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Health outcome priorities among competing cardiovascular, fall injury, and medication-related symptom outcomes.

Abstract：

OBJECTIVES:To determine the priority that older adults with coexisting hypertension and fall risk give to optimizing cardiovascular outcomes versus fall- and medication symptom-related outcomes. DESIGN:Interview. SETTING:Community. PARTICIPANTS:One hundred twenty-three cognitively intact persons aged 70 and older with hypertension and fall risk. MEASUREMENTS:Discrete choice task was used to elicit the relative importance placed on reducing the risk of three outcomes: cardiovascular events, serious fall injuries, and medication symptoms. Risk estimates with and without antihypertensive medications were obtained from the literature. Participants chose between 11 pairs of options that displayed lower risks for one or two outcomes and a higher risk for the other outcome(s), versus the reverse. Results were used to calculate relative importance scores for the three outcomes. These scores, which sum to 100, reflect the relative priority participants placed on the difference between the risk estimates of each outcome. RESULTS:Sixty-two participants (50.4%) placed greater importance on reducing risk of cardiovascular events than reducing risk of the combination of fall injuries and medication symptoms; 61 participants did the converse. A lower percentage of participants with chronic obstructive pulmonary disease (P=.02), unsteadiness (P=.02), functional dependency (P=.04), lower cognition (P=.02) and depressive symptoms (P=.03) prioritized cardiovascular outcomes over fall injuries and medication symptoms than did participants without these characteristics. CONCLUSION:Interindividual variability in the face of competing outcomes supports individualizing decision-making to individual priorities. In the current example, this may mean forgoing antihypertensive medications or compromising on blood pressure reduction for some individuals.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Tinetti ME,McAvay GJ,Fried TR,Allore HG,Salmon JC,Foody JM,Bianco L,Ginter S,Fraenkel L

doi

10.1111/j.1532-5415.2008.01815.x

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

1409-16

issue

8

eissn

0002-8614

issn

1532-5415

pii

JGS1815

journal_volume

56

pub_type

杂志文章

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