{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:49:45Z","timestamp":1791899385725,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS\u20102024\u201000334672"],"award-info":[{"award-number":["RS\u20102024\u201000334672"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Place of death is a key indicator of quality in end\u2010of\u2010life care, reflecting how well care aligns with patients' values and preferences. Advance care planning (ACP) has been proposed to support goal\u2010concordant care, yet evidence regarding its association with actual place of death remains inconsistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between participation in ACP and place of death and to explore whether this association varies according to ACP implementation method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this systematic review and meta\u2010analysis, we searched five databases (PubMed, Embase, PsycInfo, CINAHL, and ProQuest) for studies published in English from inception to September 2025. Studies of adults engaged in ACP and reporting actual place of death were included. Random\u2010effects meta\u2010analyses were conducted, with subgroup analyses by documentation\u2010based or discussion\u2010based ACP implementation methods. Risk of bias and certainty were assessed using RoB 2, ROBINS\u2010I V2, and GRADE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 4216 records, 13 studies were included. ACP was associated with increased home death and reduced hospital death, with considerable heterogeneity. For home death, discussion\u2010based implementation showed a significant association, whereas documentation\u2010based implementation did not. For hospital death, both implementation methods were associated with reduced odds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>ACP is associated with place of death, but its impact appears to depend on how it is implemented. These findings suggest that ACP should be approached as a communication\u2010centered process rather than solely as documentation. Clinicians should prioritize facilitated discussions that clarify patient values and preferences, and integrate them into care planning. Future implementation efforts should focus on strengthening communication processes and care coordination to support goal\u2010concordant end\u2010of\u2010life care, particularly in enabling home\u2010based death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Protocol Registration<\/jats:title>\n                    <jats:p>PROSPERO (CRD420251236312).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70179","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:06:37Z","timestamp":1791896797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Advance Care Planning and Place of Death: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2758-1151","authenticated-orcid":false,"given":"Minsung","family":"Kim","sequence":"first","affiliation":[{"name":"Seoul National University, College of Nursing  Seoul Republic of Korea"},{"name":"Center for World\u2010Leading Human\u2010Care Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, College of Nursing, Seoul National University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7508-175X","authenticated-orcid":false,"given":"Minji","family":"Mun","sequence":"additional","affiliation":[{"name":"The Research Institute of Nursing Science Seoul National University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9187-0559","authenticated-orcid":false,"given":"Hana","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Nursing, Daegu Catholic University  Daegu Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8710-2696","authenticated-orcid":false,"given":"Kyungmi","family":"Woo","sequence":"additional","affiliation":[{"name":"Seoul National University, College of Nursing  Seoul Republic of Korea"},{"name":"Center for World\u2010Leading Human\u2010Care Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, College of Nursing, Seoul National University  Seoul Republic of Korea"},{"name":"Applied Data Science, Seoul National University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1136\/bmjspcare-2012-000327","article-title":"The Impact of Advance Care Planning on Place of Death, a Hospice Retrospective Cohort Study","volume":"3","author":"Abel J.","year":"2013","journal-title":"BMJ Supportive & Palliative Care"},{"issue":"4","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jclinepi.2010.07.015","article-title":"GRADE Guidelines: 3. 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