ArticleJournal of the American Geriatrics Society2018
"Planting the Seed": Perceived Benefits of and Strategies for Discussing Long-Term Prognosis with Older Adults.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Physician Preferences Regarding Integration of Life Expectancy in Prostate Cancer Management.Journal of general internal medicine · 2026Article
- Experiences of End-of-Life Decision-Making in Equine Veterinary and Charity Teams.Animals : an open access journal from MDPI · 2025Article
- Tips from clinicians about if, when, and how to discuss life expectancy with older adults.Patient education and counseling · 2025Article
- Perceived Barriers Among Clinicians and Older Adults Aged 65 and Older Regarding Use of Life Expectancy to Inform Cancer Screening: A Narrative Review and Comparison.Medical care research and review : MCRR · 2023Review
- Article
- Strategies for discussing long-term prognosis when deciding on cancer screening for adults over age 75.Journal of the American Geriatrics Society · 2022Article
- Life expectancy for community-dwelling persons with dementia and severe disability.Journal of the American Geriatrics Society · 2022Article
- How Do Patients with Life-Limiting Illness and Caregivers Want End-Of-Life Prognostic Information Delivered? A Pilot Study.Healthcare (Basel, Switzerland) · 2021Article
- Review
- A Strategy to Prepare Primary Care Clinicians for Discussing Stopping Cancer Screening With Adults Older Than 75 Years.Innovation in aging · 2020Article
- What patients want to know, and what we actually tell them: The ABIDE project.Alzheimer's & dementia (New York, N. Y.) · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo characterize the goals and approaches of clinicians with experience discussing long-term prognostic information with older adults.
designWe used a semistructured interview guide containing 2 domains of perceived benefits and strategies to explore why and how clinicians choose to discuss long-term prognosis, defined as life expectancy on the scale of years, with patients.
settingClinicians from home-based primary care practices, community-based clinics, and academic medical centers across San Francisco.
participantsFourteen physicians, including 11 geriatricians and 1 geriatric nurse practitioner, with a mean age of 40 and a mean 9 years in practice. MEASUREMENTS: Clinician responses were analyzed qualitatively using the constant comparisons approach.
resultsPerceived benefits of discussing long-term prognosis included establishing realistic expectations for patients, encouraging conversations about future planning, and promoting shared decision-making through understanding of patient goals of care. Communication strategies included adapting discussions to individual patient preferences and engaging in multiple conversations over time. Clinicians preferred to communicate prognosis in words and with a visual aid, although most did not know of a suitable visual aid.
conclusionEngaging in customized longitudinal discussions of long-term prognosis aids clinicians in anchoring conversations about future planning and preparing patients for the end of life. J Am Geriatr Soc 66:2367-2371, 2018.
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