Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”

Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve t...
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Autor*in:	Lowenstein, Lisa M. [verfasserIn] Volk, Robert J. [verfasserIn] Street, Richard [verfasserIn] Flannery, Marie [verfasserIn] Magnuson, Allison [verfasserIn] Epstein, Ronald [verfasserIn] Mohile, Supriya G. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Oncology Qualitative Provider-patient communication Geriatric assessment

Übergeordnetes Werk:	Enthalten in: Journal of geriatric oncology - Amsterdam [u.a.] : Elsevier Science, 2010, 10, Seite 68-73
Übergeordnetes Werk:	volume:10 ; pages:68-73

DOI / URN:	10.1016/j.jgo.2018.05.014

Katalog-ID:	ELV001274708

Internformat


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024	7		\|a 10.1016/j.jgo.2018.05.014 \|2 doi
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100	1		\|a Lowenstein, Lisa M. \|e verfasserin \|4 aut
245	1	0	\|a Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
264		1	\|c 2018
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337			\|a Computermedien \|b c \|2 rdamedia
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520			\|a Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.
650		4	\|a Oncology
650		4	\|a Qualitative
650		4	\|a Provider-patient communication
650		4	\|a Geriatric assessment
700	1		\|a Volk, Robert J. \|e verfasserin \|4 aut
700	1		\|a Street, Richard \|e verfasserin \|4 aut
700	1		\|a Flannery, Marie \|e verfasserin \|4 aut
700	1		\|a Magnuson, Allison \|e verfasserin \|4 aut
700	1		\|a Epstein, Ronald \|e verfasserin \|4 aut
700	1		\|a Mohile, Supriya G. \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Journal of geriatric oncology \|d Amsterdam [u.a.] : Elsevier Science, 2010 \|g 10, Seite 68-73 \|h Online-Ressource \|w (DE-627)627611915 \|w (DE-600)2556813-9 \|w (DE-576)336956584 \|x 1879-4076 \|7 nnns
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912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4393
936	b	k	\|a 44.81 \|j Onkologie
936	b	k	\|a 44.68 \|j Gerontologie \|j Geriatrie
951			\|a AR
952			\|d 10 \|h 68-73

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author_variant	l m l lm lml r j v rj rjv r s rs m f mf a m am r e re s g m sg sgm
matchkey_str	article:18794076:2018----::omnctoaoteitiassmndmisndacdacre
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publishDate	2018
allfields	10.1016/j.jgo.2018.05.014 doi (DE-627)ELV001274708 (ELSEVIER)S1879-4068(18)30015-8 DE-627 ger DE-627 rda eng 610 DE-600 44.81 bkl 44.68 bkl Lowenstein, Lisa M. verfasserin aut Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer. Oncology Qualitative Provider-patient communication Geriatric assessment Volk, Robert J. verfasserin aut Street, Richard verfasserin aut Flannery, Marie verfasserin aut Magnuson, Allison verfasserin aut Epstein, Ronald verfasserin aut Mohile, Supriya G. verfasserin aut Enthalten in Journal of geriatric oncology Amsterdam [u.a.] : Elsevier Science, 2010 10, Seite 68-73 Online-Ressource (DE-627)627611915 (DE-600)2556813-9 (DE-576)336956584 1879-4076 nnns volume:10 pages:68-73 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.81 Onkologie 44.68 Gerontologie Geriatrie AR 10 68-73
spelling	10.1016/j.jgo.2018.05.014 doi (DE-627)ELV001274708 (ELSEVIER)S1879-4068(18)30015-8 DE-627 ger DE-627 rda eng 610 DE-600 44.81 bkl 44.68 bkl Lowenstein, Lisa M. verfasserin aut Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer. Oncology Qualitative Provider-patient communication Geriatric assessment Volk, Robert J. verfasserin aut Street, Richard verfasserin aut Flannery, Marie verfasserin aut Magnuson, Allison verfasserin aut Epstein, Ronald verfasserin aut Mohile, Supriya G. verfasserin aut Enthalten in Journal of geriatric oncology Amsterdam [u.a.] : Elsevier Science, 2010 10, Seite 68-73 Online-Ressource (DE-627)627611915 (DE-600)2556813-9 (DE-576)336956584 1879-4076 nnns volume:10 pages:68-73 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.81 Onkologie 44.68 Gerontologie Geriatrie AR 10 68-73
allfields_unstemmed	10.1016/j.jgo.2018.05.014 doi (DE-627)ELV001274708 (ELSEVIER)S1879-4068(18)30015-8 DE-627 ger DE-627 rda eng 610 DE-600 44.81 bkl 44.68 bkl Lowenstein, Lisa M. verfasserin aut Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer. Oncology Qualitative Provider-patient communication Geriatric assessment Volk, Robert J. verfasserin aut Street, Richard verfasserin aut Flannery, Marie verfasserin aut Magnuson, Allison verfasserin aut Epstein, Ronald verfasserin aut Mohile, Supriya G. verfasserin aut Enthalten in Journal of geriatric oncology Amsterdam [u.a.] : Elsevier Science, 2010 10, Seite 68-73 Online-Ressource (DE-627)627611915 (DE-600)2556813-9 (DE-576)336956584 1879-4076 nnns volume:10 pages:68-73 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.81 Onkologie 44.68 Gerontologie Geriatrie AR 10 68-73
allfieldsGer	10.1016/j.jgo.2018.05.014 doi (DE-627)ELV001274708 (ELSEVIER)S1879-4068(18)30015-8 DE-627 ger DE-627 rda eng 610 DE-600 44.81 bkl 44.68 bkl Lowenstein, Lisa M. verfasserin aut Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer. Oncology Qualitative Provider-patient communication Geriatric assessment Volk, Robert J. verfasserin aut Street, Richard verfasserin aut Flannery, Marie verfasserin aut Magnuson, Allison verfasserin aut Epstein, Ronald verfasserin aut Mohile, Supriya G. verfasserin aut Enthalten in Journal of geriatric oncology Amsterdam [u.a.] : Elsevier Science, 2010 10, Seite 68-73 Online-Ressource (DE-627)627611915 (DE-600)2556813-9 (DE-576)336956584 1879-4076 nnns volume:10 pages:68-73 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.81 Onkologie 44.68 Gerontologie Geriatrie AR 10 68-73
allfieldsSound	10.1016/j.jgo.2018.05.014 doi (DE-627)ELV001274708 (ELSEVIER)S1879-4068(18)30015-8 DE-627 ger DE-627 rda eng 610 DE-600 44.81 bkl 44.68 bkl Lowenstein, Lisa M. verfasserin aut Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer. Oncology Qualitative Provider-patient communication Geriatric assessment Volk, Robert J. verfasserin aut Street, Richard verfasserin aut Flannery, Marie verfasserin aut Magnuson, Allison verfasserin aut Epstein, Ronald verfasserin aut Mohile, Supriya G. verfasserin aut Enthalten in Journal of geriatric oncology Amsterdam [u.a.] : Elsevier Science, 2010 10, Seite 68-73 Online-Ressource (DE-627)627611915 (DE-600)2556813-9 (DE-576)336956584 1879-4076 nnns volume:10 pages:68-73 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.81 Onkologie 44.68 Gerontologie Geriatrie AR 10 68-73
language	English
source	Enthalten in Journal of geriatric oncology 10, Seite 68-73 volume:10 pages:68-73
sourceStr	Enthalten in Journal of geriatric oncology 10, Seite 68-73 volume:10 pages:68-73
format_phy_str_mv	Article
bklname	Onkologie Gerontologie Geriatrie
institution	findex.gbv.de
topic_facet	Oncology Qualitative Provider-patient communication Geriatric assessment
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of geriatric oncology
authorswithroles_txt_mv	Lowenstein, Lisa M. @@aut@@ Volk, Robert J. @@aut@@ Street, Richard @@aut@@ Flannery, Marie @@aut@@ Magnuson, Allison @@aut@@ Epstein, Ronald @@aut@@ Mohile, Supriya G. @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
hierarchy_top_id	627611915
dewey-sort	3610
id	ELV001274708
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">ELV001274708</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230524163823.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230428s2018 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.jgo.2018.05.014</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)ELV001274708</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(ELSEVIER)S1879-4068(18)30015-8</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">DE-600</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.81</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.68</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Lowenstein, Lisa M.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zzz</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Oncology</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Qualitative</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Provider-patient communication</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Geriatric assessment</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Volk, Robert J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield 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author	Lowenstein, Lisa M.
spellingShingle	Lowenstein, Lisa M. ddc 610 bkl 44.81 bkl 44.68 misc Oncology misc Qualitative misc Provider-patient communication misc Geriatric assessment Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
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topic_title	610 DE-600 44.81 bkl 44.68 bkl Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities” Oncology Qualitative Provider-patient communication Geriatric assessment
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title	Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
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title_full	Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
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title_sort	communication about geriatric assessment domains in advanced cancer settings: “missed opportunities”
title_auth	Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
abstract	Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.
abstractGer	Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.
abstract_unstemmed	Objectives: Older patients with advanced cancer often have age-related health issues (e.g., memory impairment) that influence their cancer treatment decisions. Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.
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title_short	Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”
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author2	Volk, Robert J. Street, Richard Flannery, Marie Magnuson, Allison Epstein, Ronald Mohile, Supriya G.
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doi_str	10.1016/j.jgo.2018.05.014
up_date	2024-07-06T20:49:10.055Z
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Communication about these age-related concerns can potentially lead to further assessment and subsequent clinical interventions to improve treatment decision-making and patients' quality of life. Yet, little is known about the communication of age-related concerns between oncologists, patients, and caregivers.Materials and Methods: This study is a secondary analysis of data from the Values and Options in Cancer Care (VOICE) study. Audio-recorded and transcribed outpatient clinical oncology encounters with 37 patients with advanced cancer ≥60 years of age were content-analyzed. Two trained coders used a structured coding scheme based on pre-specified geriatric assessment (GA) domains to examine the transcripts for the frequency and quality of communication about age-related concerns. Atlas.ti version 6 was used for all analyses.Results: The median age of the patients was 66 years (range = 60–90 years); patients were mostly female (26/37), married (22/37), and White (36/37). Out of 37 audio-recorded visits, 31 had at least one mention of an age-related concern with a total of 70 mentions. Oncologists initiated communication about age-related concerns half of the time (53%). When age-related concerns were mentioned, half of the time (50%) the oncologist did not implement further evidence-based interventions to address the age-related concern (e.g., conduct a cognitive screen for a memory concern).Conclusion: Interventions are needed to improve the frequency and quality of the communication about age-related concerns to improve the care of older adults with cancer.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Oncology</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Qualitative</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Provider-patient communication</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Geriatric assessment</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Volk, Robert J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield 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Communication about geriatric assessment domains in advanced cancer settings: “Missed opportunities”

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