ArticleAge and ageing2021
'What matters to you?' Health outcome prioritisation in treatment decision-making for older patients.
Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current evidence on the core components of the geriatric rehabilitation process: a systematic review.Aging clinical and experimental research · 2026Pooled it
- Goals of Frail Older People Living With Chronic Kidney Disease: A Mixed Methods Study.Journal of the American Geriatrics Society · 2025Trial
- Trial
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- [Geriatric medicine shapes the Future : Recommendations for modern Geriatric Medicine that places older people and their needs at the centre].Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- Patients' Perception of Information Provision Regarding Complications in Cardiac Surgery: A Thematic Analysis.Annals of cardiac anaesthesia · 2026Article
- 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
- Rethinking Perioperative Care in Older Adults: A Plea for Specialization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Effect of minimally invasive surgery on activities of daily living in elderly patients aged ≥ 80 years with gastrointestinal and hepatobiliary-pancreatic cancers: a propensity score-matched analysis.Surgical endoscopy · 2026Article
- Article
- Deciding on the decision-maker in older adults with cancer: Patient autonomy, physician paternalism, and caregiver support.Journal of geriatric oncology · 2026Article
- Gaps in recovery priorities between individuals with spinal cord injury and healthcare professionals.npj health systems · 2026Article
- The Incidence of Poor Postoperative Recovery Characterized Using 'Days Alive and Out of Hospital' in Octogenarians and Nonagenarians-A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Hierarchical composite endpoints in clinical trials for multimorbid older adults.EClinicalMedicine · 2025Review
- Because Doing "It" Matters to Patients: Development and Evaluation of a What Matters to Me Tool That Elicits Patients' Priorities to Support Cancer Treatment Shared Decision-Making.Cancer medicine · 2025Article
- Instruments for Value Elucidation in Older Adults in Clinical Practice-A Scoping Review.Journal of the American Geriatrics Society · 2025Article
- A qualitative study regarding older people's goals of care in relation to frailty status: finding meaning in 'smaller things' in life.Age and ageing · 2025Article
- Article
- Motivational Interviewing is "Journal of patient experience · 2025Article
- What matters most to older adults in treatment decision making: A discrete choice experiment.PloS one · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundfor shared decision-making, it is important to discuss of the patients' priorities in order to align treatment decisions with these priorities.
objectiveto assess the most important health outcome for older patients on the verge of making a treatment decision, using the Outcome Prioritization Tool (OPT). Secondary objectives were the feasibility of the OPT and patient variables associated with prioritising different health outcomes.
designretrospective cohort study. SETTING AND SUBJECTS: at the University Medical Hospital Groningen, the Netherlands, 350 patients were included who visited the geriatric outpatient clinic during the work-up regarding a complex treatment decision (such as cancer treatment or heart valve replacement).
methodsduring geriatric assessment, patients prioritised between four health outcomes, using the OPT.
resultsmedian age was 78.5 years, 172 (49.1%) were referred regarding a treatment decision for a malignant disease. Cognitive impairment was present in 23.6%. Most patients (55.2%) prioritised maintaining independence as their most important goal, followed by extending life in 21.1%. Only cognitive impairment was significantly associated with prioritising extending life as the most important health outcome. For 107 patients (30.6%), the OPT was not feasible; these patients more often had malnutrition and assisted living.
conclusionsthe main health outcome of older patients on the verge of making a treatment decision was maintaining independence, followed by extending life. Patients with cognitive impairment more often prioritised extending life. The OPT was feasible as a decision aid for most patients. For optimal shared decision-making, it is crucial to take patient preferences into account.
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