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. 2022 Jul 8;2022(7):CD013116. doi: 10.1002/14651858.CD013116.pub2
Study Country, setting
 
Diagnosis of person at end of life (EoL); selection criteria Demographics  Intervention target
Agar 2017
 
Cluster‐RCT
2 arms
 
 
Australia
 
Residential care facilities in major cities
Advanced dementia; selection criteria identified people with average survival < 6 months
 
Carers no information
 
Age (years):
intervention mean 84.7 (standard deviation (SD) 7.9), usual care (UC) 85.8 (SD 8.2)
 
Gender:
intervention 61% female,
UC 58% female
Residents with dementia
Family member/ friend involved in decisions on patient's behalf
Au 2012
 
Cluster‐RCT
2 arms
 
 
 
 
USA
 
Outpatient clinics, Veterans' Affairs centres
COPD
Clinician primarily responsible for COPD care (primary care and chest clinics)
 
Excluded: cognitive dysfunction, language barriers or severe psychiatric disorders
 
Age (years):
patients mean 69.4 both arms
 
Gender:
patients: intervention 97.9% male, UC 96.2% male
clinicians: intervention 50% male, UC 44% male
Patients with COPD
Clinicians 
Surrogates
Bernacki 2019
 
Cluster‐RCT
3 arms (2 control; data from 2 arms available)
 
 
USA
 
Hospital clinics
Advanced, incurable cancer; life expectancy < 12 months and identified surrogates (family member/ friend)
 
Clinicians: oncology physicians, nurse practitioners, physician assistants caring for patients (advanced incurable cancer and life expectancy < 12 months) at least 1‐half day per week
 
Excluded: cognitive impairment, unable to speak English or identify a surrogate. Clinicians participating in concurrent studies, or working with both intervention and control arms
Age (years):
patients: intervention 61.8,
UC 62.1 
 
Gender:
patients: intervention 53.7% female, UC 52.8% female
clinicians: intervention 62.5% female, UC 51.2% female
Patients with cancer
Clinicians 
Surrogates 
Clayton 2007
 
RCT
2 arms
 
Australia
 
Palliative care services
Advanced, progressive, life‐limiting conditions
Carer (spouse, partner, family member, friend)
 
Clinicians: palliative care physicians who endorsed question prompt list (QPL) use
 
Age (years):
intervention: mean 65.5 (SD 12.6), UC 64.6  (SD 14.1)
 
Gender:
intervention 39% female,
UC 40% female
Patients
Carer 
 
Epstein 2017
 
Cluster‐RCT
2 arms
 
USA
 
Community‐based cancer clinics, academic medical centres, community hospitals
 
 
 
 
Advanced cancer; mean life expectancy 9 to 12 months
Carers (family member, partner, friend, other involved in health care)
Oncologists
 
Excluded: inpatients, those in hospice, unable to understand spoken English or provide written informed consent, patient/carer without decisional capacity
Age (years):
patients: mean 64.4 
carers: not reported
physicians: mean 44 
 
Gender:
patients: 55% female
carers: not reported
physicians: 29% female
Patients
Carers 
Oncologists
 
73% of patients nominated a carer
 
Lautrette 2007
 
RCT
2 arms
 
France
 
Intensive care (medical and surgical) units
 
ICU (acute respiratory failure, coma, shock, acute renal failure, cardiac arrest; expected to die within days)
 
Excluded: patients < 18 years, surrogates without sufficient French for telephone interview
 
 
 
 
 
 
 
Age (years):
patients: intervention median 68, UC 74 
surrogates: intervention median 54, UC 54 
 
Gender:
patients: intervention 41% female, UC 48% female
surrogates: intervention 77% female, UC 70% female
Surrogate decision makers (primarily family members): 40% spouses, 48% children 
 
 
Reinhardt 2014
 
RCT
2 arms
 
USA
 
Large nursing facility in major city (New York)
 
Advanced dementia
Family members/surrogates (patient’s primary contact)
 
Age (years):
intervention: mean 59.6 (SD 12.3), UC mean 58.9 (SD 11.9)
 
Gender:
intervention: 78.7% female, UC 80% female
Surrogates
 
Walczak 2017
 
RCT
2 arms
 
 
 
 
Australia
 
Hospital‐affiliated cancer treatment centres
Advanced, incurable cancer; oncologist‐assessed life expectancy 2 to 12 months
 
Informal primary carers > 18 years participated if nominated by patient
 
Excluded: non‐English speaking, those with cognitive impairment or significant psychological morbidity
Age (years):
intervention: mean 63.8, UC: mean 65.6 
 
Gender:
34.5% female
 
Patients, with or without primary informal carers