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The intention of the review is to examine the effect of the SPICT on advance care planning, encouraging palliative approaches to care and on the quality of life in particular reduction in burdensome treatments and carer burden. The patient cohorts, languages and contexts in which the SPICT is available and used will also be examined. We propose that use of this tool will prompt advance care planning, a palliative approach to care, improve quality of life by reducing burdensome treatment and carer burden. The following question will be addressed: 1. How does use of the SPICT assist with conversations about advance care planning? Secondary review questions: 2. What is the extent of the use of the SPICT (in which patient cohorts, contexts, languages and countries is it used)? 3. In which languages and contexts has the SPICT been validated? 4. Does use of the SPICT facilitate changes in documented goals of care?