The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Communication and Decision‐Making in Seriously Ill Patients: Findings of the SUPPORT Project
Abstract
OBJECTIVES: The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) represents one of the largest and most comprehensive efforts to describe patient preferences in seriously ill patients, and to evaluate how effectively patient preferences are communicated. Our objective was to review findings from SUPPORT describing the communication of seriously ill patients' preferences for end‐of‐life care. METHODS: We identified published reports from SUPPORT describing patient preferences and the communication of those preferences. We abstracted findings that addressed each of the following questions: What patient characteristics predict patient preferences for end of life care? How well do physicians, nurses, and surrogates understand their patients' preferences, and what variables are correlated with this understanding? Does increasing the documentation of existing advance directives result in care more consistent with patients' preferences? RESULTS: Patients who are older, have cancer, are women, believe their prognoses are poor, and are more dependent in ADL function are less likely to want CPR. However, there is considerable variability and geographic variation in these preferences. Physician, nurse, and surrogate understanding of their patient's preferences is only moderately better than chance. Most patients do not discuss their preferences with their physicians, and only about half of patients who do not wish to receive CPR receive DNR orders. Factors other than the patients' preferences and prognoses, including the patient's age, the physician's specialty, and the geographic site of care were strong determinants of whether DNR orders were written. In SUPPORT patients, there was no evidence that increasing the rates of documentation of advance directives results in care that is more consistent with patients' preferences. CONCLUSIONS: SUPPORT documents that physicians and surrogates are often unaware of seriously ill patients' preferences. The care provided to patients is often not consistent with their preferences and is often associated with factors other than preferences or prognoses. Improving these deficiencies in end‐of‐life care may require systematic change rather than simple interventions.
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Connors, A. F., Dawson, N. V., Desbiens, N. A., Fulkerson, W. J., Goldman, L., Knaus, W. A., Lynn, J., Oye, R. K., Bergner, M., Damiano, A., et al. (1995) · JAMA · doi:10.1001/jama.274.20.1591 · Cited by 2,764
Self-citationThe Effectiveness of Right Heart Catheterization in the Initial Care of Critically III Patients
Connors, A. F. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540110043030 · Cited by 2,210
Relationship between cancer patients' predictions of prognosis and their treatment preferences
Weeks, J. C. (1998) · JAMA · doi:10.1001/jama.279.21.1709 · Cited by 1,319
Ethnicity and Attitudes Toward Patient Autonomy
Blackhall, L. J. (1995) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1995.03530100060035 · Cited by 1,011
Changing Physicians' Practices
Greco, P. J., & Eisenberg, J. M. (1993) · New England Journal of Medicine · doi:10.1056/nejm199310213291714 · Cited by 977
Patient Preferences for Communication with Physicians about End-of-Life Decisions
Hofmann, J. C., Wenger, N. S., Davis, R. B., Teno, J., Connors, A. F., Desbiens, N., Lynn, J., & Phillips, R. S. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-1-199707010-00001 · Cited by 449
Self-citationThe Physician's Responsibility toward Hopelessly Ill Patients
Wanzer, S. H., Federman, D. D., Adelstein, S. J., Cassel, C. K., Cassem, E. H., Cranford, R. E., Hook, E. W., Lo, B., Moertel, C. G., Safar, P., et al. (1989) · New England Journal of Medicine · doi:10.1056/nejm198903303201306 · Cited by 434
Teno, J., Lynn, J., Wenger, N., Phillips, R. S., Murphy, D. P., Connors, A. F., Desbiens, N., Fulkerson, W., Bellamy, P., & Knaus, W. A. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb05178.x · Cited by 434
Self-citationDo Advance Directives Provide Instructions That Direct Care?
Teno, J. M., Licks, S., Lynn, J., Wenger, N., Connors, A. F., Phillips, R. S., O'Connor, M. A., Murphy, D. P., Fulkerson, W. J., Desbiens, N., et al. (1997) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1997.tb05179.x · Cited by 348
Self-citationHow Strictly Do Dialysis Patients Want Their Advance Directives Followed?
Sehgal, A. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03480010067026 · Cited by 310
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You, J. J., Downar, J., Fowler, R. A., Lamontagne, F., Ma, I. W. Y., Jayaraman, D., Kryworuchko, J., Strachan, P. H., Ilan, R., Nijjar, A. P., et al. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.7732 · Cited by 422
Promoting Informed Choice: Transforming Health Care To Dispense Knowledge for Decision Making
Woolf, S. H., Chan, E. C. Y., Harris, R., Sheridan, S. L., Braddock, C. H., Kaplan, R. M., Krist, A., O'Connor, A. M., & Tunis, S. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-143-4-200508160-00010 · Cited by 355
Kolfschoten, N. E., Kievit, J., Gooiker, G. A., van Leersum, N. J., Snijders, H. S., Eddes, E. H., Tollenaar, R. A. E. M., Wouters, M. W. J. M., & Marang-van de Mheen, P. J. (2013) · European Journal of Surgical Oncology (EJSO) · doi:10.1016/j.ejso.2012.10.007 · Cited by 342
Video decision support tool for advance care planning in dementia: randomised controlled trial
Volandes, A. E., Paasche-Orlow, M. K., Barry, M. J., Gillick, M. R., Minaker, K. L., Chang, Y., Cook, E. F., Abbo, E. D., El-Jawahri, A., & Mitchell, S. L. (2009) · BMJ · doi:10.1136/bmj.b2159 · Cited by 276
Metadata
- Authors
- Covinsky, K. E., Fuller, J. D., Yaffe, K., Johnston, C. B., Hamel, M. B., Lynn, J., Teno, J. M., & Phillips, R. S.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2000-05
- Volume
- 48
- Issue
- S1
- Pages
- S187-93
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1979494626
- Cited by
- 330
- References
- 41
- FWCI
- 16.51
- Type
- journal article
- Language
- en
- Open access
- closed
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- Covinsky, K. E., Fuller, J. D., Yaffe, K., Johnston, C. B., Hamel, M. B., Lynn, J., Teno, J. M., & Phillips, R. S. (2000). Communication and Decision‐Making in Seriously Ill Patients: Findings of the SUPPORT Project. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2000.tb03131.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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