Evidence map›Paper›PMID 41234024›Full record

ArticlePalliative & supportive care2025

Decision-making capacity evaluation in older cancer patients: A call to action.

Patricia A Parker, Faith C Fasakin, Daniel McFarland, Yesne Alici, Liz Blackler, Julia D Kulikowski, Konstantina Matsoukas, Beatriz J Korc-Grodzicki

Abstract readCase Reports
In one paragraph

Article in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Patricia A ParkerDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID https://orcid.org/0000-0003-1878-1186
Faith C FasakinDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Daniel McFarlandDepartments of Medicine, Hematology/Oncology and Psychiatry, University of Rochester Medicine, Rochester, NY, USA.ORCID https://orcid.org/0000-0002-5500-1591
Yesne AliciDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Liz BlacklerEthics Committee and Consultation Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Julia D KulikowskiDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID https://orcid.org/0009-0000-0572-8541
Konstantina MatsoukasDigITs, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Beatriz J Korc-GrodzickiGeriatrics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Communication Skills Intervention to Promote Transition into SurvivorshipR01CA151899 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI HORWITZ, STEVEN · 2011 to 2015
$3.0M
Geriatric Oncology: Cognition and CommunicationR25CA236579 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Koshy Alexander, PATRICIA A PARKER · 2019 to 2026
$1.9M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA151899NCI NIH HHS R25 CA236579
6 · The paper itself

Abstract

objectivesPatients' involvement in the decision-making process is essential for shared decision-making and optimal patient-centered care. However, when there are concerns about a patient's cognition and judgmen, the complexity of providing patient-centered care increases. It is often necessary to evaluate patients' decision-making capacity (DMC) to determine whether they are able to make a particular decision or whether to rely on their previously expressed wishes or the patient's caregivers.

methodsIn this article, we present a case of an older adult with colon cancer who presented to the emergency room.

resultsWe describe how multidisciplinary care can enhance the evaluation of DMC and improve quality of care for older patients with advanced cancer. SIGNIFICANCE OF

resultsMultidisciplinary discussions and good communication skills are essential for navigating these complex situations, reducing potential harm and maximizimizing quality of life.

Indexed as

Decision MakingMental CompetencyNeoplasmsAged, 80 and overHumansMalecancercommunicationdecision-making capacityOlder adultsShared decision-making

Identifiers

PMID41234024
PMCPMC12626381

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.