Mariken Stegmann

Patients’ goals and experiences of GPs and patients  Of the 38 patients who noted their favoured goal, most rated either maintaining  independence (31.6%, n = 12) or extending life (28.9%, n = 11) as their most important goal,  while six (15.8%) chose ≥1 goal as most important (Table 3).   Of the 29 patients who evaluated the OPT conversation, 13 (44.8%) reported that it helped  them make a decision, 15 (51.7%) reported that it had improved their relationship with the  GP, and 18 (62.1%) said they would recommend it to other patients (Table 3). None of the  patients had negative remarks.  Among the 45 GP responders, most (71.1%, n = 32) found it easy to explain the four goals  and the concept of prioritisation. One‐third (n = 14) reported they had gained new insights  from the OPT conversations (Table 3). In free‐text responses, four GPs mentioned that the  OPT conversation was a good basis for advance care planning (more information available  from the authors on request).  Table 3. Patients’ goals and GPs’ and patients’ experiences of the OPT‐facilitated conversation  N  (%)  Most important goal  38  Extending life  11  (28.9)  Maintaining independence  12  (31.6)  Reducing pain  8  (21.1)  Reducing other symptoms  1  (2.6)  Chose more than one goal as most important  6  (15.8)  Patient evaluations  29  I discussed my OPT‐score with my oncologist  14  (48.2)  The OPT conversation:  is time‐consuming  2  (6.9)  helped me to prepare for the conversation in the hospital  8  (27.6)  helped me to make a treatment decision  13  (44.8)  helped me to improve the relationship with my GP  15  (51.7)  made me contemplate  9  (31.0)  I would recommend the OPT conversation to others  18  (62.1)  GP evaluations  45  I was able to explain:  ‘extending life’  42  (93.3)  ‘maintaining independence’  40  (88.9)  ‘reducing pain’  43  (95.6)  ‘reducing other symptoms’  36  (80.0)  I was able to explain the concept of prioritising  32  (71.1)  The patient could easily prioritise the goals  29  (64.4)  I gained new insights  14  (33.3)   Abbreviations: GP, general practitioner; OPT, Outcome Prioritisation Tool.  4 47 The OPTion randomised controlled trial