ArticleJournal of the American Geriatrics Society2020
Chronic Disease Decision Making and "What Matters Most".
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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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
16 citing papers in PubMed, 34 citations in OpenAlex.
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- Managing Hypercholesterolemia in Adults Older Than 75 years Without a History of Atherosclerotic Cardiovascular Disease: An Expert Clinical Consensus From the National Lipid Association and the American Geriatrics Society.Journal of the American Geriatrics Society · 2025Article
- A Qualitative Study to Investigate the Preference of Older Individuals with Obstructive Sleep Apnea on a Continuous Positive Airway Pressure Machine in Thailand: An Outpatient Setting.Patient preference and adherence · 2025Article
- Perspectives of older adults with chronic illness on person-centered practice at an inpatient hospital department: a descriptive study.BMC geriatrics · 2024Article
- Polypharmacy, deprescribing, and trust in the clinician-patient relationship.Journal of the American Geriatrics Society · 2024Article
- Effect modification of polypharmacy on incident frailty by chronic kidney disease in older adults.BMC geriatrics · 2024Article
- Managing With Atrial Fibrillation: An Exploratory Model-Based Cluster Analysis of Clinical and Personal Patient Characteristics.CJC open · 2023Article
- Decision-making about dialysis: Beyond just dialysis or death.Journal of the American Geriatrics Society · 2023Article
- Association between willingness to deprescribe and health outcome priorities among U.S. older adults: Results of a national survey.Journal of the American Geriatrics Society · 2022Article
- Mobility and What Matters: Moving Kidney Care Toward the 4Ms of an Age-Friendly Health System.Kidney medicine · 2022Article
- Pharmacological Interactions of Nintedanib and Pirfenidone in Patients with Idiopathic Pulmonary Fibrosis in Times of COVID-19 Pandemic.Pharmaceuticals (Basel, Switzerland) · 2021Review
- Involving frail older patients in identifying outcome measures for transitional care-a feasibility study.Research involvement and engagement · 2021Article
- What matters when asking, "what matters to you?" - perceptions and experiences of health care providers on involving older people in transitional care.BMC health services research · 2020Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
The increasing use of the question, "What matters most to you?" is a welcome development in the effort to provide patient-centered care. However, it is difficult for clinicians to translate answers to this question into treatment plans for chronic conditions, including recognizing when to consider options other than clinical practice guideline (CPG)-directed therapy. Goal elicitation is most helpful when a patient has different treatment options with clearly identifiable trade-offs. In the face of trade-offs, goal elicitation helps patients to prioritize among potentially competing outcomes. While decision aids (DAs) focus on trade-offs by delineating options and outcomes, the robust outcome data necessary to create DAs for older patients with multimorbidity are often lacking and even mild cognitive impairment makes the use of DAs difficult. The challenges for providing chronic disease care to older patients who are at risk for adverse events from CPG-directed therapy because of multimorbidity and/or frailty are to organize the complexity of individual combinations of diseases, conditions, and syndromes into common sets of trade-offs and to identify those goals or priorities that will directly inform a plan of care. J Am Geriatr Soc 68:474-477, 2020.
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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.