Cochrane · systematic review · CD013022
Advance care planning for adults with heart failure
Nishikawa, Y, Hiroyama, N, Fukahori, H, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Advance care planning compared with usual care for patients with heart failure
Population: people with heart failure with or without their surrogate decision‐makers/carers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Concordance between participants' preferences and end‐of‐life care (yes/no) Post‐death data: mean days to death, ACP group (388.8 ± 255.7); usual care group (362.2 ± 288.4) Advance care planning vs usual care | RR 1.19 [0.91, 1.55] | 1 study · 110 participants | Very low Downgraded: indirectness |
Participants' quality of life Measured by EQ‐5D and KCCQ. Higher scores indicate high‐quality of life. Advance care planning vs usual care | no estimate extracted | 3 studies · 156 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Patients' satisfaction with care/treatment (yes/no) Advance care planning vs usual care | no estimate extracted | NR | No studies |
Completion of documentation by medical staff regarding discussions with participants about ACP processes (yes/no) Advance care planning vs usual care | RR 1.68 [1.23, 2.29] | 2 studies · 92 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Participants' depression Measured on PHQ‐8, PHQ‐9, and HADS. Higher scores indicate high depression Advance care planning vs usual care | no estimate extracted | 3 studies · 278 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Caregivers' satisfaction with care/treatment (yes/no) Advance care planning vs usual care | no estimate extracted | NR | No studies |
Quality of communication Measured on Quality of Patient‐Clinician Communication About End‐of‐Life Care. Higher score indicates high satisfaction with the quality of communication Assessed after intervention Advance care planning vs usual care | no estimate extracted | 1 study · 9 participants | Very low Downgraded: risk of bias, imprecision, indirectness |