Key result
Participation in Disease Specific Advance Care Planning was associated with a higher rate of having a health directive (94.3% vs 24.8%; p<0.001) and increased hospice use among those who died.
Why the study?
Does Disease Specific Advance Care Planning (DS-ACP) improve advance care planning documentation and hospice use in heart failure patients?
Observational (n=1,894)
Does Disease Specific Advance Care Planning (DS-ACP) improve advance care planning documentation and hospice use in heart failure patients?
Absolute Event Rate: 94.3% vs 24.8%
p-value: p=<0.001
Implementation of a Disease Specific Advance Care Planning model in heart failure patients significantly improves completion of health directives and increases hospice utilization at the end of life.
No takes yet. Share an insight, caveat, or question.
Supports DS-ACP in HF for better directives and hospice; hypothesis-generating and should not change practice without RCTs.
Schellinger et al. (2011) conducted an observational in Heart failure (n=1,894). Disease Specific Advance Care Planning (DS-ACP) vs. Nonparticipants was evaluated on Having a health directive (p=<0.001). Participation in Disease Specific Advance Care Planning was associated with a higher rate of having a health directive (94.3% vs 24.8%; p<0.001) and increased hospice use among those who died.
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