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.
Overzicht publicatie
Titel | Older people’s goals of care in relation to frailty status-the COOP-study. |
Datum | 1 mei 2024 |
Tijdschrift naam | Age and ageing |
Tijdschrift nummer | v53.5 |
DOI | 10.1093/ageing/afae097 |
PubMed | 38796317 |
Auteurs | |
Informatie | COVID-19 Outcomes in Older People (COOP)-consortium, Moons KGM, van Smeden M, Luijken K, Elders P |
Trefwoorden | decision-making, health outcome prioritisation, older people, patient and public involvement, patient preference |
Lees | Lees publicatie |