April 28, 2026 · Journal of palliative medicine · DOI: 10.1177/10966218261446776

Patterns of Goals-of-Care Documentation in the Outpatient Oncology Setting: A Retrospective Cohort Study of Older Adults with Advanced Cancer

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The authors aimed to assess the prevalence of goals-of-care documentation (GOCC) among older adults with advanced cancer in an outpatient oncology setting and to identify patient-level factors associated with such documentation. They found that only 43% of the 7,743 patients studied had documented GOCC, with notable differences in age, marital status, and mortality rates between those with and without documentation. This highlights a significant gap in the documentation of patient values and preferences, indicating a need for improved practices in routine cancer care.

Jenna Laidley, Samuel R Zverev, Anne Kwok, Kate Sciacca, Benjamin Fayyazuddin Ljungberg, Soujanya Samineni, Lorinda A Coombs, James A Tulsky, Charlotta Lindvall, Tamryn F Gray

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