Background for shared decision-making, it is important to discuss of the patients’ priorities in order to align treatment decisions with these priorities. Objective to assess the most important health outcome for older patients on the verge of making a treatment decision, using the Outcome Prioritization Tool (OPT). Secondary objectives were the feasibility of the OPT and patient variables associated with prioritising different health outcomes. Design retrospective cohort study. Setting and subjects at the University Medical Hospital Groningen, the Netherlands, 350 patients were included who visited the geriatric outpatient clinic during the work-up regarding a complex treatment decision (such as cancer treatment or heart valve replacement). Methods during geriatric assessment, patients prioritised between four health outcomes, using the OPT. Results median age was 78.5 years, 172 (49.1%) were referred regarding a treatment decision for a malignant disease. Cognitive impairment was present in 23.6%. Most patients (55.2%) prioritised maintaining independence as their most important goal, followed by extending life in 21.1%. Only cognitive impairment was significantly associated with prioritising extending life as the most important health outcome. For 107 patients (30.6%), the OPT was not feasible; these patients more often had malnutrition and assisted living. Conclusions the main health outcome of older patients on the verge of making a treatment decision was maintaining independence, followed by extending life. Patients with cognitive impairment more often prioritised extending life. The OPT was feasible as a decision aid for most patients. For optimal shared decision-making, it is crucial to take patient preferences into account.

中文翻译：

---

“什么对你很重要？” 老年患者治疗决策中的健康结果优先顺序

对于共同决策的背景，重要的是要讨论患者的优先事项，以便使治疗决策与这些优先事项保持一致。目的是使用结果优先级工具 (OPT) 评估即将做出治疗决定的老年患者最重要的健康结果。次要目标是 OPT 的可行性和与优先考虑不同健康结果相关的患者变量。设计回顾性队列研究。在荷兰格罗宁根大学医学院的环境和受试者中，包括 350 名在复杂治疗决策（如癌症治疗或心脏瓣膜置换术）检查期间就诊于老年门诊的患者。在老年评估期间，患者使用 OPT 优先考虑四种健康结果。结果中位年龄为 78.5 岁，172 人 (49.1%) 被转诊为恶性疾病的治疗决定。23.6% 存在认知障碍。大多数患者（55.2%）将保持独立作为他们最重要的目标，其次是延长寿命（21.1%）。只有认知障碍与将延长寿命作为最重要的健康结果显着相关。对于 107 名患者 (30.6%)，OPT 不可行；这些患者更多地患有营养不良和辅助生活。结论 即将做出治疗决定的老年患者的主要健康结果是保持独立，其次是延长生命。认知障碍患者更常优先考虑延长寿命。对于大多数患者来说，OPT 作为决策辅助是可行的。为了优化共享决策，