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Advance care planning within survivorship care plans for older cancer survivors: a systematic review

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Show simple item record O'Caoimh, Rónán Cornally, Nicola O'Sullivan, Ronan Hally, Ruth Weathers, Elizabeth Lavan, Amanda H. Kearns, Tara Coffey, Alice McGlade, Ciara Molloy, David William 2018-11-19T11:57:24Z 2018-11-19T11:57:24Z 2017
dc.description peer-reviewed en_US
dc.description.abstract Advances in the medical treatment of cancer have increased the number of survivors, particularly among older adults, who now represent the majority of these. Survivorship care plans (SCPs) are documents that cancer patients receive summarising their care, usually at the end of treatment but preferably from initial diagnosis. These may increase patient satisfaction and represent an opportunity to initiate preventative strategies and address future care needs. Advance care planning (ACP), incorporating advance healthcare decision-making, including formal written directives, increases satisfaction and end-of-life care. This paper systematically reviews evaluations of ACP within SCPs among older (≥65 years) cancer survivors. No studies meeting the inclusion criteria were identified by search strategies conducted in PubMed/MEDLINE and the Cochrane databases. One paper examined cancer survivors’ mainly positive views of ACP. Another discussed the use of a SCP supported by a ‘distress inventory’ that included an advance care directive (living will) as an issue, though no formal evaluation was reported. Although ACP is important for older adults, no study was found that evaluated its role within survivorship care planning. Despite the risk of recurrence and the potential for morbidity and mortality, especially among older cancer survivors, ACP is not yet a feature of SCPs. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Maturitas;105, pp. 52-57
dc.rights This is the author’s version of a work that was accepted for publication in Maturitas. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Maturitas, 105, pp. 52-57, en_US
dc.subject advance care planning en_US
dc.subject survivorship care plan en_US
dc.subject cancer survivors en_US
dc.subject older adults en_US
dc.subject advance care directives en_US
dc.subject systematic review en_US
dc.title Advance care planning within survivorship care plans for older cancer survivors: a systematic review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US 2018-11-19T11:47:07Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.maturitas.2017.06.027
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2736881
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Maturitas
dc.description.status peer-reviewed

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