FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2893584038> ?p ?o ?g. }

• W2893584038 endingPage "1754" @default.
• W2893584038 startingPage "1749" @default.
• W2893584038 abstract "Background: Little is known about the extent of alignment between hematopoietic stem cell transplant (HSCT) patients and their healthcare proxies with respect to advance care planning (ACP). Aim: To determine if a structured three-step process using the letter advance directive (LAD) could (1) allow for the differences in opinion between patient–proxy dyads to surface and (2) help bridge preexisting discordance about specific treatment choices. Design: Blinded to each other, the HSCT patient (LAD-1) and proxy (LAD-2) each completed the LAD (step 1). They unmasked, compared LAD-1 and LAD-2, and discussed their choices (step 2). They completed a final letter directive (LAD-3) by consensus (step 3). Settings/Participants: Convenience sample of eighty dyads (patient and proxy) at a regional HSCT referral center. Results: The mean patient–proxy concordance was 72.9% for the 12 questions in the LAD. Wanting to be pain free at the end of life was the statement with the most amount of agreement (88.75% in LAD-1, 91.25% in LAD-2, and 90% in LAD-3). Patient–proxy dyads had notable discordance related to specific treatments. The highest discordance was related to ventilator support (46.3% of patients refused it, while 58.8% of proxies refused on behalf of the patient). Overall, proxies were more likely than patients to opt in for dialyses and hospice care but more likely to opt out for cardiac resuscitation and sedation to palliate refractory symptoms. On open discussion, patient–proxy discordance mostly resolved in favor of the patient. Conclusions: The ACP process should allow for patient–proxy differences to surface, facilitate a discussion about the granular details with the goal of reaching consensus. Our three-step approach using the LAD is an effective way to identify areas of patient–proxy concordance and discordance about specific treatment preferences. A structured patient–proxy discussion using the LAD helped reconcile discordance and most often in favor of a patient's original wishes." @default.
• W2893584038 created "2018-10-05" @default.
• W2893584038 creator A5003368910 @default.
• W2893584038 creator A5014879891 @default.
• W2893584038 creator A5022030518 @default.
• W2893584038 creator A5041108300 @default.
• W2893584038 creator A5045822106 @default.
• W2893584038 creator A5051585714 @default.
• W2893584038 creator A5056762414 @default.
• W2893584038 creator A5071704902 @default.
• W2893584038 creator A5089783952 @default.
• W2893584038 date "2018-12-01" @default.
• W2893584038 modified "2023-09-23" @default.
• W2893584038 title "A Three-Step Letter Advance Directive Procedure to Facilitate Patient-Proxy Alignment in Advance Care Planning" @default.
• W2893584038 cites W1527947800 @default.
• W2893584038 cites W1587003863 @default.
• W2893584038 cites W162033837 @default.
• W2893584038 cites W1834493213 @default.
• W2893584038 cites W1861968676 @default.
• W2893584038 cites W1915820320 @default.
• W2893584038 cites W1979144446 @default.
• W2893584038 cites W1991495591 @default.
• W2893584038 cites W2003131315 @default.
• W2893584038 cites W2005763353 @default.
• W2893584038 cites W2035131854 @default.
• W2893584038 cites W2035373008 @default.
• W2893584038 cites W2037404982 @default.
• W2893584038 cites W2048997100 @default.
• W2893584038 cites W2078489550 @default.
• W2893584038 cites W2149149861 @default.
• W2893584038 cites W2153738735 @default.
• W2893584038 cites W2157876542 @default.
• W2893584038 cites W2160595404 @default.
• W2893584038 cites W2323390397 @default.
• W2893584038 cites W2395286598 @default.
• W2893584038 cites W2413892643 @default.
• W2893584038 cites W2610701844 @default.
• W2893584038 cites W2769715791 @default.
• W2893584038 doi "https://doi.org/10.1089/jpm.2018.0150" @default.
• W2893584038 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6308271" @default.
• W2893584038 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30247088" @default.
• W2893584038 hasPublicationYear "2018" @default.
• W2893584038 type Work @default.
• W2893584038 sameAs 2893584038 @default.
• W2893584038 citedByCount "4" @default.
• W2893584038 countsByYear W28935840382020 @default.
• W2893584038 countsByYear W28935840382021 @default.
• W2893584038 countsByYear W28935840382022 @default.
• W2893584038 crossrefType "journal-article" @default.
• W2893584038 hasAuthorship W2893584038A5003368910 @default.
• W2893584038 hasAuthorship W2893584038A5014879891 @default.
• W2893584038 hasAuthorship W2893584038A5022030518 @default.
• W2893584038 hasAuthorship W2893584038A5041108300 @default.
• W2893584038 hasAuthorship W2893584038A5045822106 @default.
• W2893584038 hasAuthorship W2893584038A5051585714 @default.
• W2893584038 hasAuthorship W2893584038A5056762414 @default.
• W2893584038 hasAuthorship W2893584038A5071704902 @default.
• W2893584038 hasAuthorship W2893584038A5089783952 @default.
• W2893584038 hasBestOaLocation W28935840382 @default.
• W2893584038 hasConcept C119857082 @default.
• W2893584038 hasConcept C126322002 @default.
• W2893584038 hasConcept C159110408 @default.
• W2893584038 hasConcept C160798450 @default.
• W2893584038 hasConcept C177713679 @default.
• W2893584038 hasConcept C194828623 @default.
• W2893584038 hasConcept C199360897 @default.
• W2893584038 hasConcept C2777995714 @default.
• W2893584038 hasConcept C2778165595 @default.
• W2893584038 hasConcept C2779547435 @default.
• W2893584038 hasConcept C2780148112 @default.
• W2893584038 hasConcept C2994186709 @default.
• W2893584038 hasConcept C2994325236 @default.
• W2893584038 hasConcept C41008148 @default.
• W2893584038 hasConcept C71924100 @default.
• W2893584038 hasConceptScore W2893584038C119857082 @default.
• W2893584038 hasConceptScore W2893584038C126322002 @default.
• W2893584038 hasConceptScore W2893584038C159110408 @default.
• W2893584038 hasConceptScore W2893584038C160798450 @default.
• W2893584038 hasConceptScore W2893584038C177713679 @default.
• W2893584038 hasConceptScore W2893584038C194828623 @default.
• W2893584038 hasConceptScore W2893584038C199360897 @default.
• W2893584038 hasConceptScore W2893584038C2777995714 @default.
• W2893584038 hasConceptScore W2893584038C2778165595 @default.
• W2893584038 hasConceptScore W2893584038C2779547435 @default.
• W2893584038 hasConceptScore W2893584038C2780148112 @default.
• W2893584038 hasConceptScore W2893584038C2994186709 @default.
• W2893584038 hasConceptScore W2893584038C2994325236 @default.
• W2893584038 hasConceptScore W2893584038C41008148 @default.
• W2893584038 hasConceptScore W2893584038C71924100 @default.
• W2893584038 hasIssue "12" @default.
• W2893584038 hasLocation W28935840381 @default.
• W2893584038 hasLocation W28935840382 @default.
• W2893584038 hasLocation W28935840383 @default.
• W2893584038 hasLocation W28935840384 @default.
• W2893584038 hasOpenAccess W2893584038 @default.
• W2893584038 hasPrimaryLocation W28935840381 @default.
• W2893584038 hasRelatedWork W144772298 @default.
• W2893584038 hasRelatedWork W2037952949 @default.

• next