The influence of POLST on treatment intensity at the end of life: A systematic review

Despite its widespread implementation, it is unclear whether Physician Orders for Life‐Sustaining Treatment (POLST) are safe and improve the delivery of care that patients desire. We sought to systematically review the influence of POLST on treatment intensity among patients with serious illness and/or frailty.

[1]  S. Hickman,et al.  Reasons for discordance and concordance between POLST orders and current treatment preferences , 2021, Journal of the American Geriatrics Society.

[2]  S. Hickman,et al.  Factors associated with concordance between POLST orders and current treatment preferences , 2021, Journal of the American Geriatrics Society.

[3]  P. Stone,et al.  Are We Getting What We Really Want? A Systematic Review of Concordance Between Physician Orders for Life-Sustaining Treatment (POLST) Documentation and Subsequent Care Delivered at End-of-Life , 2020, The American journal of hospice & palliative care.

[4]  Erin K Kross,et al.  Physician Orders for Life-Sustaining Treatment and ICU Admission Near the End of Life. , 2020, JAMA.

[5]  J. Curtis,et al.  The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19). , 2020, JAMA.

[6]  Dana M. Zive,et al.  Injured Older Adults Transported by Emergency Medical Services: One Year Outcomes by POLST Status , 2020, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[7]  W. Lober,et al.  Association of Physician Orders for Life-Sustaining Treatment With ICU Admission Among Patients Hospitalized Near the End of Life. , 2020, JAMA.

[8]  Dana M. Zive,et al.  The Association of Physician Orders for Life-Sustaining Treatment With Intensity of Treatment Among Patients Presenting to the Emergency Department. , 2020, Annals of emergency medicine.

[9]  W. Shrank,et al.  Waste in the US Health Care System: Estimated Costs and Potential for Savings. , 2019, JAMA.

[10]  Kath Wright,et al.  PTSD in prison settings: A systematic review and meta-analysis of comorbid mental disorders and problematic behaviours , 2019, PloS one.

[11]  T. Cooney,et al.  TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records , 2019, Journal of patient safety.

[12]  E. Dewey,et al.  Elderly Patients Presenting to a Level I Trauma Center with a POLST form: A Propensity-Matched Analysis. , 2019, The journal of trauma and acute care surgery.

[13]  D. Needham,et al.  Demonstrating the impact of POLST forms on hospital care requires information not contained in state registries , 2019, PloS one.

[14]  Rick Bassett,et al.  Evaluation of the Interrater Reliability of End-of-Life Medical Orders in the Physician Orders for Life-Sustaining Treatment Form , 2019, JAMA network open.

[15]  J. Abbott.  The POLST Paradox: Opportunities and Challenges in Honoring Patient End‐of‐Life Wishes in the Emergency Department , 2019, Annals of emergency medicine.

[16]  Dana M. Zive,et al.  POLST Registration and Associated Outcomes Among Veterans With Advanced-Stage Lung Cancer , 2019, The American journal of hospice & palliative care.

[17]  N. Wenger,et al.  The Effect of a Comprehensive Dementia Care Management Program on End‐of‐Life Care , 2019, Journal of the American Geriatrics Society.

[18]  Hasanat Alamgir,et al.  Electronic medical orders for life-sustaining treatment in New York State: Length of stay, direct costs in an ICU setting , 2019, Palliative and Supportive Care.

[19]  S. Hickman,et al.  National Standards and State Variation in Physician Orders for Life-Sustaining Treatment Forms. , 2018, Journal of palliative medicine.

[20]  Rick Bassett,et al.  Cross-Cultural Adaptation of the Physician Orders for Life-Sustaining Treatment Form to Brazil. , 2018, Journal of palliative medicine.

[21]  H. Lum,et al.  Use of Medical Orders for Scope of Treatment for Heart Failure Patients During Postacute Care in Skilled Nursing Facilities. , 2017, Journal of the American Medical Directors Association.

[22]  S. Halpern,et al.  Approximately One In Three US Adults Completes Any Type Of Advance Directive For End-Of-Life Care. , 2017, Health affairs.

[23]  S. Harman,et al.  TRIAD VIII: Nationwide Multicenter Evaluation to Determine Whether Patient Video Testimonials Can Safely Help Ensure Appropriate Critical Versus End-of-Life Care , 2017, Journal of patient safety.

[24]  J. Teno,et al.  Lessons from Oregon in Embracing Complexity in End-of-Life Care. , 2017, The New England journal of medicine.

[25]  C. Cox,et al.  Clinical Momentum in the Intensive Care Unit. A Latent Contributor to Unwanted Care. , 2017, Annals of the American Thoracic Society.

[26]  M. Happ,et al.  Prevalence of Advance Directives Among Older Adults Admitted to Intensive Care Units and Requiring Mechanical Ventilation. , 2016, Journal of gerontological nursing.

[27]  S. Halpern,et al.  The Problems With Physician Orders for Life-Sustaining Treatment. , 2016, JAMA.

[28]  E. Emanuel,et al.  Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries. , 2016, JAMA.

[29]  D. Angus,et al.  Toward Better ICU Use at the End of Life. , 2016, JAMA.

[30]  M. McDonagh,et al.  Grading the strength of a body of evidence when assessing health care interventions: an EPC update. , 2015, Journal of clinical epidemiology.

[31]  Dana M. Zive,et al.  Life-sustaining treatment orders, location of death and co-morbid conditions in decedents with Parkinson's disease. , 2015, Parkinsonism & related disorders.

[32]  T. Cooney,et al.  TRIAD VI: How Well Do Emergency Physicians Understand Physicians Orders for Life Sustaining Treatment (POLST) Forms? , 2015, Journal of patient safety.

[33]  T. Cooney,et al.  TRIAD VII: Do Prehospital Providers Understand Physician Orders for Life-Sustaining Treatment Documents? , 2015, Journal of patient safety.

[34]  S. Hickman,et al.  Use of the Physician Orders for Life‐Sustaining Treatment Program in the Clinical Setting: A Systematic Review of the Literature , 2015, Journal of the American Geriatrics Society.

[35]  D. Weed,et al.  Evidence-based mapping of design heterogeneity prior to meta-analysis: a systematic review and evidence synthesis , 2014, Systematic Reviews.

[36]  Dana M. Zive,et al.  Association Between Physician Orders for Life‐Sustaining Treatment for Scope of Treatment and In‐Hospital Death in Oregon , 2014, Journal of the American Geriatrics Society.

[37]  Dana M. Zive,et al.  Concordance of out-of-hospital and emergency department cardiac arrest resuscitation with documented end-of-life choices in Oregon. , 2014, Annals of emergency medicine.

[38]  G. Wolf-Klein,et al.  Medical orders for life-sustaining treatment: Is it time yet? , 2013, Palliative and Supportive Care.

[39]  Alexander K. Smith,et al.  Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there. , 2012, Health affairs.

[40]  S. Hickman,et al.  The POLST program: a retrospective review of the demographics of use and outcomes in one community where advance directives are prevalent. , 2012, Journal of palliative medicine.

[41]  N. Perrin,et al.  The Consistency Between Treatments Provided to Nursing Facility Residents and Orders on the Physician Orders for Life‐Sustaining Treatment Form , 2011, Journal of the American Geriatrics Society.

[42]  N. Perrin,et al.  A Comparison of Methods to Communicate Treatment Preferences in Nursing Facilities: Traditional Practices Versus the Physician Orders for Life‐Sustaining Treatment Program , 2010, Journal of the American Geriatrics Society.

[43]  E. Bass,et al.  AHRQ series paper 5: grading the strength of a body of evidence when comparing medical interventions--agency for healthcare research and quality and the effective health-care program. , 2010, Journal of clinical epidemiology.

[44]  J. Lave,et al.  Development and Validation of Hospital “End-of-Life” Treatment Intensity Measures , 2009, Medical care.

[45]  D. Moher,et al.  Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement , 2009, PloS one.

[46]  S. Hickman,et al.  Use of the Physician Orders for Life-Sustaining Treatment (POLST) paradigm program in the hospice setting. , 2009, Journal of palliative medicine.

[47]  J. Skinner,et al.  Are Regional Variations in End-of-Life Care Intensity Explained by Patient Preferences?: A Study of the US Medicare Population , 2007, Medical care.

[48]  Amber E Barnato,et al.  Use of intensive care at the end of life in the United States: An epidemiologic study* , 2004, Critical care medicine.

[49]  N. Dawson,et al.  Medical Care Inconsistent with Patients' Treatment Goals: Association with 1‐Year Medicare Resource Use and Survival , 2002, Journal of the American Geriatrics Society.

[50]  J. Lynn,et al.  Medicare beneficiaries' costs of care in the last year of life. , 2001, Health affairs.

[51]  K. Brummel-smith,et al.  Physician Orders for Life‐Sustaining Treatment (POLST): Outcomes in a PACE Program , 2000, Journal of the American Geriatrics Society.

[52]  T. Nadelson.  Approaching Death: Improving Care at the End of Life , 1999, American Journal of Psychiatry.

[53]  V. Tilden,et al.  A Prospective Study of the Efficacy of the Physician Order Form for Life‐Sustaining Treatment , 1998, Journal of the American Geriatrics Society.

[54]  Jill A. Jarvie,et al.  The Progression of End-of-Life Wishes and Concordance with End-of-Life Care. , 2018, Journal of palliative medicine.

[55]  L. Anderson,et al.  Completion of advance directives among U.S. consumers. , 2014, American journal of preventive medicine.

[56]  P. Tugwell,et al.  The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses , 2014 .

[57]  I. Higginson,et al.  Place of care in advanced cancer: a qualitative systematic literature review of patient preferences. , 2000, Journal of palliative medicine.