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

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dc.contributor.authorO'Caoimh, Rónán
dc.contributor.authorCornally, Nicola
dc.contributor.authorO'Sullivan, Ronan
dc.contributor.authorHally, Ruth
dc.contributor.authorWeathers, Elizabeth
dc.contributor.authorLavan, Amanda H.
dc.contributor.authorKearns, Tara
dc.contributor.authorCoffey, Alice
dc.contributor.authorMcGlade, Ciara
dc.contributor.authorMolloy, D. William
dc.date.accessioned2017-06-28T11:02:18Z
dc.date.available2017-06-28T11:02:18Z
dc.date.issued2017-06-23
dc.date.updated2017-06-28T10:56:17Z
dc.description.abstractAdvances 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
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO’Caoimh, R., Cornally, N., O’Sullivan, R., Hally, R., Weathers, E., Lavan, A. H., Kearns, T., Coffey, A., McGlade, C. and Molloy, D. W. (2017) 'Advance care planning within survivorship care plans for older cancer survivors: a systematic review', Maturitas, 105, pp. 52-57. doi:10.1016/j.maturitas.2017.06.027en
dc.identifier.doi10.1016/j.maturitas.2017.06.027
dc.identifier.endpage57
dc.identifier.issn0378-5122
dc.identifier.journaltitleMaturitasen
dc.identifier.startpage52
dc.identifier.urihttps://hdl.handle.net/10468/4197
dc.identifier.volume105
dc.language.isoenen
dc.publisherElsevieren
dc.rights© 2017 Elsevier B.V. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectAdvance care planningen
dc.subjectSurvivorship care planen
dc.subjectCancer survivorsen
dc.subjectOlder adultsen
dc.subjectAdvance care directivesen
dc.subjectSystematic reviewen
dc.titleAdvance care planning within survivorship care plans for older cancer survivors: a systematic reviewen
dc.typeArticle (peer-reviewed)en
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