Tomada de Decisão Compartilhada em Oncogeriatria
preferência de controle, autonomia percebida e fatores associados
DOI:
https://doi.org/10.15448/2357-9641.2026.1.49344Keywords:
shared decision-making, medical oncology, geriatrics, patient preference, aging.Abstract
Aims: To evaluate care preference and perceived shared decision-making among older adults with cancer undergoing antineoplastic treatment, as well as to identify factors associated with these outcomes.
Methods: This observational, descriptive, cross-sectional study was conducted in two tertiary hospitals in Porto Alegre (Brazil), including adults aged ≥60 years with solid tumors who initiated systemic treatment between July 2023 and January 2025. Sociodemographic, clinical, and functional data were collected, in addition to the application of the Control Preferences Scale and the Shared Decision-Making Questionnaire (SDM-Q-9).
Results: A total of 181 older adults were assessed, with mean age 70.7 years, predominantly male (51.9%), white (87.3%), and with metastatic disease (57,5%). The collaborative preference profile was the most frequent (51.4%), followed by passive (39.2%) and active (9.4%) profiles. Passive preferences were associated with private healthcare origin, poorer functional status (PS-ECOG ≥2), limitations in activities of daily living, and absence of prior surgery. The mean Shared Decision-Making Questionnaire score was 73.8 (SD 11.7), with higher scores observed among individuals with higher education, no comorbidities, PS-ECOG 0–1, and dose-adjusted antineoplastic therapy. Older adults with passive profiles reported lower perceived shared decision-making.
Conclusions: The participation in therapeutic decision-making is influenced by clinical, functional, and contextual factors, underscoring the need for individualized, person-centered approaches to strengthen autonomy and enhance the decision-making process in oncology geriatric care.
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