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• W4385718334 endingPage "102144" @default.
• W4385718334 startingPage "102144" @default.
• W4385718334 abstract "Shared Decision-Making (SDM) between patients and clinicians is increasingly considered important. Treament Escalation Plans (TEP) are individualised documents outlining life-saving interventions to be considered in the event of clinical deterioration. SDM can inform subjective goals of care in TEP but it remains unclear how much it is considered beneficial by patients and clinicians. We aimed to synthesise the existing knowledge of clinician and older patient (generally aged ≥65 years) perspectives on patient involvement in TEP in the acute setting.Systematic database search was performed in MEDLINE, EMBASE, PsycInfo and CINAHL databases as well as grey literature from database inception to June 8, 2023, using the Sample (older patients, clinicians, acute setting; studies relating to patients whose main diagnosis was cancer or single organ failure were excluded as these conditions may have specific TEP considerations), Phenomenon of Interest (Treatment Escalation Planning), Design (any including interview, observational, survey), Evaluation (Shared Decision-Making), Research type (qualitative, quantitative, mixed methods) tool. Primary data (published participant quotations, field notes, survey results) and descriptive author comments were extracted and qualitative thematic synthesis was performed to generate analytic themes. Quality assessment was made using the Critical Appraisal Skills Programme and Mixed Methods Appraisal Tools. The GRADE-CERQual (Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research) approach was used to assess overall confidence in each thematic finding according to methodology, coherence, adequacy and relevance of the contributing studies. The study protocol was registered on PROSPERO, CRD42022361593.Following duplicate exclusion there were 1916 studies screened and ultimately 13 studies were included, all from European and North American settings. Clinician-orientated themes were: treatment escalation is a medical decision (high confidence); clinicians want the best for their patients amidst uncertainty (high confidence); involving patients and families in decisions is not always meaningful and can involve conflict (high confidence); treatment escalation planning exists within the clinical environment, organisation and society (moderate confidence). Patient-orientated themes were: patients' relationships with Treatment Escalation Planning are complex (low confidence); interactions with doctors are important but communication is not always easy (moderate confidence); patients are highly aware of their families when considering TEP (moderate confidence).Based on current evidence, TEP decisions appear dominated by clinicians' perspectives, motivated by achieving the best for patients and challenged by complex decisions, communication and environmental factors; older patients' perspectives have seldom been explored, but their input on decisions may be modest. Presenting the context and challenge of SDM during professional education may allow reflection and a more nuanced approach. Future research should seek to understand what approach to TEP decision-making patients and clinicians consider to be optimum in the acute setting so that a mutually acceptable standard can be defined in policy.HCA International and the NIHR Imperial Biomedical Research Centre." @default.
• W4385718334 created "2023-08-11" @default.
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• W4385718334 date "2023-08-01" @default.
• W4385718334 modified "2023-09-27" @default.
• W4385718334 title "Perspectives of healthcare professionals and older patients on shared decision-making for treatment escalation planning in the acute hospital setting: a systematic review and qualitative thematic synthesis" @default.
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• W4385718334 cites W2041927436 @default.
• W4385718334 cites W2043153288 @default.
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• W4385718334 cites W2048431097 @default.
• W4385718334 cites W2064445050 @default.
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• W4385718334 cites W2071995694 @default.
• W4385718334 cites W2076892873 @default.
• W4385718334 cites W2084460581 @default.
• W4385718334 cites W2086784634 @default.
• W4385718334 cites W2100992290 @default.
• W4385718334 cites W2109305774 @default.
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• W4385718334 cites W2114656311 @default.
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• W4385718334 cites W2737732207 @default.
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• W4385718334 cites W2784661812 @default.
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• W4385718334 doi "https://doi.org/10.1016/j.eclinm.2023.102144" @default.
• W4385718334 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37588625" @default.
• W4385718334 hasPublicationYear "2023" @default.
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