Journal of the American Geriatrics Society

Journal Information
ISSN / EISSN : 0002-8614 / 1532-5415
Current Publisher: Wiley (10.1111)
Former Publisher:
Total articles ≅ 29,216
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Latest articles in this journal

, Amy M. Linsky
Journal of the American Geriatrics Society; doi:10.1111/jgs.17273

The publisher has not yet granted permission to display this abstract.
, Mary T. Bassett
Journal of the American Geriatrics Society; doi:10.1111/jgs.17289

Journal of the American Geriatrics Society, Volume 69, pp 1414-1414; doi:10.1111/jgs.17212

, Laura M. Keohane, Susan L. Mitchell, , Jennifer N. Bunker, Emmanuelle Belanger, Pedro L. Gozalo, Amal N. Trivedi
Journal of the American Geriatrics Society; doi:10.1111/jgs.17225

The publisher has not yet granted permission to display this abstract.
Journal of the American Geriatrics Society, Volume 69, pp 1109-1115; doi:10.1111/jgs.16002

, Sean T. O'Leary, Miwako Kobayashi, Lori A. Crane, Jessica Cataldi, Michaela Brtnikova, Brenda L. Beaty, Carol Gorman, Megan C. Lindley, Allison Kempe
Journal of the American Geriatrics Society; doi:10.1111/jgs.17274

The publisher has not yet granted permission to display this abstract.
, , Hindrik W. van der Werf, Pauline de Graeff, Barbara C. van Munster
Journal of the American Geriatrics Society; doi:10.1111/jgs.17216

Abstract:
Objectives Transcatheter aortic valve implantation (TAVI) is an important treatment option for patients with severe aortic stenosis. To improve patient selection, shared decision‐making is recommended to elicit patients' treatment expectations and goals. We assessed patients' expectations and goals before TAVI treatment and whether these were met after treatment. Additionally, we evaluated how meeting these goals aligned with quality of life and functional recovery. Design A mixed method study. Setting An academic medical center. Participants Seventy‐four patients undergoing TAVI between 2015 and 2017. Measurements Patients' expectations and goals were assessed qualitatively before treatment. Six to twelve months post procedure, quality of life was measured with the EuroQuol‐5D and any change in the number of dependencies in (instrumental) activities of daily living was assessed. Results Mean age of patients was 81.5 years, and 37.8% were male. Regaining the ability to engage in a specific hobby or activity was the most important treatment goal (33 patients, 54.1%), followed by reducing symptoms (19 patients 31.1%). 66.2% of patients stated that their treatment goal was met. Quality of life was higher in this group, as compared with patients who had not met their treatment goal. Twenty‐three patients (31.1%) showed functional improvement. Conclusion TAVI patients were quite capable of eliciting treatment goals and a majority stated, after treatment, that these had been met patients' experience of treatment benefits regarding these goals had poor alignment with functional outcomes. This raises questions regarding relevant outcome measurements in this population, and could aid in improving shared decision‐making and patient selection for TAVI.
Journal of the American Geriatrics Society, Volume 69; doi:10.1111/jgs.17211

, Lilanthi Balasuriya, Brita Roy, Joseph S. Ross, Carol R. Oladele
Journal of the American Geriatrics Society; doi:10.1111/jgs.17285

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