Yael Schenker
speaker
148 appearances
1 recordings
1 series
first heard Feb 2025
last heard Feb 2025
Yael Schenker’s voice in public audio — every appearance, attributed to the second.
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So was there a conversation with family?
Was there a conversation with physicians?
Was a surrogate designated?
Was there something in the chart about goals of care?
Were values elicited?
So we thought about all of that, and when we designed our trial, our primary outcome, and I can share what we found.
Was there a difference
Yes, so there was a difference.
I'll say all of our advanced care planning action outcomes increased in both arms, but engagement in advanced care planning, our primary outcome, increased more in the facilitated arm, so the resource-intensive arm.
And it was both statistically and clinically significant on that scale.
And then what was kind of most surprising and most interesting for me was this consistent story when we followed patients through mortality and did our interviews with bereaved caregivers.
We found lower distress using a validated scale among bereaved caregivers who had participated in the facilitated advanced care planning arm.
So that was lower PTSD symptoms using the IESR scale.
And then we also found higher reports of goal-concordant end-of-life care.
So caregivers in the facilitated arm were more likely to report that their loved one received care at the end of life that aligned with what they would have wanted.
So it was a pretty consistent story about the value of a more resource
approach.
So I want
did it make a difference?
So we did look at where they died, and we looked at whether they died where they would have wanted to die by asking caregivers with those questions sort of separated in a long survey in an attempt to minimize bias.
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