ArticleBMC palliative care2025
Patterns of engagement in advance care planning among older people living with cancer: a cross-sectional survey.
Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundOlder adult patients with cancer may be at increased risk of poor health outcomes due to age-related conditions. Although advance care planning (ACP) can support individuals in engaging in shared decision making and goal-concordant care, ACP uptake may be shaped by family oriented cultural values. This study examined the perceptions of ACP among older adult patients with cancer and explored their patterns of ACP engagement.
methodsThis cross-sectional survey measured participants’ self-reported perceptions of ACP and readiness to engage. We recruited older adults (> 60 years) with non-hematological cancer attending an oncology outpatient clinic in Thailand. Latent class analysis was used to identify distinct patterns of ACP engagement.
resultsIn total, 279 patients participated, most of whom had gastrointestinal, breast, or head and neck cancer. One-quarter (25.4%) had metastatic disease; however, the majority (70.0%) perceived their health as “good.” Approximately one-third of the participants were either prepared for or engaged in ACP discussions. ACP discussions with family members were more common than those with doctors. Three distinct engagement patterns were identified: “ACP adopters” (52.4%), characterized by high likelihood of engaging in all types of ACP; “Goal talkers” (12.5%), who had high motivation for goals-of-care discussions but limited action-taking; and “Low-engagement” individuals (35.1%), who showed generally low motivation. While only 1.1% had completed formal documentation, 35.2% reported being ready to write advance directives.
conclusionsWhile many older adult Thai patients with cancer are receptive to ACP in principle, actual engagement, particularly with healthcare professionals and formal documentation processes, remains limited. Family based discussions were more common, suggesting that culturally adapted interventions are required to promote broader and more formal ACP engagement.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.