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Cochrane Database of Systematic Reviews

Advance care planning for heart failure

Esta versión no es la más reciente

ver la versión actual 27 febrero 2020

Información

DOI:
https://doi.org/10.1002/14651858.CD013022Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 04 mayo 2018see what's new
Tipo:
  1. Intervention
Etapa:
  1. Protocol
Grupo Editorial Cochrane:

  1. Grupo Cochrane de Corazón

Copyright:
  1. Copyright © 2018 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Yuri Nishikawa

    Department of System Management in Nursing Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan

  • Hiroki Fukahori

    Department of System Management in Nursing Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan

    Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan

  • Erika Ota

    Global Health Nursing, St. Luke's International University, Graduate School of Nursing Sciences, Tokyo, Japan

  • Atsushi Mizuno

    Cardiology, St. Luke’s International Hospital, Tokyo, Japan

  • Natsuko Hiroyama

    Department of System Management in Nursing Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan

  • Mitsunori Miyashita

    Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan

  • Daisuke Yoneoka

    Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis Tennessee, USA

  • Joey SW Kwong

    Correspondencia a: Department of Epidemiology and Biostatistics, Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong

    [email protected]

    [email protected]

Contributions of authors

Yuri Nishikawa: conceived the concept; developed and finalised the protocol.
Hiroki Fukahori: conceived the concept; developed and finalised the protocol.
Erika Ota: developed and finalised the protocol.
Atsushi Mizuno: developed and finalised the protocol.
Natsuko Hiroyama: developed and finalised the protocol.
Mitsunori Miyashita: developed and finalised the protocol.
Daisuke Yoneoka: developed and finalised the protocol.
Joey SW Kwong: developed and finalised the protocol.

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • This project was supported by the National Institute for Health Research (NIHR), via Cochrane Infrastructure to the Heart Group. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Systematic Reviews Programme, NIHR, National Health Service (NHS) or the Department of Health, UK.

Declarations of interest

Yuri Nishikawa: none.
Hiroki Fukahori: none.
Erika Ota: none.
Atsushi Mizuno: This research is supported by the 'Practical Research Project for Life‐Style related Diseases including Cardiovascular Diseases and Diabetes Mellitus' from Japan Agency for Medical Research.
and development, AMED..
Natsuko Hiroyama: none.
Mitsunori Miyashita: none.
Daisuke Yoneoka: none.
Joey SW Kwong: none.

Acknowledgements

We thank the Cochrane Heart Group for providing a template protocol.

Version history

Published

Title

Stage

Authors

Version

2020 Feb 27

Advance care planning for adults with heart failure

Review

Yuri Nishikawa, Natsuko Hiroyama, Hiroki Fukahori, Erika Ota, Atsushi Mizuno, Mitsunori Miyashita, Daisuke Yoneoka, Joey SW Kwong

https://doi.org/10.1002/14651858.CD013022.pub2

2018 May 04

Advance care planning for heart failure

Protocol

Yuri Nishikawa, Hiroki Fukahori, Erika Ota, Atsushi Mizuno, Natsuko Hiroyama, Mitsunori Miyashita, Daisuke Yoneoka, Joey SW Kwong

https://doi.org/10.1002/14651858.CD013022

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Table 1. 'Summary of findings' table

Advanced care planning compared with usual care for patients with heart failure

Patient or population: heart failure patients with or without their surrogate decision‐makers/carers

Settings: in‐patient and out‐patient hospitals and clinics

Intervention: advanced care planning

Comparison: usual care

Outcomes

Illustrative comparative risks* (95% CI)

Relative effect
(95% CI)

No. of Participants
(studies)

Quality of the evidence
(GRADE)

Assumed risk

Corresponding risk

Usual care

ACP

Concordance between participants' preferences and end‐of‐life care (yes/no)

[value] per 1000

[value] per 1000
([value] to [value])

RR [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Participants' quality of life

The mean quality of life score ranged across control groups from [value][measure]

The mean quality of life score in the intervention groups was
[value] [lower/higher]
[(value to value lower/higher)]

MD [value] ([value] to [value]) or SMD [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Participants' satisfaction with care/treatment (yes/no)

[value] per 1000

[value] per 1000
([value] to [value])

RR [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Completion of documentation by medical staff regarding discussions with participants about ACP processes (yes/no)

[value] per 1000

[value] per 1000
([value] to [value])

RR [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Participants' depressive state

The mean quality of life score ranged across control groups from [value][measure]

The mean quality of life score in the intervention groups was
[value] [lower/higher]
[(value to value lower/higher)]

MD [value] ([value] to [value]) or SMD [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Caregivers' satisfaction with care/treatment (yes/no)

[value] per 1000

[value] per 1000
([value] to [value])

RR [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

Quality of communication

The mean quality of communication domain score ranged across control groups from [value][measure]

The mean quality of communication domain score in the intervention groups was [value] [lower/higher]
[(value to value lower/higher)]

MD [value] ([value] to [value]) or SMD [value] ([value] to [value])

[value]
([value])

⊕⊝⊝⊝
very low

⊕⊕⊝⊝
low

⊕⊕⊕⊝
moderate

⊕⊕⊕⊕
high

*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
ACP: advanced care planning; CI: confidence interval; MD: mean difference; RR: risk ratio; SMD: standardised mean difference

GRADE Working Group grades of evidence
High‐quality: further research is very unlikely to change our confidence in the estimate of effect.
Moderate‐quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low‐quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low‐quality: we are very uncertain about the estimate.

Figuras y tablas -
Table 1. 'Summary of findings' table
Ir a la tabla del protocolo