Assessment of Clinician Decision-making on Cancer Screening Cessation in Older Adults With Limited Life Expectancy | Zendy

Nancy L. Schoenborn | Zendy; Jacqueline Massare | Zendy; Reuben Park | Zendy; Cynthia M. Boyd | Zendy; Youngjee Choi | Zendy; Craig Evan Pollack | Zendy

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Assessment of Clinician Decision-making on Cancer Screening Cessation in Older Adults With Limited Life Expectancy

Author(s) -

Nancy L. Schoenborn,

Jacqueline Massare,

Reuben Park,

Cynthia M. Boyd,

Youngjee Choi,

Craig Evan Pollack

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.6772

Subject(s) - medicine , life expectancy , family medicine , cancer screening , qualitative research , telephone interview , recall , cancer , medical record , gerontology , psychology , population , social science , environmental health , sociology , cognitive psychology

Key Points Question How do clinicians and patients think about stopping cancer screening in older adults with limited life expectancy? Findings In this mixed methods study with 25 clinicians and 47 patients, cancer screening decisions were found to be not always conscious or deliberate. When the decisions were deliberate, they were associated with not only patient characteristics, but also subjective factors such as patient request, clinicians’ anecdotal experiences, and the patients’ family and friends. Meaning In this study, findings suggest that strategies to facilitate more deliberate decision-making may be important in cancer screening of older adults with limited life expectancy.

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