Mariken Stegmann

Abstract  Shared decision making can guide patients facing difficult treatment decisions, making a  trade‐off between risks and benefits, and taking patient goals and preferences into account.  The Outcome Prioritisation Tool (OPT) was developed to discuss patient goals and  preferences with older patients in an encompassing, non‐disease‐specific way. The OPT is  used in both primary and secondary healthcare for several treatment decisions, but data  regarding the tool are limited. A concise review yielded two developmental articles, four  articles describing three studies using the OPT, and one study protocol. All studies were  performed among older patients. In those studies, the majority of patients ranked  maintaining independence as most important. The tool showed to be feasible for both  patients and healthcare providers.  30 Chapter 3