About The Study: In this secondary analysis of a randomized clinical trial, fewer than 1 in 10 older adults with advanced cancer participating in the trial prioritized extending survival over maintaining quality of life. Patient preference for extending survival or maintaining quality of life was not associated with up-front treatment modifications or downstream outcomes, suggesting a possible lack of responsiveness of the current oncology care delivery system to patient preference.
Corresponding Author: To contact the corresponding author, Daniel R. Richardson, MD, MSc, email daniel_richardson@med.unc.edu.
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(doi:10.1001/jamaoncol.2026.0072)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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Journal
JAMA Oncology