Outside the box: Why are Cochrane reviews so boring?

摘要

Advance care planning should be added to Oliver's 10 challenges for general practice for an ageing population.1 Many of the scenarios he describes, such as, multiple conditions, dementia, and repeated hospitalisation, are in fact prognostic markers for end-of-life care. Prognostic indicator guidance is available to assist doctors to identify patients approaching the end of life.We know that patients at the end of life with non-cancer diagnoses are less likely to be included in practice registers. Timely identification allows for more systematic care based on patient preferences.