July 31, 2025Frontiers in MedicineOpen Access

Identification and synthesis of end-of-life decision-making measures: a scoping review

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Scoping review identifies decision-making measures for older adults, highlighting gaps in end-of-life evaluations.

MAIN FINDING: A lack of standardized measures exists for assessing decision-making ability in end-of-life scenarios.
KEY EVIDENCE: Out of 16,286 articles, only 34 studied end-of-life decision-making measures, revealing just 28 unique tools.
APPROACH: The review followed established frameworks to gather literature on decision-making among adults 45 and older.
SIGNIFICANCE: Developing reliable measures can enhance understanding of older adults' preferences at the end of life.

Bucko et al. (2025) studied this question.

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