Comparison of Advance Care Planning and End-of-Life Care Intensity Between Dementia Versus Cancer Patients.

ABSTRACT:

Background

While advanced care planning (ACP) is recommended in dementia and cancer care, there are unique challenges in ACP for individuals with dementia, such as the insidious onset and progression of cognitive impairment, potentially leading to high-intensity care at the end of life (EOL) for this population.

Objective

To compare ACP completion and receipt of high-intensity care at the EOL between decedents with dementia versus cancer.

Design

Retrospective longitudinal cohort study.

Participants

Participants of the U.S. Health and Retirement Study who died between 2000 and 2014 with dementia (n = 2099) and cancer (n = 1137).

Main measures

Completion of three types of ACP (living will, durable power of attorney for healthcare [DPOAH], discussions of pr

SUBMITTER: Gotanda H 

PROVIDER: S-EPMC9550910 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature