Evidence map›Paper›PMID 38796317›Full record

ArticleAge and ageing2024

Older people's goals of care in relation to frailty status-the COOP-study.

Veerle M G T H van der Klei, Yvonne M Drewes, Bas F M van Raaij, Maaike D W van Dalsen, Anneke G Julien, Jan Festen, Harmke Polinder-Bos, Simon P Mooijaart, Jacobijn Gussekloo, Frederiek van den Bos and 1 more

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In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Veerle M G T H van der KleiDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-2782-1517
Yvonne M DrewesDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Bas F M van RaaijDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Maaike D W van DalsenDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Anneke G JulienDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Jan FestenKBO-PCOB, Nieuwegein, the Netherlands.
Harmke Polinder-BosDepartment of Geriatrics, Erasmus Medical Center, Rotterdam, the Netherlands.
Simon P MooijaartDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-3106-3568
Jacobijn GusseklooDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Frederiek van den BosDepartment of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
COVID-19 Outcomes in Older People (COOP)-consortium

Funding

COOP Study 10430102110005COVID-19 research programmeNetherlands Organisation for Health Research and Development
6 · The paper itself

Abstract

backgroundLiterature relating older people's goals of care to their varying frailty status is scarce.

objectiveTo investigate goals of care in case of acute and/or severe disease in relationship to frailty status among the general older population.

methodOlder people aged ≥70 in the Netherlands completed a questionnaire. They were divided into three subgroups based on a self-reported Clinical Frailty Scale: fit (CFS 1-3), mildly frail (CFS 4-5) and severely frail (CFS 6-8). Seven goals were graded as unimportant (1-5), somewhat important (6-7) or very important (8-10): extending life, preserving quality of life (QoL), staying independent, relieving symptoms, supporting others, preventing hospital admission and preventing nursing home admission.

resultsOf the 1,278 participants (median age 76 years, 63% female), 57% was fit, 32% mildly frail and 12% severely frail. Overall, participants most frequently considered preventing nursing home admission as very important (87%), followed by staying independent (84%) and preserving QoL (83%), and least frequently considered extending life as very important (31%). All frailty subgroups reported similar preferences out of the surveyed goals as the overall study population. However, participants with a higher frailty status attached slightly less importance to each individual goal compared with fit participants (Ptrend-values ≤ 0.037).

conclusionPreferred goals of care are not related to frailty status, while the importance ascribed to individual goals is slightly lower with higher frailty status. Future research should prioritise outcomes related to the shared goals of fit, mildly frail and severely frail older people to improve personalised medicine for older patients.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentQuality of LifeAgedAged, 80 and overAge FactorsFemaleHumansIndependent LivingMaleNetherlandsNursing HomesPatient Care PlanningSurveys and Questionnairesdecision-makinghealth outcome prioritisationolder peoplepatient and public involvementpatient preference

Identifiers

PMID38796317
PMCPMC11127771

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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.