Surgeon preference for treatment allocation in older people facing major gastrointestinal surgery: an application of the discrete choice experiment methodology.

On binomial logistic regression analysis for the entire group, severe comorbidity (OR 0.001, 95% CI 0.000–0.030; P = 0.000), severe cognitive impairment (OR 0.001, 95% CI 0.000–0.033; P = 0.000) and age greater than or equal to 85 years (OR 0.028, 95% CI 0.005–0.168; P = 0.000) were all highly significant in the decision not to offer major GI surgery (Table 3 and Figure 3 ).

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In addition, symptom burden may be significant in surgical GI pathologies and thus the benefits of operative intervention for someone who cannot retain why they are having troubling symptoms may outweigh the risk of intervention.

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