title: Preferences about information and decision-making among older patients with and without cancer.
abstract: information of older patients with cancer is crucial to ensure optimal care.
  
  
  
  to compare older patients with and without cancer regarding their preferences about medical information, decision-making and surrogate designation.
  
  
  
  an intention-to-act questionnaire was completed by patients ≥70 y enroled in the ELderly CAncer PAtients cohort between January and June 2013 and by patients in the same age group enroled in a cross-sectional survey conducted in 2005 in acute geriatric wards.
  
  
  
  Henri-Mondor Teaching Hospital in the Paris conurbation, France.
  
  
  
  the group with cancer had 133 patients [mean age, 79.6 ± 6.5 y; 54.9% women]. The main tumour sites were colorectal [24.1%], breast [23.3%] and prostate [15.8%]; 34.8% had metastases. All these patients wanted full information, 74.2% wanted to participate in decisions about their care, 87.2% would designate a family member to serve as a surrogate in life-threatening situations and 15% had already designated a surrogate. Compared to patients without cancer, those with cancer more often wanted to receive information in a life-threatening situation [93.6% versus 79.2%; P < 0.001]. Factors independently associated with patients wanting their informed consent to be obtained for all interventions were having children [adjusted odds ratio (aOR), 2.13; 95% confidence interval, 1.24; 3.66; P = 0.006], higher Mini Mental State Examination score [aORper point, 1.09; 1.02; 1.17], younger age in the group without cancer [aOR>82 y vs. ≤82 y, 0.50; 0.29-0.88] and being cancer-free [≤82 y, aOR, 0.30; 0.14-0.63; >82 y, aOR, 0.41; 0.17-0.97].
  
  
  
  older patients with cancer expressed a strong preference for receiving information and participating in decisions about their care.
authors.affiliation: Department of Internal and Geriatric Medicine, Assistance Publique - Hopitaux de Paris, Henri-Mondor Hospital, Paris, Île-de-France, France.|CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.
authors.forename: Elena
authors.initials: E
authors.lastname: Paillaud
authors.affiliation: CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.|Department of Public Health, Assistance Publique - Hopitaux de Paris, Paris, Île-de-France, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Canoui-Poitrine
authors.affiliation: Department of Internal and Geriatric Medicine, Assistance Publique - Hopitaux de Paris, Henri-Mondor Hospital, Paris, Île-de-France, France.
authors.forename: Gwenaelle
authors.initials: G
authors.lastname: Varnier
authors.affiliation: Department of Internal and Geriatric Medicine, Assistance Publique - Hopitaux de Paris, Henri-Mondor Hospital, Paris, Île-de-France, France.
authors.forename: Narges
authors.initials: N
authors.lastname: Anfasi-Ebadi
authors.affiliation: CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.|Clinical Research Unit (URC-Mondor), Assistance Publique - Hopitaux de Paris, Creteil, Île-de-France, France.
authors.forename: Ester
authors.initials: E
authors.lastname: Guery
authors.affiliation: Geriatrics Department, Assistance Publique - Hopitaux de Paris, Hôpital Européen Georges Pompidou, Paris, Île-de-France, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Saint-Jean
authors.affiliation: Geriatrics Department, Assistance Publique - Hopitaux de Paris, Hôpital Européen Georges Pompidou, Paris, Île-de-France, France.
authors.forename: Mathilde
authors.initials: M
authors.lastname: Gisselbrecht
authors.affiliation: Gastroenterology and Digestive Oncology Department, Assistance Publique - Hopitaux de Paris, Avicenne hospital, Bobigny, Île-de-France, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Aparicio
authors.affiliation: CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.|Department of Public Health, Assistance Publique - Hopitaux de Paris, Paris, Île-de-France, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Bastuji-Garin
authors.affiliation: Department of Internal and Geriatric Medicine, Assistance Publique - Hopitaux de Paris, Henri-Mondor Hospital, Paris, Île-de-France, France.|CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Laurent
authors.affiliation: Department of Internal and Geriatric Medicine, Assistance Publique - Hopitaux de Paris, Henri-Mondor Hospital, Paris, Île-de-France, France.|CEpiA (Clinical Epidemiology and Ageing), University Paris-Est Créteil (UPEC), EA 7376- IMRB, Creteil, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Caillet
mesh_terms: D022126:Access to Information; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D002755:Choice Behavior; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006784:Hospitals, Teaching; D006801:Humans; D016015:Logistic Models; D008297:Male; D000073216:Mental Status and Dementia Tests; D015999:Multivariate Analysis; D009369:Neoplasms / Q000523:psychology*; D016017:Odds Ratio; D010297:Paris; D010347:Patient Care Planning; D057240:Patient Preference; D019727:Proxy; D011795:Surveys and Questionnaires; D020458:Third-Party Consent
keywords: cancer; medical decision-making; medical information; older people; surrogate