Your browser doesn't support javascript.
loading
Older patients' experiences with and attitudes towards an oncogeriatric pathway: A qualitative study.
Uit den Boogaard, Anna; de Jongh, Dide; van den Elst, Marjan J T; Trompet, Stella; de Man-van Ginkel, Janneke M; Portielje, Johanneke E A; Meuleman, Yvette; Mooijaart, Simon P; de Glas, Nienke A; van den Bos, Frederiek.
Afiliación
  • Uit den Boogaard A; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands. Electronic address: a.uit_den_boogaard@lumc.nl.
  • de Jongh D; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands.
  • van den Elst MJT; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands.
  • Trompet S; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands.
  • de Man-van Ginkel JM; Nursing Science, Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands.
  • Portielje JEA; Department of Internal Medicine, Section Medical Oncology, Leiden University Medical Center, the Netherlands.
  • Meuleman Y; Department of Clinical Epidemiology, Leiden University Medical Center, the Netherlands.
  • Mooijaart SP; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands; LUMC Center for Medicine for Older People, Leiden University Medical Center, the Netherlands.
  • de Glas NA; Department of Internal Medicine, Section Medical Oncology, Leiden University Medical Center, the Netherlands.
  • van den Bos F; Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, the Netherlands.
J Geriatr Oncol ; 15(3): 101745, 2024 04.
Article en En | MEDLINE | ID: mdl-38490100
ABSTRACT

INTRODUCTION:

To tailor treatment for older patients with cancer, an oncogeriatric care pathway has been developed in the Leiden University Medical Center. In this care pathway a geriatric assessment is performed and preferences concerning cancer treatment options are discussed. This study aimed to explore patient experiences with and attitudes towards this pathway. MATERIALS AND

METHODS:

A qualitative study was performed using an exploratory descriptive approach. Individual face-to-face semi-structured interviews were conducted with older patients (≥70 years) who had followed the oncogeriatric care pathway in the six months prior to the interview. The interviews were audio-recorded and transcribed verbatim. The transcripts were analyzed inductively using thematic analysis.

RESULTS:

After interviews with 14 patients with a median age of 80 years, three main themes were identified. (1) Patients' positive experiences with the oncogeriatric pathway Patients appreciated the attitudes of the healthcare professionals and felt heard and understood. (2) Unmet information needs about the oncogeriatric care pathway Patients experienced a lack of information about the aim and process. (3) Incomplete information for decision-making Most patients were satisfied with decision-making process. However, treatment decisions had often been made before oncogeriatric consultation. No explicit naming and explaining of different available treatment options had been provided, nor had risk of physical or cognitive decline during and after treatment been addressed.

DISCUSSION:

Older patients had predominately positive attitudes towards the oncogeriatric care pathway. Most patients were satisfied with the treatment decision. Providing information on the aim and process of the care pathway, available treatment options, and treatment-related risks of cognitive and physical decline may further improve the oncogeriatric care pathway and the decision-making process.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Aged / Aged80 / Humans Idioma: En Revista: J Geriatr Oncol Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Aged / Aged80 / Humans Idioma: En Revista: J Geriatr Oncol Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos