Health-related preferences of older patients with multimorbidity: the protocol for an evidence map
Introduction Interaction of conditions and treatments, complicated care needs and substantial treatment burden make patient–physician encounters involving multimorbid older patients highly complex. To optimally integrate patients’ preferences, define and prioritise realistic treatment goals and indi...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e029724.full |
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| author | Marjan Van Den Akker Odette Wegwarth Joerg J Meerpohl Sharon E Straus Tammy Hoffmann Ferdinand M Gerlach Christine Schmucker Ana Isabel González-González Christiane Muth |
| author_facet | Marjan Van Den Akker Odette Wegwarth Joerg J Meerpohl Sharon E Straus Tammy Hoffmann Ferdinand M Gerlach Christine Schmucker Ana Isabel González-González Christiane Muth |
| author_sort | Marjan Van Den Akker |
| collection | DOAJ |
| description | Introduction Interaction of conditions and treatments, complicated care needs and substantial treatment burden make patient–physician encounters involving multimorbid older patients highly complex. To optimally integrate patients’ preferences, define and prioritise realistic treatment goals and individualise care, a patient-centred approach is recommended. However, the preferences of older patients, who are especially vulnerable and frequently multimorbid, have not been systematically investigated with regard to their health status. The purpose of this evidence map is to explore current research addressing health-related preferences of older patients with multimorbidity, and to identify the knowledge clusters and research gaps.Methods and analysis To identify relevant research, we will conduct searches in the electronic databases MEDLINE, EMBASE, PsycINFO, PSYNDEX, CINAHL, Social Science Citation Index, Social Science Citation Index Expanded and the Cochrane library from their inception. We will check reference lists of relevant articles and carry out cited reference research (forward citation tracking). Two independent reviewers will screen titles and abstracts, check full texts for eligibility and extract the data. Any disagreement will be resolved and consensus reached with the help of a third reviewer. We will include both qualitative and quantitative studies, and address preferences from the patients’ perspectives in a multimorbid population of 60 years or older. There will be no restrictions on the publication language. Data extraction tables will present study and patient characteristics, aim of study, methods used to identify preferences and outcomes (ie, type of preferences). We will summarise the data using tables and figures (ie, bubble plot) to present the research landscape and to describe clusters and gaps.Ethics and dissemination Due to the nature of the proposed evidence map, ethics approval will not be required. Results from our research will be disseminated by means of specifically prepared materials for patients, at relevant (inter)national conferences and via publication in peer-reviewed journals. |
| format | Article |
| id | doaj-art-56e8b06ca85240a8901b101cd740acd4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-56e8b06ca85240a8901b101cd740acd42024-11-28T18:40:13ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2019-029724Health-related preferences of older patients with multimorbidity: the protocol for an evidence mapMarjan Van Den Akker0Odette Wegwarth1Joerg J Meerpohl2Sharon E Straus3Tammy Hoffmann4Ferdinand M Gerlach5Christine Schmucker6Ana Isabel González-González7Christiane Muth821 Institute of General Practice, University of Frankfurt, Frankfurt am Main, GermanyHeisenberg Chair for Medical Risk Literacy & Evidence-Based Decisions, Charité Universitätsmedizin Berlin Campus Charite Mitte, Berlin, GermanyInstitute for Evidence in Medicine, Medical Center – Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, GermanySt. Michael’s Hospital Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Ontario, CanadaprofessorInstitute of General Practice, Goethe University Frankfurt, Frankfurt am Main, GermanyInstitute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Baden-Württemberg, Germany4Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain20 Department of General Practice and Family Medicine, University Hospital OWL of Bielefeld University Campus Hospital Lippe, Detmold, GermanyIntroduction Interaction of conditions and treatments, complicated care needs and substantial treatment burden make patient–physician encounters involving multimorbid older patients highly complex. To optimally integrate patients’ preferences, define and prioritise realistic treatment goals and individualise care, a patient-centred approach is recommended. However, the preferences of older patients, who are especially vulnerable and frequently multimorbid, have not been systematically investigated with regard to their health status. The purpose of this evidence map is to explore current research addressing health-related preferences of older patients with multimorbidity, and to identify the knowledge clusters and research gaps.Methods and analysis To identify relevant research, we will conduct searches in the electronic databases MEDLINE, EMBASE, PsycINFO, PSYNDEX, CINAHL, Social Science Citation Index, Social Science Citation Index Expanded and the Cochrane library from their inception. We will check reference lists of relevant articles and carry out cited reference research (forward citation tracking). Two independent reviewers will screen titles and abstracts, check full texts for eligibility and extract the data. Any disagreement will be resolved and consensus reached with the help of a third reviewer. We will include both qualitative and quantitative studies, and address preferences from the patients’ perspectives in a multimorbid population of 60 years or older. There will be no restrictions on the publication language. Data extraction tables will present study and patient characteristics, aim of study, methods used to identify preferences and outcomes (ie, type of preferences). We will summarise the data using tables and figures (ie, bubble plot) to present the research landscape and to describe clusters and gaps.Ethics and dissemination Due to the nature of the proposed evidence map, ethics approval will not be required. Results from our research will be disseminated by means of specifically prepared materials for patients, at relevant (inter)national conferences and via publication in peer-reviewed journals.https://bmjopen.bmj.com/content/9/9/e029724.full |
| spellingShingle | Marjan Van Den Akker Odette Wegwarth Joerg J Meerpohl Sharon E Straus Tammy Hoffmann Ferdinand M Gerlach Christine Schmucker Ana Isabel González-González Christiane Muth Health-related preferences of older patients with multimorbidity: the protocol for an evidence map BMJ Open |
| title | Health-related preferences of older patients with multimorbidity: the protocol for an evidence map |
| title_full | Health-related preferences of older patients with multimorbidity: the protocol for an evidence map |
| title_fullStr | Health-related preferences of older patients with multimorbidity: the protocol for an evidence map |
| title_full_unstemmed | Health-related preferences of older patients with multimorbidity: the protocol for an evidence map |
| title_short | Health-related preferences of older patients with multimorbidity: the protocol for an evidence map |
| title_sort | health related preferences of older patients with multimorbidity the protocol for an evidence map |
| url | https://bmjopen.bmj.com/content/9/9/e029724.full |
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