Perioperative medicine & outcomes
Patient Characteristics Associated With Occurrence of Preoperative Goals-of-Care Conversations
Main finding · Preoperative LST note completion (covariate-adjusted)Result — go to the resultOdds ratio 1.29 95% CI 1.09–1.53Authors' conclusion
Despite increasing LST note implementation, a minority of veterans completed an LST note preoperatively.
Study context
- Population
- Veterans undergoing surgery between January 1, 2017, and February 28, 2020
- Participants
- 190,040 veterans
- Exposure
- Care Assessment Need (CAN) score ≥80 vs <80
- Outcome
- Preoperative LST note completion (30 days before or on the day of surgery)
- Follow-up
- 30-day preoperative period
Main finding
As reported in the abstract
Preoperative LST note completion (covariate-adjusted)
Odds ratio
1.29
95% CI 1.09–1.53
CAN score ≥80 vs CAN score <80
OR 1.29 (95% CI 1.09–1.53)
Observational data: associations, not effects.
Further findings
Life-Sustaining Treatment (LST) note completion, high-risk surgery
| OR (95% CI) | ||
|---|---|---|
| High-risk surgeryNot associated | 0.93 (0.86–1.01) | |
| 0.512Odds ratio (log scale) |
LST note completion, cardiothoracic surgery
| OR (95% CI) | ||
|---|---|---|
| Cardiothoracic surgeryHighest likelihood | 1.35 (1.24–1.47) | |
| 0.512Odds ratio (log scale) |
LST note completion before surgery, overall
- Completed an LST note before surgery
- 3.8%
- Did not complete an LST note
- 96.2%
- Unadjusted rate over the 3-year interval increased from 0.1% to
- 9.6%
CAN score <80, no LST note vs LST note
- No LST note vs LST note: CAN score <80
- 98.3% vs 96.9%
Original publication
Patient Characteristics Associated With Occurrence of Preoperative Goals-of-Care Conversations. JAMA Netw Open. Published 1 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →