Gerónimo Jiménez|Woan Shin Tan|Amrit Virk|Chan Kee Low|Josip Car|Andy Hau Yan Ho
Overview of Systematic Reviews of Advance Care Planning: Summary of Evidence and Global Lessons
Singapore Centre for Environmental Life Sciences Engineering|Nanyang Technological University|Singapore Centre for Environmental Life Sciences Engineering|Nanyang Technological University|Singapore Centre for Environmental Life Sciences Engineering|Nanyang Technological University|Nanyang Technological University|Singapore Centre for Environmental Life Sciences Engineering|Nanyang Technological University|Imperial College London|Singapore Centre for Environmental Life Sciences Engineering|Nanyang Technological University
advance care planning acp involves important decision making future medical needs highvolume disparate nature acp research makes difficult grasp evidence derive clear policy lessons policymakers cliniciansthe aim study synthesize acp research evidence identify relevant contextual elements program features implementation principles impacted outcomes inform policy practicean overview systematic reviews using cochrane handbook systematic reviews interventions performed study quality assessed using modified version amstar measurement tool assess reviews toolmedline ebm reviews cochrane reviews cinahl global health psycinfo embase searched acprelated research inception database april 2017 searches supplemented gray literature manual searches eighty systematic reviews covering 1660 original articles included analysislegislations institutional policies cultural factors influence acp development positive perceptions toward acp necessarily translate endoflife conversations many factors related patients providers attitudes perceptions toward life mortality influence acp implementation decision making completion limited lowquality evidence points several acp benefits improved endoflife communication documentation care preferences dying preferred place health care savings recurring features make acp programs effective include repeated interactive discussion sessions decision aids interventions targeting multiple stakeholderspreliminary evidence highlights several elements influence acp process provides variety features could support successful effective sustainable acp implementation however evidence compartmentalized limited studies evaluating acp unified program assessing impact acp different populations settings contexts needed develop programs able unleash acps full potential