Promoting perioperative advance care planning: a systematic review of advance care planning decision aids

Rebecca A Aslakson; Anne L R Schuster; Jessica Reardon; Thomas Lynch; Catalina Suarez-Cuervo; Judith A Miller; Rita Moldovan; Fabian Johnston; Blair Anton; Matthew Weiss; John F P Bridges

doi:10.2217/cer.15.43

Promoting perioperative advance care planning: a systematic review of advance care planning decision aids

J Comp Eff Res. 2015 Nov;4(6):615-50. doi: 10.2217/cer.15.43. Epub 2015 Sep 8.

Authors

Affiliations

¹ Department of Anesthesiology & Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
² Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 22105, USA.
³ The Johns Hopkins Evidence-based Practice Center, Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
⁴ Patient/Family Member Co-investigator, Architecture by Design, Ellicott City, MD 21042, USA.
⁵ Department of Medicine Nursing, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
⁶ Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
⁷ William H. Welch Medical Library, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
⁸ Department of Surgery, The Johns Hopkins University, Baltimore, MD 21287, USA.

PMID: 26346494
DOI: 10.2217/cer.15.43

Abstract

This systematic review identifies possible decision aids that promote perioperative advance care planning (ACP) and synthesizes the available evidence regarding their use. Using PubMed, EMBASE, Cochrane, SCOPUS, Web of Science, CINAHL, PsycINFO and Sociological Abstracts, researchers identified and screened articles for eligibility. Data were abstracted and risk of bias assessed for included articles. Thirty-nine of 5327 articles satisfied the eligibility criteria. Primarily completed in outpatient ambulatory populations, studies evaluated a variety of ACP decision aids. None were evaluated in a perioperative population. Fifty unique outcomes were reported with no head-to-head comparisons conducted. Findings are likely generalizable to a perioperative population and can inform development of a perioperative ACP decision aid. Future studies should compare the effectiveness of ACP decision aids.

Keywords: advance care planning; decision support techniques; decision-making; patient-centered care; perioperative care.

Publication types

Research Support, Non-U.S. Gov't
Review
Systematic Review

MeSH terms

Advance Care Planning*
Decision Support Techniques*
Humans
Patient-Centered Care
Perioperative Care*