ArticleJournal of the American Geriatrics Society2016
Health Values and Treatment Goals of Older, Multimorbid Adults Facing Life-Threatening Illness.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
75 citing papers in PubMed, 4 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- Pooled it
- Pooled it
- Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.BMC geriatrics · 2018Pooled it
- Influences on Care Preferences of Older People with Advanced Illness: A Systematic Review and Thematic Synthesis.Journal of the American Geriatrics Society · 2018Pooled it
- Goals of Frail Older People Living With Chronic Kidney Disease: A Mixed Methods Study.Journal of the American Geriatrics Society · 2025Trial
- Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial.Journal of the American Geriatrics Society · 2024Trial
- Ascertainment of Minimal Clinically Important Differences in the Diabetes Distress Scale-17: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Comparison of Collaborative Goal Setting With Enhanced Education for Managing Diabetes-Associated Distress and Hemoglobin A1c Levels: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Changes over Time in Patient Stated Values and Treatment Preferences Regarding Aggressive Therapies: Insights from the DECIDE-LVAD Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Older Adults with Cancer: A Randomized Controlled Trial of Occupational and Physical Therapy.Journal of the American Geriatrics Society · 2019Trial
- What really matters to older adults in life and treatment: a qualitative study on the role of connectedness in person-centered care.BMC geriatrics · 2026Article
- Identifying Implementation Needs and Developing Strategies to Optimize Integration of Patient Priorities Care in Primary Care: A Qualitative Formative Evaluation of Two Study Sites.Journal of general internal medicine · 2026Article
- Perceived Connections Between Personal Values and Health in High-Risk Patients with Multimorbidity: A Qualitative Study.Journal of general internal medicine · 2026Article
- Aligning Surgical Decisions With Older Adults' Outcome Goals.Journal of the American Geriatrics Society · 2025Article
- Depression and Anxiety Outcomes Among Young Adults Who Self-Reported Experiencing Commercial Sexual Exploitation in Adolescence.International journal of environmental research and public health · 2025Article
- Understanding Gender-Specific Daily Care Preferences: Topic Modeling Study.Journal of medical Internet research · 2025Article
- Implementing Goals of Care Notes in a Statewide Health System: A Quality Improvement Initiative.The American journal of medicine · 2025Article
- Aligning Medications With What Matters Most: Conversations Between Pharmacists, People With Dementia, and Care Partners.Journal of the American Geriatrics Society · 2025Article
- Assessment of older adults' decision-making capacity for independent living: Findings from a nominal group technique meeting in Ireland.Australian occupational therapy journal · 2025Article
- What matters most to older adults in treatment decision making: A discrete choice experiment.PloS one · 2025Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesTo identify a taxonomy of health-related values that frame goals of care of older, multimorbid adults who recently faced cancer diagnosis and treatment.
designQualitative analysis of data from a longitudinal cohort study of multimorbid cancer survivors.
settingCancer registries from regional Department of Veterans Affairs networks in New England and southeast Texas.
participantsMultimorbid adults who completed interviews 12 months after diagnosis of head and neck, colorectal, gastric, or esophageal cancer and after cancer treatment (N = 146). MEASUREMENTS: An interdisciplinary team conducted thematic analyses of participants' intuitive responses to two questions: Now that you have had cancer and may face ongoing decisions about medical care in the future, what would you want your family, friends, and doctors to know about you, in terms of what is most important to you in your life? If your cancer were to recur, is there anything you'd want to be sure your loved ones knew about you and your goals of care?
resultsAnalysis revealed five distinct health-related values that guide how multimorbid cancer survivors conceptualize specific health care goals and medical decisions: self-sufficiency, life enjoyment, connectedness and legacy, balancing quality and length of life, and engagement in care. Participants typically endorsed more than one value as important.
conclusionOlder multimorbid adults who recently faced life-threatening cancer endorsed a multidimensional taxonomy of health-related values. These health-related values guide how they frame their goals for care and treatment preferences. Eliciting individuals' sense of their values during clinical encounters may improve their experiences with health care and more effectively align treatments with goals of care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.