Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries.
<h4>Background</h4>Informing residents in long term care facilities (LTCFs) about their prognosis can help them prepare for the end of life. This study aimed to examine which proportion of European LTCF residents, close to death, are accurately prognosticated and consequently informed ab...
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200590&type=printable |
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| author | Maud Ten Koppel Bregje D Onwuteaka-Philipsen H Roeline Pasman Roberto Bernabei Iain Carpenter Michael D Denkinger Graziano Onder Henriëtte G van der Roest Eva Topinkova Hein P J van Hout |
| author_facet | Maud Ten Koppel Bregje D Onwuteaka-Philipsen H Roeline Pasman Roberto Bernabei Iain Carpenter Michael D Denkinger Graziano Onder Henriëtte G van der Roest Eva Topinkova Hein P J van Hout |
| author_sort | Maud Ten Koppel |
| collection | DOAJ |
| description | <h4>Background</h4>Informing residents in long term care facilities (LTCFs) about their prognosis can help them prepare for the end of life. This study aimed to examine which proportion of European LTCF residents, close to death, are accurately prognosticated and consequently informed about their prognosis; and to examine factors related to accurate prognostication and discussion of prognosis.<h4>Methods</h4>A subsample of SHELTER study data was used, consisting of: 500 residents from 5 European countries, who died within 6 months after their last assessment, and had a valid answer on the item 'End stage disease, 6 or fewer months to live'. This item was used to indicate whether an accurate prognosis was established and discussed with residents. Generalized estimating equations were used to examine factors related to establishment and discussion of accurate prognosis.<h4>Results</h4>86.4% of residents close to death did not receive an accurate prognosis. Residents with cancer; fatigue; dehydration; and normal mode of nutritional intake were more likely to have an accurate prognosis established and discussed. Accurate prognostication and prognosis discussion was less likely for residents who: had a diagnosis under 'other'; initiated interactions; and residents from Germany, Italy and the Netherlands.<h4>Conclusions</h4>The great majority of residents close to death did not receive an accurate prognosis. Prognostication tools might help clinicians to increase their prognostic accuracy and communication training might help to discuss prognosis with residents. |
| format | Article |
| id | doaj-art-26b76ef9953c4731be66c4e3f60258a2 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-26b76ef9953c4731be66c4e3f60258a22025-08-20T02:54:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e020059010.1371/journal.pone.0200590Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries.Maud Ten KoppelBregje D Onwuteaka-PhilipsenH Roeline PasmanRoberto BernabeiIain CarpenterMichael D DenkingerGraziano OnderHenriëtte G van der RoestEva TopinkovaHein P J van Hout<h4>Background</h4>Informing residents in long term care facilities (LTCFs) about their prognosis can help them prepare for the end of life. This study aimed to examine which proportion of European LTCF residents, close to death, are accurately prognosticated and consequently informed about their prognosis; and to examine factors related to accurate prognostication and discussion of prognosis.<h4>Methods</h4>A subsample of SHELTER study data was used, consisting of: 500 residents from 5 European countries, who died within 6 months after their last assessment, and had a valid answer on the item 'End stage disease, 6 or fewer months to live'. This item was used to indicate whether an accurate prognosis was established and discussed with residents. Generalized estimating equations were used to examine factors related to establishment and discussion of accurate prognosis.<h4>Results</h4>86.4% of residents close to death did not receive an accurate prognosis. Residents with cancer; fatigue; dehydration; and normal mode of nutritional intake were more likely to have an accurate prognosis established and discussed. Accurate prognostication and prognosis discussion was less likely for residents who: had a diagnosis under 'other'; initiated interactions; and residents from Germany, Italy and the Netherlands.<h4>Conclusions</h4>The great majority of residents close to death did not receive an accurate prognosis. Prognostication tools might help clinicians to increase their prognostic accuracy and communication training might help to discuss prognosis with residents.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200590&type=printable |
| spellingShingle | Maud Ten Koppel Bregje D Onwuteaka-Philipsen H Roeline Pasman Roberto Bernabei Iain Carpenter Michael D Denkinger Graziano Onder Henriëtte G van der Roest Eva Topinkova Hein P J van Hout Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. PLoS ONE |
| title | Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. |
| title_full | Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. |
| title_fullStr | Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. |
| title_full_unstemmed | Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. |
| title_short | Are older long term care residents accurately prognosticated and consequently informed about their prognosis? Results from SHELTER study data in 5 European countries. |
| title_sort | are older long term care residents accurately prognosticated and consequently informed about their prognosis results from shelter study data in 5 european countries |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200590&type=printable |
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