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Advance care planning for people with dementia
Mitsunori Nishikawa. Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics, 2026-04-25
Topic: Risk, prevention and care in population studies
認知症を有する人のためのアドバンス・ケア・プランニング（ACP）では，意思決定能力の揺らぎを前提に，「過去」の意思と「現在」の意向を統合し，非言語的サインも含めて本人の推定意思をくみ取ることが重要である．家族を本人の想いを伝える代弁者として位置づけ，その心理的負担を医療・ケアチームが支える必要がある．また，関係依存性自律を踏まえ，多職種協働で本人中心の対話を継続することが求められる．さらに，想いのかけらを情報通信技術（ICT）等で共有し，ACPを組織的に実施する体制整備が重要である．
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Nishikawa, M. (2026). Advance care planning for people with dementia. Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics. https://doi.org/10.3143/geriatrics.63.110
Vancouver
Nishikawa M. Advance care planning for people with dementia. Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics. 2026. doi:10.3143/geriatrics.63.110. PMID: 42366068.
BibTeX
@article{nishikawa2026-42366068,
author = {Nishikawa, Mitsunori},
title = {{Advance care planning for people with dementia}},
journal = {Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics},
year = {2026},
doi = {10.3143/geriatrics.63.110},
pmid = {42366068},
url = {https://doi.org/10.3143/geriatrics.63.110}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- 認知症を有する人のためのアドバンス・ケア・プランニング（ACP）では，意思決定能力の揺らぎを前提に，「過去」の意思と「現在」の意向を統合し，非言語的サインも含めて本人の推定意思をくみ取ることが重要である．家族を本人の想いを伝える代弁者として位置づけ，その心理的負担を医療・ケアチームが支える必要がある．また，関係依存性自律を踏まえ，多職種協働で本人中心の対話を継続することが求められる．さらに，想いのかけらを情報通信技術（ICT）等で共有し，ACPを組織的に実施する体制整備が重要である．
Why it matters
This paper discusses how advance care planning should be carried out for people with dementia, including integrating past wishes with current preferences and supporting family members. It is about care planning and communication, not treating, curing or preventing Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 29/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on institution's track record, so that was left out: it earned 28 of the 97 points we could judge it on, which is 29 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics) |
| Journal's citation record | 0 / 4 | Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics: journal h-index 30 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Mitsunori Nishikawa: h-index 10 (OpenAlex, whole career) |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 0 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 42366068) |
| Free to read | 2 / 2 | Free to read |
| Points | 28 / 97 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 28 of the 97 points we could judge it on is 29 out of 100. |
| Total | 29 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.3143/geriatrics.63.110
- PubMed: 42366068
- Original source →
- Free full text: Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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