CoChat
Sign Up
Cited by 241Palliative Care and End-of-Life IssuesPalliative and Oncologic CarePatient-Provider Communication in Healthcare

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Improving End-of-Life Communication and Decision Making: The Development of a Conceptual Framework and Quality Indicators

Open access
Sinuff, Tasnim, Dodek, Peter, You, John J., Barwich, Doris, Tayler, Carolyn, Downar, James, Hartwick, Michael, Frank, Christopher, Stelfox, Henry T., Heyland, Daren K.·2015·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2014.12.007
Open this paper in CoChat — free accountOpen PDF

Abstract

CONTEXT: The goal of end-of-life (EOL) communication and decision making is to create a shared understanding about a person's values and treatment preferences that will lead to a plan of care that is consistent with these values and preferences. Improvements in communication and decision making at the EOL have been identified as a high priority from a patient and family point of view. OBJECTIVES: The purpose of this study was to develop quality indicators related to EOL communication and decision making. METHODS: We convened a multidisciplinary panel of experts to develop definitions, a conceptual framework of EOL communication and decision making, and quality indicators using a modified Delphi method. We generated a list of potential items based on literature review and input from panel members. Panel members rated the items using a seven-point Likert scale (1 = very little importance to 7 = extremely important) over four rounds of review until consensus was achieved. RESULTS: About 24 of the 28 panel members participated in all four rounds of the Delphi process. The final list of quality indicators comprised 34 items, divided into the four categories of our conceptual framework: Advance care planning (eight items), Goals of care discussions (13 items), Documentation (five items), and Organization/System aspects (eight items). Eleven items were rated "extremely important" (median score). All items had a median score of five (moderately important) or greater. CONCLUSION: We have developed definitions, a conceptual framework, and quality indicators that researchers and health care decision makers can use to evaluate and improve the quality of EOL communication and decision making.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jpainsymman.2014.12.007

Cites

25 of 25 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 25 references

Cited by

Sorted by citations

Items 101–200 of 241

Related

See all

Metadata

Authors
Sinuff, T., Dodek, P., You, J. J., Barwich, D., Tayler, C., Downar, J., Hartwick, M., Frank, C., Stelfox, H. T., & Heyland, D. K.
Affiliations
  • Sunnybrook Health Science Centre (CA)
  • University of British Columbia (CA)
  • McMaster University (CA)
  • Fraser Health (CA)
  • University of Toronto (CA)
  • University of Ottawa (CA)
  • Queen's University (CA)
  • Alberta Health Services (CA)
Corresponding author
Heyland, Daren K.
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2015-06
Volume
49
Issue
6
Pages
1070-1080
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2014.12.007
OpenAlex
W2041357614
Cited by
241
References
25
Citations by year
2026: 8 · 2025: 15 · 2024: 13 · 2023: 21 · 2022: 31 · 2021: 24 · 2020: 28 · 2019: 25 · 2018: 23 · 2017: 32 · 2016: 12 · 2015: 7
FWCI
26.39
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
end-of-life communication, end-of-life decisions, advance care planning, goals of care discussions, quality indicators, conceptual framework, patient and family preferences, treatment preferences, healthcare quality improvement
MeSH terms
Adult, Aged, Canada, Communication, Decision Making, Female, Health Personnel, Humans, Male, Middle Aged, Palliative Care, Quality Assurance, Health Care, Quality of Health Care, Terminal Care, Advance Care Planning

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review