Have a personal or library account? Click to login
Advance Directive Documentation in a Huntington’s Disease Clinic: A Retrospective Chart Review Cover

Advance Directive Documentation in a Huntington’s Disease Clinic: A Retrospective Chart Review

Open Access
|Feb 2022

Figures & Tables

Table 1

Sample Patient Demographics.

DEMOGRAPHICPATIENTS, N = 91
Age, mean (SD)51.23 (13.81)
Years of education, mean (SD)14.15 (2.44)
Sex, n (%)
    Men40 (44%)
    Women51 (56%)
Race, n (%)
    White80 (87.9%)
    Black5 (5.5%)
    Asian1 (1.1%)
    Other5 (5.5%)
Ethnicity, n (%)
    Non-Hispanic84 (92.3%)
    Hispanic7 (7.7%)
Primary Language, n (%)
    English85 (93.4%)
    Spanish4 (4.4%)
    Korean1 (1.1%)
    Polish1 (1.1%)
Marital Status, n (%)
    Single27 (29.7%)
    Married49 (53.9%)
    Divorced14 (15.6%)
    Widowed1 (1.1%)
Stage of Disease, n (%)
    Pre-symptomatic13 (14.3%)
    Early15 (16.5%)
    Moderate50 (55%)
    Late13 (14.3%)
tohm-12-1-676-g1.png
Figure 1

AD Documentation Type.

Table 2

Patient Characteristics of AD Documentation.

PATIENT CHARACTERISTICNO ADVANCE DIRECTIVE DOCUMENTATION (N = 69)ADVANCE DIRECTIVE DOCUMENTED IN PROVIDER NOTE (N = 22)P-VALUE
# of years since HD genetic testing, mean (SD)7.38 (6.15)9.77 (6.08)0.11
Presence of dysphagia n, (%)
      No47 (68.1)9 (40.9)0.02*
      Yes22 (31.9)13 (59.1)*
Cognitive Impairment, n (%)
      None16 (23.2)1 (4.6)0.02*
      MCI25 (36.2)5 (22.7)
      Dementia28 (40.6)16 (72.7)*
Insurance status, n (%)
      Not insured4 (5.9)1 (4.6)1.0
      Insured65 (94.2)21 (95.5)
Primary insurance type, n (%)
      Commercial34 (49.3)3 (13.6)0.01*
      Medicare21 (30.4)16 (72.7)*
      Medicaid9 (13)2 (9.1)
      VA1 (1.5)0
      N/A4 (5.8)1 (4.6)
Stage of Disease, n (%)
      Pre-Symptomatic13 (18.8)00.003*
      Early14 (20.3)1 (4.6)
      Moderate36 (52.2)14 (63.6)*
      Late6 (8.7)7 (31.8)*

[i] MCI = Mild Neurocognitive Impairment, VA = Veterans Affairs insurance.

* Denotes significance.

DOI: https://doi.org/10.5334/tohm.676 | Journal eISSN: 2160-8288
Language: English
Submitted on: Dec 2, 2021
Accepted on: Jan 13, 2022
Published on: Feb 1, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Christa S. Cooper, Deborah A. Hall, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.