed Life-Sustaining Treatment (LST) Decisions… read more here.
Keywords: goals care; patient characteristics; risk hospitalization; care conversations ... See more keywords
Assessment of prognostic understanding, perceived goals of care, and quality of life in hospitalized patients with leukemia or multiple myeloma.
Sign Up to like & getrecommendations! Published in 2021 at "Cancer"
DOI: 10.1002/cncr.33599
Abstract: BACKGROUND Prior studies reveal a lack of illness understanding and prognostic awareness among patients with hematologic malignancies. Prognostic awareness and illness understanding among hospitalized patients with acute leukemia and multiple myeloma were evaluated, and patient-oncologist… read more here.
Keywords: leukemia multiple; patients oncologists; goals care; multiple myeloma ... See more keywords
Goals of care documentation by medical oncologists and oncology patient end‐of‐life care outcomes
Sign Up to like & getrecommendations! Published in 2022 at "Cancer"
DOI: 10.1002/cncr.34400
Abstract: Goals of care (GOC) documentation is important but underused. We aimed to improve oncologist GOC documentation and end‐of‐life (EOL) care. read more here.
Keywords: oncology; goals care; end life; care ... See more keywords
Prevalence, pattern, and probability for goals of care discussions among women diagnosed with metastatic breast cancer
Sign Up to like & getrecommendations! Published in 2021 at "Journal of Cancer Survivorship"
DOI: 10.1007/s11764-021-01022-w
Abstract: High quality advanced cancer care includes goals of care (GOC) discussions and should be tailored according to clinical diagnosis, patient characteristics, and in concordance with patient’s goals. Metastatic breast cancer (MBC) and treatment has heterogeneity… read more here.
Keywords: goc discussions; goals care; prevalence pattern; breast cancer ... See more keywords
Barriers to Goals of Care Discussions With Patients Who Have Advanced Heart Failure: Results of a Multicenter Survey of Hospital-Based Cardiology Clinicians.
Sign Up to like & getrecommendations! Published in 2017 at "Journal of cardiac failure"
DOI: 10.1016/j.cardfail.2017.06.003
Abstract: BACKGROUND Conversations about goals of care in hospital are important to patients who have advanced heart failure (HF). METHODS We conducted a multicenter survey of cardiology nurses, fellows, and cardiologists at 8 Canadian teaching hospitals.… read more here.
Keywords: cardiology; goals care; barriers goals; care discussions ... See more keywords
A Multicenter Study to Identify Clinician Barriers to Participating in Goals of Care Discussions in Long-term Care.
Sign Up to like & getrecommendations! Published in 2019 at "Journal of the American Medical Directors Association"
DOI: 10.1016/j.jamda.2019.08.022
Abstract: OBJECTIVES Long-term care (LTC) is an important setting for goals of care (GoC) discussions. Understanding clinician barriers to GoC discussions could identify opportunities for LTC-specific interventions to improve quantity and quality of GoC discussions in… read more here.
Keywords: clinician barriers; goc discussions; long term; goals care ... See more keywords
Ethical, legal, and communication challenges in managing goals-of-care discussions in chronically critically ill patients.
Sign Up to like & getrecommendations! Published in 2020 at "Journal of critical care"
DOI: 10.1016/j.jcrc.2020.08.029
Abstract: Clinicians should expect controversial goals of care discussions in the surgical intensive care from time to time. Differing opinions about the likelihood of meaningful recovery in patients with chronic critical illness often exist between intensive… read more here.
Keywords: care unit; goals care; intensive care; care discussions ... See more keywords
The Acceptability and Feasibility of Using Mortality Prediction Scores for Initiating End-of-Life Goals of Care Communication in the Adult Intensive Care Unit.
Sign Up to like & getrecommendations! Published in 2019 at "Journal of pain and symptom management"
DOI: 10.1016/j.jpainsymman.2019.09.011
Abstract: CONTEXT Uncertainties in prognosis remain a barrier to end-of-life (EOL) communication in the intensive care unit (ICU), thus strategies are needed for increasing the precision of prognosis and timeliness of EOL goals-of-care communication. Use of… read more here.
Keywords: communication; goals care; mortality; mortality prediction ... See more keywords