Examining Medical Interventions in Older Adults with Limited Life Expectancy—Opportunities and Challenges for De-implementation
Significant research gaps exist at the intersection of de-implementation, shared decision making, and aging research. Considerations for de-implementation would benefit from evaluating the preference sensitivity of the decision. This should be informed by the strength of evidence, the extent that the potential harms outweigh the benefits, and whether the intervention is life-sustaining where de-implementation would be irreversible.
Authors
- Caroline E. Sloan (ORCID: https://orcid.org/0000-0003-1611-3846)
- Cara L. McDermott (ORCID: https://orcid.org/0000-0002-2921-1421)
- Katherine A. Ornstein (ORCID: https://orcid.org/0000-0001-6270-4423)
- Vadim Dukhanin (ORCID: https://orcid.org/0000-0002-8685-0027)
- Anna Beeber (ORCID: https://orcid.org/0000-0002-5191-7578)
- Ariel R. Green (ORCID: https://orcid.org/0000-0003-4127-4617)
- Martha Abshire Saylor (ORCID: https://orcid.org/0000-0003-1824-1542)
- Judith B. Vick (ORCID: https://orcid.org/0000-0002-1637-5275)
- Nancy L. Schoenborn (ORCID: https://orcid.org/0000-0001-5053-5132)
Institutions
- Johns Hopkins University (US)
- Duke University (US)
- Johns Hopkins Medicine (US)
- Yale University (US)
Publication Details
- Journal
- Sage Open Aging
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1177/30495334251385882
- Primary Topic
- Health Systems, Economic Evaluations, Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00