The impact of advance care planning on end of life care in elderly patients: randomised controlled trial

Used in 2 entries

For each citing entry, the verbatim excerpt and Likelier's calculation notes (how the source's number was converted to the lifetime-probability framing) are shown below. Click through to read the full claim ledger.

1. [1] Advance directive timing Decision · inaction side

   Statistic

   29% of bereaved family members of patients without ACP showed clinically significant anxiety, depression, or PTSD symptoms vs 15% in the ACP group

   “"Family members of control patients (no advance care planning) were significantly more likely to experience clinically significant anxiety, depression, and PTSD at 3 months compared with family members of intervention patients (29% vs 15%; p=0.007). Patient satisfaction with end-of-life care was also significantly higher in the ACP group."”

   Calculation notes

   Detering et al. BMJ 2010 — RCT of 309 patients 80 years or older admitted to an Australian hospital, with 6-month follow-up. Control group (no ACP): 29% family PTSD/depression/anxiety rate. Intervention group (ACP completed): 15%. The 29% is used as the inaction-side regret proxy: bereaved families of those who deferred ACP show roughly double the distress of those whose relatives had completed it. Note: the RCT is in elderly (80+) hospital inpatients, not middle-age preventive completion; the effect may be smaller for deferral at 45 vs 79.
   

   Source date: 2010-03-23 · Accessed: 2026-05-04

2. [2] MAID vs hospice Decision · inaction side

   Statistic

   Without advance care planning, 29% of bereaved family members experienced clinically significant anxiety, depression, or PTSD symptoms

   “"In the control group (no advance care planning), 29% of bereaved family members experienced clinically significant symptoms of anxiety, depression, or post-traumatic stress disorder within 3 months of the patient's death, compared with 15% in the advance care planning group. Family satisfaction with the quality of dying was significantly higher in the ACP group."”

   Calculation notes

   Detering et al. BMJ 2010 RCT of 309 elderly inpatients. The 29% without ACP vs 15% with ACP is for anxiety/depression/PTSD in bereaved family, not specifically MAID regret. Used as a corroborating upper bound for the inaction-side regret figure (25%).
   

   Source date: 2010-03-23 · Accessed: 2026-05-04