Patient-defined goals and preferences among older adults with cancer starting chemotherapy (CT).

10009Background: Older adults with cancer facing decisions with competing health outcomes may favor maintaining quality of life (QOL), independence, or cognition over prolonging survival. The goal of this study was to elicit preferences among outcomes from older adults starting CT. Methods: This is a secondary analysis of an ongoing prospective study aimed at identifying and addressing vulnerabilities in older adults (age ≥65) starting CT (NCT02517034). Patients completed 3 tools assessing preferences in health outcomes: 1) Health Outcomes Tool: rates the relative importance of 4 outcomes (survival, function, freedom from pain, and freedom from symptoms) using a visual analog scale (VAS); 2) Now vs. Later Tool: rates the relative importance of QOL at 3 times: today,1 year (y) in the future , and 5y in the future using a VAS; and 3) Attitude Scale: rates subjects’ agreement with statements related to outcomes. We measured the proportion of patients reporting other outcomes being “as important” or “more imp...