Navigation Links
Elderly fare better when included in decisions on treatment trade-offs
Date:10/28/2008

Halting a medication that treats one ailment because it may worsen another is a treatment trade-off decision that elderly patients with multiple medical conditions would rather take part in, researchers at Yale School of Medicine report in a study published in the Journal of the American Geriatrics Society.

About 65 percent of older Medicare beneficiaries have at least two chronic conditions, and 24 percent have four or more. The study highlights the complex care decisions these patients face when the treatment for one condition could worsen another i.e., "competing outcomes." For example, a patient with high blood pressure, heart disease and osteoarthritis finds that the blood pressure medication he's on causes leg cramps to the point where he can't do the pool exercises that help keep his arthritis symptoms in check. While the medication lowers his cardiovascular risk, he decides, in consultation with his physician, to stop taking it because the leg cramps are unacceptable.

"Taking this kind of active role in treatment decisions means more customized outcomes for patients," said study author Terri Fried, M.D., professor in the Department of Internal Medicine at Yale School of Medicine. "Because of their experience with medication side effects, older patients with multiple conditions can understand the concept of competing outcomes. Prioritizing across all outcomes can help clarify what is most important to seniors who are faced with complex healthcare decisions."

Fried and her team conducted 13 focus groups with 66 people age 65 and older. Participants had an average of five chronic medical conditions and took an average of seven medications. They were asked to think about the goals for their care and to think about possible competing outcomes.

Participants initially thought about their goals of care in terms of disease-specific outcomes, such as lowering blood pressure or cholesterol levels. However, when faced with situations involving competing outcomes, they thought about more global outcomes that were applicable across diseases, such as length of life, functional status, and relief of symptoms. "Their prioritization of these outcomes revealed what was most important to them, and they chose the treatment option that would maximize the likelihood of their most desired outcome," said Fried.


'/>"/>

Contact: Karen N. Peart
karen.peart@yale.edu
203-432-1326
Yale University
Source:Eurekalert

Related medicine news :

1. Antipsychotic Drug Use Up in Elderly Despite Warnings
2. Research finds Americas elderly suffering abuse
3. Long-term care workers struggle with elderly population boom
4. More Than Temperature Puts Elderly at Risk in Heat
5. Fat Cell Protein Boosts Heart Attack Risk in Elderly
6. Overweight elderly Americans contribute to financial burdens of the US health care system
7. Falls Are Top Cause of Injury, Death Among Elderly
8. William F. McMurry - Lead Class Counsel Obtains $16.4 Million Settlement for Elderly Clients
9. Third of Elderly Patients Take Companion to See Doctor
10. New Film Exposes Bruce Wasserstein and Lazard-linked Elderly Care Facilities Exploiting Seniors
11. Long-term care fraught with uncertainties for elderly baby boomers
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic ... World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. ... some of the world’s leading providers of cereal and other breakfast foods. Its residents ...
(Date:6/25/2016)... ... 2016 , ... Experts from the American Institutes for Research ... June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR experts ... planning, healthcare costs and patient and family engagement. , AIR researchers will be ...
(Date:6/25/2016)... ... 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his ... David Geffen School of Medicine at UCLA. He trained in Internal Medicine at Scripps ... in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to ...
(Date:6/24/2016)... ... , ... Those who have experienced traumatic events may suffer from a complex ... as drug or alcohol abuse, as a coping mechanism. To avoid this pain and ... a traumatic event. , Trauma sufferers tend to feel a range of emotions, from ...
(Date:6/24/2016)... San Francisco, CA (PRWEB) , ... June 24, ... ... at CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has ... , self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the ... (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality (Filler, ... Global Forecast to 2021" report to their offering. ... pharmaceutical excipients market is projected to reach USD 8.1 ... the forecast period 2016 to 2021. ...
(Date:6/23/2016)... 2016 Roche (SIX: RO, ROG; OTCQX: RHHBY) ... Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated testing ... With this clearance, Roche is the first IVD company ... for sepsis risk assessment and management. PCT ... PCT levels in blood can aid clinicians in assessing ...
(Date:6/23/2016)... LOS ANGELES , June 23, 2016 /PRNewswire/ ... (NASDAQ: CAPR ), a biotechnology company ... first-in-class therapeutics, today announced that patient enrollment in ... progrEssion in Duchenne) has exceeded 50% of its ... its enrollment in the third quarter of 2016, ...
Breaking Medicine Technology: