{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T16:13:08Z","timestamp":1783181588245,"version":"3.54.6"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003790","name":"Hiroshima University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003790","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aging Clin Exp Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Advance care planning (ACP) ensures that future care is provided during serious illness, considering an individual\u2019s wishes; it is particularly important for older adults. Regarding ACP practices during the coronavirus disease (COVID-19) outbreak, although there are reports on patients, reports on geriatricians are scarce.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Aim<\/jats:title>\n            <jats:p>This study evaluated the rate of ACP practice during the COVID-19 outbreak through a questionnaire survey of geriatricians.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This cross-sectional study surveyed geriatric specialists, who were members of the Japanese Geriatric Society, between October and December 2022 using an anonymous online questionnaire. The questionnaire covered the treatment of COVID-19 patients, difficulties encountered when caring for older patients with COVID-19 infection, and COVID-19 sequelae. Multiple logistic regression with a forward stepwise method was performed to determine the factors associated with ACP practices.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of the 258 surveyed doctors, 74 (28.7%) practiced ACP. Multiple logistic regression identified that age 20\u201349 years and experience in treating (or visiting facilities to treat) patients with COVID-19 infection were factors related to doctors that were significantly and positively associated with ACP practice. Additionally, a significant decline in the patients\u2019 cognitive functions and difficulties in preventing COVID-19 infection were positively associated with ACP practiced by doctors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This study suggested that ACP should be practiced for older patients with dementia before COVID-19 infection, which would worsen their dementia symptoms. Moreover, ACP should be emphasized for older patients admitted to facilities. Our results could help devise effective measures to facilitate ACP practices.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s40520-025-03004-9","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T04:46:09Z","timestamp":1744001169000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Rate of advance care planning practice during the COVID-19 outbreak in Japan: a cross-sectional survey study"],"prefix":"10.1007","volume":"37","author":[{"given":"Hungu","family":"Jung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Akishita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Iwamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junpei","family":"Tanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Hirohama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5762-4066","authenticated-orcid":false,"given":"Shinya","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,7]]},"reference":[{"key":"3004_CR1","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/S1473-3099(20)30257-7","volume":"20","author":"S Ruan","year":"2020","unstructured":"Ruan S (2020) Likelihood of survival of coronavirus disease 2019. 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