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. 2014 Dec 1;14(19):1–72.

Table 15:

Effect of Timing of Patient Care Planning Discussions on Receiving Hospital Care

Author, Year Study Design Tool Used? Results
Single-Provider Discussion vs. Usual Care or No Discussion
GRADE for all evidence: Moderate
Mack et al, 2012 (58) Obs-cont No Proportion receiving acute care in the last 30 days of life
Days between first discussion and death:
 ≤ 30: 180/311 (57.9%)
 31–60: 76/186 (40.9%)
 61–90: 35/108 (32.4%)
 > 90: 49/189 (25.9%)
 χ2: 55.905, df = 3, P < 0.001a

Abbreviations: GRADE, Grading of Recommendations Assessment, Development, and Evaluation; Obs-cont, observational study with contemporaneous control.

a

Statistically significant at P ≤ 0.05.