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The Development and Use of Advance Care Planning Aids in Clinical Practice: A Systematic Review (S758)
Vol. 47 No. 2 February 2014
Poster Abstracts
employment (p¼0.029). Spiritual wellbeing improved comparing mean scores prior to PC consultation with those at follow-up (2.89 vs. 3.23 on a 1-5 scale, p¼0.005). Conclusions. Among patients with cancer receiving concurrent oncologic-palliative care, spiritual wellbeing was correlated with physical and emotional symptoms and with employment. However, it was not correlated with patient age, gender, race, or disease stage. PC was associated with improved spiritual wellbeing over time.
Implications for research, policy, or practice. Further trials should be conducted to elucidate the correlations found here and consideration should be given to making PC available to all cancer patients with spiritual distress, especially those with heavy symptom burden.
The Development and Use of Advance Care Planning Aids in Clinical Practice: A Systematic Review (S758) Jessica Reardon, DO, Baltimore, MD. Anne Schuster, MHS, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Matthew Weiss, MD, Johns Hopkins Hospital, Baltimore, MD. Catalina Suarez-Cuervo, MD, Johns Hopkins University, Harker Heights, TX. Fabian Johnston, MD MHS, Medical college of Wisconsin, Fox Point, WI. Rebecca Aslakson, MD, The Johns Hopkins School of Medicine, Baltimore, MD. Objectives 1. Describe advance care planning aids and to be able to contrast them to advance directives. 2. Summarize the different types of advance care planning aids and to highlight ones that are particularly pertinent for certain sub-populations. Background. Advance care planning aids are used by patients and their caregivers to clarify the patient’s preferred treatments and goals, should the patient become incapacitated and unable to articulate these preferences in the future. Aims. The goal of this systematic review was to summarize the evidence concerning the efficacy of advance care planning decision aids and to synthesize study results to further identify over-arching themes. Methods/Session descriptions. With the aid of a research librarian, search strategies relating to advance care planning and the use of advance care planning decision aids were developed and
501
conducted within PubMed, Embase, The Cochrane Library, CINAHL, Scopus, Sociologic Abstracts, and PsycINFO, with search results compiled in a reference manager. Inclusion and exclusion criteria for the articles were developed. Articles were screened by a title-abstract primary screen, title-abstract secondary screen, and full article screen. Final articles were reviewed and relevant data and study quality metrics were abstracted into a predetermined abstraction sheet with the abstracted data collected into summary tables. Tables were examined to reveal emerging themes. A total of 4531 articles were collected in the reference manager following the database searches. Primary and secondary title/abstract screen yielded a total of 157 articles appropriate for full review. Emerging themes already reveal the utilization of over twenty different types of advance care planning aids with study populations ranging from healthy asymptomatic adults to severely ill, highly symptomatic patients and families. Conclusion. Advance care planning decision aids are being developed for, and tested in, a wide variety of patient populations. They improve patient and surrogate comfort with decision making and comprehension, though their impact on health care utilization is still unclear.
Impact of Automatic Palliative Care Consultation for Hospitalized Patients with Advanced Cancer (S759) Gabrielle Rocque University of Alabama at Birmingham, Mountain Brook, AL. Toby Campbell, MD, University of Wisconsin, Madison, WI. Jens Eickhoff, PhD, University of Wisconsin, Madison, WI. Renae Quale, RN, University of Wisconsin School of Medicine and Public Health, Madison, WI. Anne Barnett, PA-C, UW Hospital Madison Wisconsin, Oregon, WI. James Cleary, MD, UW School of Medicine & Public Health, Madison, WI. Objectives 1. Understand the impact of automatic palliative care consults on hospice utilization, patient-reported outcomes, and billing. 2. Understand the limitations of implementing automatic palliative care consults for hospitalized patients with advanced cancer. Background. Hospitalized patients with advanced cancer have high symptom burdens and a short life expectancy, which may warrant palliative care consultation (APCC).
Poster Abstracts
employment (p¼0.029). Spiritual wellbeing improved comparing mean scores prior to PC consultation with those at follow-up (2.89 vs. 3.23 on a 1-5 scale, p¼0.005). Conclusions. Among patients with cancer receiving concurrent oncologic-palliative care, spiritual wellbeing was correlated with physical and emotional symptoms and with employment. However, it was not correlated with patient age, gender, race, or disease stage. PC was associated with improved spiritual wellbeing over time.
Implications for research, policy, or practice. Further trials should be conducted to elucidate the correlations found here and consideration should be given to making PC available to all cancer patients with spiritual distress, especially those with heavy symptom burden.
The Development and Use of Advance Care Planning Aids in Clinical Practice: A Systematic Review (S758) Jessica Reardon, DO, Baltimore, MD. Anne Schuster, MHS, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Matthew Weiss, MD, Johns Hopkins Hospital, Baltimore, MD. Catalina Suarez-Cuervo, MD, Johns Hopkins University, Harker Heights, TX. Fabian Johnston, MD MHS, Medical college of Wisconsin, Fox Point, WI. Rebecca Aslakson, MD, The Johns Hopkins School of Medicine, Baltimore, MD. Objectives 1. Describe advance care planning aids and to be able to contrast them to advance directives. 2. Summarize the different types of advance care planning aids and to highlight ones that are particularly pertinent for certain sub-populations. Background. Advance care planning aids are used by patients and their caregivers to clarify the patient’s preferred treatments and goals, should the patient become incapacitated and unable to articulate these preferences in the future. Aims. The goal of this systematic review was to summarize the evidence concerning the efficacy of advance care planning decision aids and to synthesize study results to further identify over-arching themes. Methods/Session descriptions. With the aid of a research librarian, search strategies relating to advance care planning and the use of advance care planning decision aids were developed and
501
conducted within PubMed, Embase, The Cochrane Library, CINAHL, Scopus, Sociologic Abstracts, and PsycINFO, with search results compiled in a reference manager. Inclusion and exclusion criteria for the articles were developed. Articles were screened by a title-abstract primary screen, title-abstract secondary screen, and full article screen. Final articles were reviewed and relevant data and study quality metrics were abstracted into a predetermined abstraction sheet with the abstracted data collected into summary tables. Tables were examined to reveal emerging themes. A total of 4531 articles were collected in the reference manager following the database searches. Primary and secondary title/abstract screen yielded a total of 157 articles appropriate for full review. Emerging themes already reveal the utilization of over twenty different types of advance care planning aids with study populations ranging from healthy asymptomatic adults to severely ill, highly symptomatic patients and families. Conclusion. Advance care planning decision aids are being developed for, and tested in, a wide variety of patient populations. They improve patient and surrogate comfort with decision making and comprehension, though their impact on health care utilization is still unclear.
Impact of Automatic Palliative Care Consultation for Hospitalized Patients with Advanced Cancer (S759) Gabrielle Rocque University of Alabama at Birmingham, Mountain Brook, AL. Toby Campbell, MD, University of Wisconsin, Madison, WI. Jens Eickhoff, PhD, University of Wisconsin, Madison, WI. Renae Quale, RN, University of Wisconsin School of Medicine and Public Health, Madison, WI. Anne Barnett, PA-C, UW Hospital Madison Wisconsin, Oregon, WI. James Cleary, MD, UW School of Medicine & Public Health, Madison, WI. Objectives 1. Understand the impact of automatic palliative care consults on hospice utilization, patient-reported outcomes, and billing. 2. Understand the limitations of implementing automatic palliative care consults for hospitalized patients with advanced cancer. Background. Hospitalized patients with advanced cancer have high symptom burdens and a short life expectancy, which may warrant palliative care consultation (APCC).