{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:29:06Z","timestamp":1792038546798,"version":"4.4.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"unspecified","delay-in-days":317,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525100564_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients\u2019 involvement in the decision-making process is essential for shared decision-making and optimal patient-centered care. However, when there are concerns about a patient\u2019s cognition and judgmen, the complexity of providing patient-centered care increases. It is often necessary to evaluate patients\u2019 decision-making capacity (DMC) to determine whether they are able to make a particular decision or whether to rely on their previously expressed wishes or the patient\u2019s caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100564_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this article, we present a case of an older adult with colon cancer who presented to the emergency room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100564_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We describe how multidisciplinary care can enhance the evaluation of DMC and improve quality of care for older patients with advanced cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100564_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Multidisciplinary discussions and good communication skills are essential for navigating these complex situations, reducing potential harm and maximizimizing quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525100564","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:52:22Z","timestamp":1763103142000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Decision-making capacity evaluation in older cancer patients: A call to action"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1878-1186","authenticated-orcid":false,"given":"Patricia A.","family":"Parker","sequence":"first","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"},{"name":"Weill Cornell Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith C.","family":"Fasakin","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5500-1591","authenticated-orcid":false,"given":"Daniel","family":"McFarland","sequence":"additional","affiliation":[{"name":"University of Rochester Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yesne","family":"Alici","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"},{"name":"Weill Cornell Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Blackler","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0572-8541","authenticated-orcid":false,"given":"Julia D.","family":"Kulikowski","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Matsoukas","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz J.","family":"Korc-Grodzicki","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"S1478951525100564_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198812223192504"},{"key":"S1478951525100564_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.01.028"},{"key":"S1478951525100564_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1023"},{"key":"S1478951525100564_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2012.08.001"},{"key":"S1478951525100564_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/62.1.P3"},{"key":"S1478951525100564_ref19","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2021.1989139"},{"key":"S1478951525100564_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17067"},{"key":"S1478951525100564_ref14","first-page":"1","article-title":"Geriatrics communication skills training program for oncology healthcare providers to improve the management of care for older adults with cancer","volume":"1","author":"Rosa","year":"2022","journal-title":"Patient Education and Counseling Innovation"},{"key":"S1478951525100564_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad171"},{"key":"S1478951525100564_ref9","first-page":"1","article-title":"Medical decision-making in oncology for -patients lacking capacity","volume":"40","author":"Marron","year":"2020","journal-title":"American Society of Clinical Oncology Education Book"},{"key":"S1478951525100564_ref18","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_389516"},{"key":"S1478951525100564_ref15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0107828"},{"key":"S1478951525100564_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"S1478951525100564_ref12","unstructured":"National Institute for Health and Care Excellence (2018) Decision-making and mental capacity (NG108). https:\/\/www.nice.org.uk\/guidance\/ng108 (accessed 24 September, 2024 )."},{"key":"S1478951525100564_ref7","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.19.9463"},{"key":"S1478951525100564_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2020.06.002"},{"key":"S1478951525100564_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13866"},{"key":"S1478951525100564_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2023.101484"},{"key":"S1478951525100564_ref10","first-page":"203","article-title":"Decisional capacity determination in patients with cancer","volume":"34","author":"McFarland","year":"2020","journal-title":"Oncology (Williston Park)"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:52:23Z","timestamp":1763103143000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100564\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":19,"alternative-id":["S1478951525100564"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100564","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e205"}}