{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T07:41:00Z","timestamp":1776238860961,"version":"3.50.1"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["3P30CA046934"],"award-info":[{"award-number":["3P30CA046934"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["CSDG-20-055-01-PCSM"],"award-info":[{"award-number":["CSDG-20-055-01-PCSM"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1007\/s00520-026-10532-1","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:39:44Z","timestamp":1774420784000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of a Delphi process to formulate a pragmatic framework for care planning in older adults with advanced bladder cancer"],"prefix":"10.1007","volume":"34","author":[{"given":"Elizabeth R.","family":"Kessler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlyn","family":"Hoover","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Coats","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy M.","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"10532_CR1","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1200\/JCO.21.02810","volume":"40","author":"A Gupta","year":"2022","unstructured":"Gupta A, Eisenhauer EA, Booth CM (2022) The time toxicity of cancer treatment. J Clin Oncol 40:1611\u20131615","journal-title":"J Clin Oncol"},{"key":"10532_CR2","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1200\/JCO.2002.20.2.494","volume":"20","author":"L Repetto","year":"2002","unstructured":"Repetto L, Fratino L, Audisio RA et al (2002) Comprehensive geriatric assessment adds information to Eastern Cooperative Oncology Group performance status in elderly cancer patients: an Italian Group for Geriatric Oncology Study. J Clin Oncol 20:494\u2013502","journal-title":"J Clin Oncol"},{"key":"10532_CR3","first-page":"78","volume":"71","author":"MS Sedrak","year":"2021","unstructured":"Sedrak MS, Freedman RA, Cohen HJ et al (2021) Older adult participation in cancer clinical trials: a systematic review of barriers and interventions. CA Cancer J Clin 71:78\u201392","journal-title":"CA Cancer J Clin"},{"key":"10532_CR4","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.jgo.2016.11.001","volume":"8","author":"H Singh","year":"2017","unstructured":"Singh H, Beaver JA, Kim G et al (2017) Enrollment of older adults on oncology trials: an FDA perspective. J Geriatr Oncol 8:149\u2013150","journal-title":"J Geriatr Oncol"},{"key":"10532_CR5","unstructured":"Mohile SG, Epstein RM, Hurria A, et al: Communication With Older Patients With Cancer Using Geriatric Assessment: A Cluster-Randomized Clinical Trial From the National Cancer Institute Community Oncology Research Program. JAMA Oncol:1\u20139, 2019"},{"key":"10532_CR6","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2021.4158","volume":"7","author":"D Li","year":"2021","unstructured":"Li D, Sun CL, Kim H et al (2021) Geriatric assessment-driven intervention (GAIN) on chemotherapy-related toxic effects in older adults with cancer: a randomized clinical trial. JAMA Oncol 7:e214158","journal-title":"JAMA Oncol"},{"key":"10532_CR7","doi-asserted-by":"publisher","first-page":"2358","DOI":"10.1016\/j.pec.2021.02.044","volume":"104","author":"S Festen","year":"2021","unstructured":"Festen S, Stegmann ME, Prins A et al (2021) How well do healthcare professionals know of the priorities of their older patients regarding treatment outcomes? Patient Educ Couns 104:2358\u20132363","journal-title":"Patient Educ Couns"},{"key":"10532_CR8","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1634\/theoncologist.2018-0711","volume":"24","author":"GB Rocque","year":"2019","unstructured":"Rocque GB, Rasool A, Williams BR et al (2019) What is important when making treatment decisions in metastatic breast cancer? A qualitative analysis of decision-making in patients and oncologists. Oncologist 24:1313\u20131321","journal-title":"Oncologist"},{"key":"10532_CR9","doi-asserted-by":"publisher","first-page":"4387","DOI":"10.1200\/JCO.2012.43.6055","volume":"30","author":"JW Mack","year":"2012","unstructured":"Mack JW, Cronin A, Keating NL et al (2012) Associations between end-of-life discussion characteristics and care received near death: a prospective cohort study. J Clin Oncol 30:4387\u201395","journal-title":"J Clin Oncol"},{"issue":"4","key":"10532_CR10","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/j.jgo.2022.01.010","volume":"13","author":"SR Jordan","year":"2022","unstructured":"Jordan SR, Geiger CL, Fischer SM et al (2022) Care planning priorities of older patients with advanced bladder cancer. J Geriatr Oncol 13(4):432\u2013439","journal-title":"J Geriatr Oncol"},{"key":"10532_CR11","doi-asserted-by":"publisher","first-page":"305","DOI":"10.28945\/3561","volume":"11","author":"JR Avella","year":"2016","unstructured":"Avella JR (2016) Delphi panels: research design, procedures, advantages, and challenges. Int J Doctoral Stud 11:305\u2013321","journal-title":"Int J Doctoral Stud"},{"key":"10532_CR12","doi-asserted-by":"publisher","first-page":"1525","DOI":"10.1016\/j.techfore.2012.04.013","volume":"79","author":"HA von der Gracht","year":"2012","unstructured":"von der Gracht HA (2012) Consensus measurement in delphi studies review and implications for future quality assurance. Technol Forecast Soc Change 79:1525\u20131536","journal-title":"Technol Forecast Soc Change"},{"key":"10532_CR13","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1046\/j.1365-2648.2000.t01-1-01567.x","volume":"32","author":"F Hasson","year":"2000","unstructured":"Hasson F, Keeney S, McKenna H (2000) Research guidelines for the delphi survey technique. J Adv Nurs 32:1008\u20131015","journal-title":"J Adv Nurs"},{"key":"10532_CR14","unstructured":"NC D: The Delphi Method: An experimental study of group opinion. Santa Monica, CA, Rand Corp Public RM, 1969"},{"key":"10532_CR15","doi-asserted-by":"crossref","unstructured":"Dotan E, Walter LC, Browner IS, et al: NCCN Guidelines(R) Insights: Older Adult Oncology, Version 1.2021. J Natl Compr Canc Netw 19:1006\u20131019, 2021","DOI":"10.6004\/jnccn.2021.0043"},{"key":"10532_CR16","doi-asserted-by":"publisher","first-page":"2595","DOI":"10.1200\/JCO.2013.54.8347","volume":"32","author":"H Wildiers","year":"2014","unstructured":"Wildiers H, Heeren P, Puts M et al (2014) International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol 32:2595\u2013603","journal-title":"J Clin Oncol"},{"key":"10532_CR17","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1177\/0269216317690685","volume":"31","author":"S Junger","year":"2017","unstructured":"Junger S, Payne SA, Brine J et al (2017) Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: recommendations based on a methodological systematic review. Palliat Med 31:684\u2013706","journal-title":"Palliat Med"},{"key":"10532_CR18","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009032","volume":"5","author":"R Bernacki","year":"2015","unstructured":"Bernacki R, Hutchings M, Vick J et al (2015) Development of the Serious Illness Care Program: a randomised controlled trial of a palliative care communication intervention. BMJ Open 5:e009032","journal-title":"BMJ Open"},{"key":"10532_CR19","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1089\/jpm.2019.0193","volume":"22","author":"TN Bhang","year":"2019","unstructured":"Bhang TN, Iregui JC (2019) The house model: an updated visual framework for goals of care conversations. J Palliat Med 22:880\u2013880","journal-title":"J Palliat Med"},{"key":"10532_CR20","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1200\/JOP.2016.018796","volume":"13","author":"JW Childers","year":"2017","unstructured":"Childers JW, Back AL, Tulsky JA et al (2017) Remap: a framework for goals of care conversations. J Oncol Pract 13:700","journal-title":"J Oncol Pract"},{"key":"10532_CR21","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.tcm.2015.03.018","volume":"26","author":"SM Dunlay","year":"2016","unstructured":"Dunlay SM, Strand JJ (2016) How to discuss goals of care with patients. Trends Cardiovasc Med 26:36\u201343","journal-title":"Trends Cardiovasc Med"},{"key":"10532_CR22","doi-asserted-by":"publisher","first-page":"452","DOI":"10.5694\/mja14.00623","volume":"201","author":"RL Thomas","year":"2014","unstructured":"Thomas RL, Zubair MY, Hayes B et al (2014) Goals of care: a clinical framework for limitation of medical treatment. Med J Aust 201:452\u20135","journal-title":"Med J Aust"},{"key":"10532_CR23","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1016\/j.jgo.2015.08.006","volume":"6","author":"F Pamoukdjian","year":"2015","unstructured":"Pamoukdjian F, Paillaud E, Zelek L et al (2015) Measurement of gait speed in older adults to identify complications associated with frailty: a systematic review. J Geriatr Oncol 6:484\u201396","journal-title":"J Geriatr Oncol"},{"key":"10532_CR24","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1111\/j.1751-7133.2010.00151.x","volume":"16","author":"R Boxer","year":"2010","unstructured":"Boxer R, Kleppinger A, Ahmad A et al (2010) The 6-minute walk is associated with frailty and predicts mortality in older adults with heart failure. Congest Heart Fail 16:208\u201313","journal-title":"Congest Heart Fail"},{"key":"10532_CR25","doi-asserted-by":"publisher","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","volume":"56","author":"LP Fried","year":"2001","unstructured":"Fried LP, Tangen CM, Walston J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56:M146-56","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"10532_CR26","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1080\/02701367.1999.10608028","volume":"70","author":"CJ Jones","year":"1999","unstructured":"Jones CJ, Rikli RE, Beam WC (1999) A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 70:113\u2013119","journal-title":"Res Q Exerc Sport"},{"key":"10532_CR27","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1093\/gerona\/glq067","volume":"65","author":"A Tiedemann","year":"2010","unstructured":"Tiedemann A, Lord SR, Sherrington C (2010) The development and validation of a brief performance-based fall risk assessment tool for use in primary care. J Gerontol A Biol Sci Med Sci 65:896\u2013903","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"10532_CR28","doi-asserted-by":"publisher","first-page":"1435","DOI":"10.1007\/s40520-018-1082-y","volume":"31","author":"F Lauretani","year":"2019","unstructured":"Lauretani F, Ticinesi A, Gionti L et al (2019) Short-physical performance battery (SPPB) score is associated with falls in older outpatients. Aging Clin Exp Res 31:1435\u20131442","journal-title":"Aging Clin Exp Res"},{"key":"10532_CR29","doi-asserted-by":"publisher","first-page":"M85","DOI":"10.1093\/geronj\/49.2.M85","volume":"49","author":"JM Guralnik","year":"1994","unstructured":"Guralnik JM, Simonsick EM, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:M85-94","journal-title":"J Gerontol"},{"key":"10532_CR30","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.2147\/CIA.S194543","volume":"14","author":"RW Bohannon","year":"2019","unstructured":"Bohannon RW (2019) Grip strength: an indispensable biomarker for older adults. Clin Interv Aging 14:1681\u20131691","journal-title":"Clin Interv Aging"},{"key":"10532_CR31","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1007\/s12603-012-0388-2","volume":"16","author":"PJ Stevens","year":"2012","unstructured":"Stevens PJ, Syddall HE, Patel HP et al (2012) Is grip strength a good marker of physical performance among community-dwelling older people? J Nutr Health Aging 16:769\u201374","journal-title":"J Nutr Health Aging"},{"key":"10532_CR32","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1093\/ageing\/26.4.315","volume":"26","author":"AJ Campbell","year":"1997","unstructured":"Campbell AJ, Buchner DM (1997) Unstable disability and the fluctuations of frailty. Age Ageing 26:315\u2013318","journal-title":"Age Ageing"},{"key":"10532_CR33","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1093\/aje\/kwk050","volume":"165","author":"BK Chan","year":"2007","unstructured":"Chan BK, Marshall LM, Winters KM et al (2007) Incident fall risk and physical activity and physical performance among older men: the Osteoporotic Fractures in Men Study. Am J Epidemiol 165:696\u2013703","journal-title":"Am J Epidemiol"},{"key":"10532_CR34","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1200\/JCO.20.02063","volume":"39","author":"A Magnuson","year":"2021","unstructured":"Magnuson A, Sedrak MS, Gross CP et al (2021) Development and validation of a risk tool for predicting severe toxicity in older adults receiving chemotherapy for early-stage breast cancer. J Clin Oncol 39:608\u2013618","journal-title":"J Clin Oncol"},{"key":"10532_CR35","doi-asserted-by":"publisher","first-page":"3377","DOI":"10.1002\/cncr.26646","volume":"118","author":"M Extermann","year":"2012","unstructured":"Extermann M, Boler I, Reich RR et al (2012) Predicting the risk of chemotherapy toxicity in older patients: the Chemotherapy Risk Assessment Scale for High-Age Patients (CRASH) score. Cancer 118:3377\u201386","journal-title":"Cancer"},{"key":"10532_CR36","unstructured":"Kessler ER, Min SJ, Hoover KA, et al: Feasibility and Acceptability of the ABC123 Framework for Advanced Cancer Care: Study Protocol. Nursing Research. In Press"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10532-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10532-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10532-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:41:20Z","timestamp":1776235280000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10532-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,25]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10532"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10532-1","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,25]]},"assertion":[{"value":"27 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was granted exemption by the Colorado Multiple Institution Review Board (01\/11\/2022; # 21-5030).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"366"}}