End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review

Gonzalez-Gonzalez AI, Schmucker C, Nothacker J, Nury E, Dinh TS, Brueckle M-S, Blom JW, van den Akker M, Roettger K, Wegwarth O, Hoffmann T, et al. (2021)
Journal of Clinical Medicine 10(1): 91.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Gonzalez-Gonzalez, Ana I.; Schmucker, Christine; Nothacker, Julia; Nury, Edris; Dinh, Truc Sophia; Brueckle, Maria-Sophie; Blom, Jeanet W.; van den Akker, Marjan; Roettger, Kristian; Wegwarth, Odette; Hoffmann, Tammy; Gerlach, Ferdinand M.
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Abstract / Bemerkung
Unpredictable disease trajectories make early clarification of end-of-life (EoL) care preferences in older patients with multimorbidity advisable. This mixed methods systematic review synthesizes studies and assesses such preferences. Two independent reviewers screened title/abstracts/full texts in seven databases, extracted data and used the Mixed Methods Appraisal Tool to assess risk of bias (RoB). We synthesized findings from 22 studies (3243 patients) narratively and, where possible, quantitatively. Nineteen studies assessed willingness to receive life-sustaining treatments (LSTs), six, the preferred place of care, and eight, preferences regarding shared decision-making processes. When unspecified, 21% of patients in four studies preferred any LST option. In three studies, fewer patients chose LST when faced with death and deteriorating health, and more when treatment promised life extension. In 13 studies, 67% and 48% of patients respectively were willing to receive cardiopulmonary resuscitation and mechanical ventilation, but willingness decreased with deteriorating health. Further, 52% of patients from three studies wished to die at home. Seven studies showed that unless incapacitated, most patients prefer to decide on their EoL care themselves. High non-response rates meant RoB was high in most studies. Knowledge of EoL care preferences of older patients with multimorbidity increases the chance such care will be provided.
Stichworte
end of life care; patient preferences; multimorbidity; elderly; patient; centered care
Erscheinungsjahr
2021
Zeitschriftentitel
Journal of Clinical Medicine
Band
10
Ausgabe
1
Art.-Nr.
91
eISSN
2077-0383
Page URI
https://pub.uni-bielefeld.de/record/2950684

Zitieren

Gonzalez-Gonzalez AI, Schmucker C, Nothacker J, et al. End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review. Journal of Clinical Medicine. 2021;10(1): 91.
Gonzalez-Gonzalez, A. I., Schmucker, C., Nothacker, J., Nury, E., Dinh, T. S., Brueckle, M. - S., Blom, J. W., et al. (2021). End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review. Journal of Clinical Medicine, 10(1), 91. https://doi.org/10.3390/jcm10010091
Gonzalez-Gonzalez, A. I., Schmucker, C., Nothacker, J., Nury, E., Dinh, T. S., Brueckle, M. - S., Blom, J. W., van den Akker, M., Roettger, K., Wegwarth, O., et al. (2021). End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review. Journal of Clinical Medicine 10:91.
Gonzalez-Gonzalez, A.I., et al., 2021. End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review. Journal of Clinical Medicine, 10(1): 91.
A.I. Gonzalez-Gonzalez, et al., “End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review”, Journal of Clinical Medicine, vol. 10, 2021, : 91.
Gonzalez-Gonzalez, A.I., Schmucker, C., Nothacker, J., Nury, E., Dinh, T.S., Brueckle, M.-S., Blom, J.W., van den Akker, M., Roettger, K., Wegwarth, O., Hoffmann, T., Gerlach, F.M., Straus, S.E., Meerpohl, J.J., Muth, C.: End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review. Journal of Clinical Medicine. 10, : 91 (2021).
Gonzalez-Gonzalez, Ana I., Schmucker, Christine, Nothacker, Julia, Nury, Edris, Dinh, Truc Sophia, Brueckle, Maria-Sophie, Blom, Jeanet W., van den Akker, Marjan, Roettger, Kristian, Wegwarth, Odette, Hoffmann, Tammy, Gerlach, Ferdinand M., Straus, Sharon E., Meerpohl, Joerg J., and Muth, Christiane. “End-of-Life Care Preferences of Older Patients with Multimorbidity: A Mixed Methods Systematic Review”. Journal of Clinical Medicine 10.1 (2021): 91.
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2021-02-19T16:16:44Z
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