Use and Types of Advance Care Planning Prior to Image-Guided Procedures |
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| Affiliation: | 1. Department of Radiology, University of California, San Diego, California;2. Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri;3. Department of Radiology, Stanford University, Stanford, California;1. Doctor of Nursing Practice Division, University of California, Los Angeles School of Nursing;2. Interventional Radiology Division, University of Southern California, Keck Medicine of USC, Los Angeles, California;1. Virginia Commonwealth University (VCU) Health, Richmond, VA;2. Virginia Commonwealth University School of Medicine, Richmond, VA;1. Department of Radiology, UPMC Children''s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA;2. Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA;3. Keck School of Medicine, University of Southern California, Los Angeles, CA |
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| Abstract: | BackgroundAdvance care planning is a well-supported means of improving care for patients by clarifying goals and preferences prior to an intervention.PurposeThe purpose of this study was to assess the prevalence and types of advance care planning occurring prior to image-guided procedures.MethodsAll image-guided procedures performed at two healthcare systems over a 3-month period were reviewed, including 1384 procedures for 999 inpatients and 1255 procedures for 1217 outpatients.FindingsOf 2,639 total image-guided procedures, 36% of inpatient procedures and 18% of outpatient procedures had advance care planning documented within 3 months prior to the procedure. Use was more prevalent prior to procedures near the end of life (p < .01) and tended to be less structured forms such as goals of care discussions (p < .01). Use was more common in non-Hispanic and male patients (p = .04).DiscussionAdvance care planning prior to image-guided procedures may be underutilized with disparities in this care. |
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| Keywords: | Advance care planning Palliative care Goals of care |
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