Effectiveness of Advance Care Planning for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

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  • Minami Kotoko
    Doctoral Program, Graduate School of Nursing Science, St. Luke’s International University
  • Ishikawa Kazue
    Teikyo University Hospital
  • Harada Tomoyo
    Graduate School of Nursing Science, St. Luke’s International University
  • Kamei Tomoko
    Graduate School of Nursing Science, St. Luke’s International University

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  • 慢性閉塞性肺疾患療養者を対象としたアドバンスケアプランニングの有効性：システマティックレビューとメタアナリシス
  • マンセイ ヘイソクセイ ハイ シッカン リョウヨウシャ オ タイショウ ト シタ アドバンスケアプランニング ノ ユウコウセイ : システマティックレビュー ト メタアナリシス

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<p>Aims: To identify the effectiveness of advance care planning (ACP) for chronic obstructive pulmonary disease (COPD) by undertaking a systematic review and meta-analysis of relevant research findings.</p><p>Methods: The databases searched were CENTRAL, PubMed, CINAHL Plus with Full Text, Embase, and PsycInfo, from which randomized controlled trials were collected. Analysis was performed by qualitative and quantitative integration and GRADE evaluation.</p><p>Results: 4RCTs (918 participants) were included in this review. The intervention group showed significant differences in advance directive completion (risk ratio (RR) 1.29; 95% confidence-interval (CI) [1.04–1.59]; p = .02) and end-of-life discussion (RR 1.55; 95%CI [1.02–2.37]; p = .04).</p><p>Conclusions: The results suggest that ACP for COPD may improve documentation and end-of-life discussions, however, the certainty of the evidence is limited based on the risk of bias and small studies.</p>

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