Promoting perioperative advance care planning: a systematic review of advance care planning decision aids.
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.
Department of Anesthesiology & Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Rebecca A
RA
Aslakson
Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 22105, USA.
Anne L R
AL
Schuster
Department of Anesthesiology & Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Jessica
J
Reardon
Department of Anesthesiology & Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Thomas
T
Lynch
The Johns Hopkins Evidence-based Practice Center, Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Catalina
C
Suarez-Cuervo
Patient/Family Member Co-investigator, Architecture by Design, Ellicott City, MD 21042, USA.
Judith A
JA
Miller
Department of Medicine Nursing, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Rita
R
Moldovan
Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Fabian
F
Johnston
William H. Welch Medical Library, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Blair
B
Anton
Department of Surgery, The Johns Hopkins University, Baltimore, MD 21287, USA.
Matthew
M
Weiss
Department of Health Policy & Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 22105, USA.
John F P
JF
Bridges
D032722:Advance Care Planning; D003661:Decision Support Techniques; D006801:Humans; D018802:Patient-Centered Care; D019990:Perioperative Care
advance care planning; decision support techniques; decision-making; patient-centered care; perioperative care