{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:03:02Z","timestamp":1790247782420,"version":"4.1.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"unspecified","delay-in-days":266,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103435_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Antiretroviral therapy has transitioned human immunodeficiency virus (HIV) into a manageable chronic condition. As such, advance care planning is critical to providing patient-centered care for aging persons with HIV. The objectives of the study were to determine the proportion of adults living with HIV in Southern Alberta with a documented goals of care designation and explore factors influencing this documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103435_sec2b\">\n                    <jats:title\/>\n                    <jats:p>This was a cross-sectional study conducted at Southern Alberta HIV Clinic in Alberta, Canada. Participants were adults \u226518\u00a0years receiving HIV care during the study period (January 1, 2022, and December 31, 2023). Age, sex, family physician status, emergency department (ED) visits, hospitalizations, and goals of care documentation were extracted from the electronic health record. Descriptive statistics and chi-square tests were used to analyze associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103435_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten percent (255\/2567) of adults with HIV had a goal of care documentation in the electronic health record. Documentation did not differ by age, sex, or family physician status. Among patients with an ED visit in the prior year, 21% (225\/1065) had a goal of care documentation compared to 2% of those without (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001). Among those hospitalized in the prior year, 56% (203\/364) had a goal of care documentation, compared to 2% of those without (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103435_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>A minority of adults living with HIV had a goal of care documentation.. These findings highlight missed opportunities and areas for improvement for advanced care discussions. There is an urgent need to enhance advanced care planning in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103435","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:12:13Z","timestamp":1790244733000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Advance care planning and documentation of goals of care designation among adults (\u226518 years) living with human immunodeficiency virus (HIV): A cross-sectional study"],"prefix":"10.1017","volume":"24","author":[{"given":"Avantika","family":"Vashisht","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03yjb2x39","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Calgary"},{"id":[{"id":"https:\/\/ror.org\/0213rcc28","id-type":"ROR","asserted-by":"publisher"}],"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raman","family":"Brar","sequence":"additional","affiliation":[{"name":"Health Shared Services"},{"name":"Alberta SPOR SUPPORT Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7090-9485","authenticated-orcid":false,"given":"Jacqueline","family":"McMillan","sequence":"additional","affiliation":[{"name":"University of Calgary"},{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"S1478951526103435_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2022.2126961"},{"key":"S1478951526103435_ref11","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"S1478951526103435_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/31.4.299"},{"key":"S1478951526103435_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07208-3"},{"key":"S1478951526103435_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(23)00028-0"},{"key":"S1478951526103435_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.08.019"},{"key":"S1478951526103435_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.331"},{"key":"S1478951526103435_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33676"},{"key":"S1478951526103435_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3926"},{"key":"S1478951526103435_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12860"},{"key":"S1478951526103435_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980823000739"},{"key":"S1478951526103435_ref12","unstructured":"World Health Organization (2025) Summary of the Global HIV Epidemic, 2024. Available at https:\/\/www.who.int\/data\/gho\/data\/themes\/hiv-aids (accessed 18 March 2026 )."}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:12:19Z","timestamp":1790244739000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103435\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"alternative-id":["S1478951526103435"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103435","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e227"}}