Cargando…

Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey

BACKGROUND: Estimates of life expectancy assist physicians and patients in medical decision-making. The time-delayed benefits for many medical treatments make an older adult's life expectancy estimate particularly important for physicians. The purpose of this study is to assess older adults...

Descripción completa

Detalles Bibliográficos
Autores principales: Kistler, Christine E, Lewis, Carmen L, Amick, Halle R, Bynum, Debra L, Walter, Louise C, Watson, Lea C
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1386682/
https://www.ncbi.nlm.nih.gov/pubmed/16472399
http://dx.doi.org/10.1186/1471-2296-7-9
_version_ 1782126875383955456
author Kistler, Christine E
Lewis, Carmen L
Amick, Halle R
Bynum, Debra L
Walter, Louise C
Watson, Lea C
author_facet Kistler, Christine E
Lewis, Carmen L
Amick, Halle R
Bynum, Debra L
Walter, Louise C
Watson, Lea C
author_sort Kistler, Christine E
collection PubMed
description BACKGROUND: Estimates of life expectancy assist physicians and patients in medical decision-making. The time-delayed benefits for many medical treatments make an older adult's life expectancy estimate particularly important for physicians. The purpose of this study is to assess older adults' beliefs about physician-estimated life expectancy. METHODS: We performed a mixed qualitative-quantitative cross-sectional study in which 116 healthy adults aged 70+ were recruited from two local retirement communities. We interviewed them regarding their beliefs about physician-estimated life expectancy in the context of a larger study on cancer screening beliefs. Semi-structured interviews of 80 minutes average duration were performed in private locations convenient to participants. Demographic characteristics as well as cancer screening beliefs and beliefs about life expectancy were measured. Two independent researchers reviewed the open-ended responses and recorded the most common themes. The research team resolved disagreements by consensus. RESULTS: This article reports the life-expectancy results portion of the larger study. The study group (n = 116) was comprised of healthy, well-educated older adults, with almost a third over 85 years old, and none meeting criteria for dementia. Sixty-four percent (n = 73) felt that their physicians could not correctly estimate their life expectancy. Sixty-six percent (n = 75) wanted their physicians to talk with them about their life expectancy. The themes that emerged from our study indicate that discussions of life expectancy could help older adults plan for the future, maintain open communication with their physicians, and provide them knowledge about their medical conditions. CONCLUSION: The majority of the healthy older adults in this study were open to discussions about life expectancy in the context of discussing cancer screening tests, despite awareness that their physicians' estimates could be inaccurate. Since about a third of participants perceived these discussions as not useful or even harmful, physicians should first ascertain patients' preferences before discussing their life expectancies.
format Text
id pubmed-1386682
institution National Center for Biotechnology Information
language English
publishDate 2006
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-13866822006-03-02 Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey Kistler, Christine E Lewis, Carmen L Amick, Halle R Bynum, Debra L Walter, Louise C Watson, Lea C BMC Fam Pract Research Article BACKGROUND: Estimates of life expectancy assist physicians and patients in medical decision-making. The time-delayed benefits for many medical treatments make an older adult's life expectancy estimate particularly important for physicians. The purpose of this study is to assess older adults' beliefs about physician-estimated life expectancy. METHODS: We performed a mixed qualitative-quantitative cross-sectional study in which 116 healthy adults aged 70+ were recruited from two local retirement communities. We interviewed them regarding their beliefs about physician-estimated life expectancy in the context of a larger study on cancer screening beliefs. Semi-structured interviews of 80 minutes average duration were performed in private locations convenient to participants. Demographic characteristics as well as cancer screening beliefs and beliefs about life expectancy were measured. Two independent researchers reviewed the open-ended responses and recorded the most common themes. The research team resolved disagreements by consensus. RESULTS: This article reports the life-expectancy results portion of the larger study. The study group (n = 116) was comprised of healthy, well-educated older adults, with almost a third over 85 years old, and none meeting criteria for dementia. Sixty-four percent (n = 73) felt that their physicians could not correctly estimate their life expectancy. Sixty-six percent (n = 75) wanted their physicians to talk with them about their life expectancy. The themes that emerged from our study indicate that discussions of life expectancy could help older adults plan for the future, maintain open communication with their physicians, and provide them knowledge about their medical conditions. CONCLUSION: The majority of the healthy older adults in this study were open to discussions about life expectancy in the context of discussing cancer screening tests, despite awareness that their physicians' estimates could be inaccurate. Since about a third of participants perceived these discussions as not useful or even harmful, physicians should first ascertain patients' preferences before discussing their life expectancies. BioMed Central 2006-02-11 /pmc/articles/PMC1386682/ /pubmed/16472399 http://dx.doi.org/10.1186/1471-2296-7-9 Text en Copyright © 2006 Kistler et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kistler, Christine E
Lewis, Carmen L
Amick, Halle R
Bynum, Debra L
Walter, Louise C
Watson, Lea C
Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title_full Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title_fullStr Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title_full_unstemmed Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title_short Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
title_sort older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1386682/
https://www.ncbi.nlm.nih.gov/pubmed/16472399
http://dx.doi.org/10.1186/1471-2296-7-9
work_keys_str_mv AT kistlerchristinee olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey
AT lewiscarmenl olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey
AT amickhaller olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey
AT bynumdebral olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey
AT walterlouisec olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey
AT watsonleac olderadultsbeliefsaboutphysicianestimatedlifeexpectancyacrosssectionalsurvey