Instability in End-of-Life Goals and Preferences of Patients Who Are Seriously Ill: A Systematic Review.

ABSTRACT:

Importance

Advance care planning (ACP) aims to ensure goal-concordant end-of-life (EOL) care based on patients' prerecorded goals and preferences, assuming these remain stable. However, this assumption has not been systematically examined.

Objective

To assess evidence on stability of EOL care goals and preferences over time among patients who are seriously ill, and identify factors associated with changes over time.

Evidence review

PubMed, EMBASE, and Scopus were searched for English-language longitudinal studies published between 2014 and September 2024 assessing outcomes at least twice among adults with a serious illness were included. Studies lacking sufficient data to calculate proportions of patients with unstable goals and preferences during the study period wer

SUBMITTER: Murali S 

PROVIDER: S-EPMC12619100 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature