دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Older people's goals of care in relation to frailty status-the COOP-study.
المؤلفون: van der Klei VMGTH; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands., Drewes YM; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands.; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands., van Raaij BFM; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands., van Dalsen MDW; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands., Julien AG; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands., Festen J; KBO-PCOB, Nieuwegein, the Netherlands., Polinder-Bos H; Department of Geriatrics, Erasmus Medical Center, Rotterdam, the Netherlands., Mooijaart SP; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands., Gussekloo J; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands.; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands., van den Bos F; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.; LUMC Center for Medicine for Older People (LCO), Leiden University Medical Center, Leiden, the Netherlands.
مؤلفون مشاركون: COVID-19 Outcomes in Older People (COOP)-consortium
المصدر: Age and ageing [Age Ageing] 2024 May 01; Vol. 53 (5).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 0375655 Publication Model: Print Cited Medium: Internet ISSN: 1468-2834 (Electronic) Linking ISSN: 00020729 NLM ISO Abbreviation: Age Ageing Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: London, Baillière, Tindall.
مواضيع طبية MeSH: Quality of Life* , Frailty*/diagnosis , Frailty*/psychology , Frail Elderly* , Geriatric Assessment*, Humans ; Aged ; Female ; Male ; Netherlands/epidemiology ; Aged, 80 and over ; Nursing Homes ; Surveys and Questionnaires ; Patient Care Planning ; Age Factors ; Independent Living
مستخلص: Background: Literature relating older people's goals of care to their varying frailty status is scarce.
Objective: To investigate goals of care in case of acute and/or severe disease in relationship to frailty status among the general older population.
Method: Older 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.
Results: Of 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).
Conclusion: Preferred 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.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society.)
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معلومات مُعتمدة: 10430102110005 COOP Study; Netherlands Organisation for Health Research and Development; COVID-19 research programme
فهرسة مساهمة: Investigator: KGM Moons; M van Smeden; K Luijken; P Elders
Keywords: decision-making; health outcome prioritisation; older people; patient and public involvement; patient preference
تواريخ الأحداث: Date Created: 20240525 Date Completed: 20240525 Latest Revision: 20240701
رمز التحديث: 20240701
مُعرف محوري في PubMed: PMC11127771
DOI: 10.1093/ageing/afae097
PMID: 38796317
قاعدة البيانات: MEDLINE
الوصف
تدمد:1468-2834
DOI:10.1093/ageing/afae097