Updating knowledge on existing approaches on advanced care planning interventions: An umbrella review.

In 30 seconds

This umbrella review synthesizes findings from 61 systematic reviews on advanced care planning (ACP) interventions, focusing on older adults. It highlights that structured conversations can reduce aggressive treatments and align end-of-life care with patient preferences. The study emphasizes the need for standardized definitions and broader implementation of ACP strategies, particularly in minority and low-income groups.

Key findings

• Structured conversations reduce unnecessary aggressive treatments in older adults.
• Peer support and palliative consultations enhance ACP completion among racial groups.
• Patient-centric interventions include video decision aids and web tools.
• Provider-centric interventions involve conversation guides and electronic coordination platforms.

Why it matters

Understanding effective ACP interventions is crucial for improving patient outcomes and ensuring that care aligns with individual preferences, particularly in diverse populations facing healthcare disparities.