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Eligible studies described factors influencing SDM concerning cancer treatment with adults aged 65\u00a0years or above, with any type of cancer. We included qualitative or mixed\u2010methods studies. Themes were identified and discussed in an expert panel, including a patient\u2010representative, until consensus was reached on an adjusted model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall 29 studies were included and nine themes were identified from the literature. The themes related to the importance of goal setting, need for tailored information provision, the role of significant others, uncertainty of evidence, the importance of time during and outside of consultations, the possible ill\u2010informed preconceptions that health care professionals (HCPs) might have about older adults and the specific competencies they need to engage in the SDM process with older adults. No new themes emerged from discussion with expert panel. This study presents a visual model of SDM with older patients with cancer based on the identified themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our model shows key elements that are specific to SDM with older adults. Further research needs to focus on how to educate HCPs on the competencies needed to engage in SDM with older patients, and how to implement the model into everyday practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.6291","type":"journal-article","created":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T13:49:20Z","timestamp":1704548960000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Shared decision\u2010making with older adults with cancer: Adaptation of a model through literature review and expert opinion"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5593-9627","authenticated-orcid":false,"given":"Emma A.","family":"Gans","sequence":"first","affiliation":[{"name":"University Center of Geriatric Medicine University Medical Center Groningen  Groningen The Netherlands"},{"name":"Knowledge Institute of the Dutch Association of Medical Specialists  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arwen H.","family":"Pieterse","sequence":"additional","affiliation":[{"name":"Department of Biomedical Data Sciences Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maartje S.","family":"Klapwijk","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feikje","family":"van Stiphout","sequence":"additional","affiliation":[{"name":"Department of Geriatric Internal Medicine Meander Medical Center  Amersfoort The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma J.","family":"van Steenbergen","sequence":"additional","affiliation":[{"name":"Department of Gerontology and Geriatrics University Medical Center Utrecht  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanneke E. 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