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. 2023 Oct 6;31:e4020. doi: 10.1590/1518-8345.6727.4020

Figure 3 -. Characterization of the scientific production on ageism directed to older adults in health services. Feira de Santana, BA, Brazil, 2021.

Reference Authors Title Year Objectives Methods Language
( 13 ) Grant PT, Henry JM, McNaughton GW. The management of elderly blunt trauma victims in Scotland: evidence of ageism? 2000 To determine the in-hospital mortality of traumatized aged patients. To analyze the main characteristics of its management; to see whether these traumatized patients were treated less aggressively than their younger peers. A prospective study with data collected by Scottish Trauma Audit Group, in Scotland. English
( 14 ) Uncapher H, Areán PA. Physicians are less willing to treat suicidal ideation in older patients. 2000 To determine whether there is age bias among primary care physicians when contemplating the treatment of suicidal patients. A quantitative study with primary care physicians in San Francisco, United States. English
( 15 ) Bouman WP, Arcelus J. Are psychiatrists guilty of “ageism” when it comes to taking a sexual history? 2001 To determine the current perceived practice of consulting psychiatrists regarding their patients’ sexual history and management of sexual dysfunction. A quantitative study with aged people and psychiatrists in hospitals from Sheffield, Nottingham, Leicester and Birmingham, England. English
( 16 ) Kennelly C, Bowling A. Suffering in deference: a focus group study of older cardiac patients’ preferences for treatment and perceptions of risk. 2001 To explore older adults’ health care experiences in relation to their medical condition (ischemic heart disease), their understanding of health risks, treatment preferences, and the impact of the treatments on their quality of life. A qualitative study carried out in London with people over 56 years of age and diagnosed with ischemic heart disease. English
( 17 ) Austin D, Russell EM. Is There Ageism in Oncology? 2003 To determine whether age-related differences in hospital management of cancer patients were or were not clinically justifiable. A quantitative study with cancer patients in a colorectal cancer treatment hospital from Scotland. English
( 18 ) Fischer LR, Wei F, Solberg LI, Rush WA, Heinrich RL. Treatment of elderly and other adult patients for depression in primary care. 2003 To determine whether depression is treated differently in older and younger patients in primary care clinics. A quantitative study with adults diagnosed with depression treated at primary care clinics in the Midwest Region of the United States. English
( 19 ) Peake MD, Thompson S, Lowe D, Pearson MG. Ageism in the management of lung cancer. 2003 To study the impact of age on the survival of patients with lung cancer. A quantitative study with people admitted to 48 hospitals in the United Kingdom. English
( 20 ) Williams D, Bennett K, Feely J. Evidence for an age and gender bias in the secondary prevention of ischaemic heart disease in primary care. 2003 To determine whether there is gender or age bias in prescribing important secondary preventive therapies for ischemic heart disease in primary care. A quantitative study of patients with ischemic heart disease in the East Region of the General Medical Services scheme from Ireland. English
( 21 ) Bhalla A, Grieve R, Tilling K, Rudd AG, Wolfe CD. Older stroke patients in Europe: stroke care and determinants of outcome. 2004 To estimate the care structure and process. To identify independent factors associated with three-month mortality and functional outcomes in patients aged over 75 years old. A quantitative study carried out with stroke victims in 13 hospitals from 10 European countries. English
( 22 ) Van Delden JJ, Vrakking AM, Van Der Heide A, Van Der Maas PJ. Medical decision making in scarcity situations. 2004 To explore the clinicians’ views on several topics that have emerged in the debate over the allocation of scarce resources with a particular focus on the role of age and to compare the, with the policymakers’ views. A qualitative study with oncologists, cardiologists and nursing-home physicians in the Southwest region of the Netherlands. English
( 23 ) Gunderson A, Tomkowiak J, Menachemi N, Brooks R. Rural physicians’ attitudes toward the elderly: evidence of ageism? 2005 To examine the perceptions and attitudes of rural Florida physicians who routinely provide care to older adults. A qualitative study carried out with physicians who care for aged people living in rural areas in Florida, United States. English
( 24 ) Finger RP, Ali M, Earnest J, Nirmalan PK. Cataract surgery in Andhra Pradesh state, India: an investigation into uptake following outreach screening camps. 2007 To analyze the decision-making processes that lead to accepting cataract surgery services offered during outreach screening camps, investigated in people with cataracts in India. An exploratory and qualitative study with cataract patients from two eye hospitals in Hyderabad, India. English
( 25 ) Manthorpe J, Clough R, Cornes M, Bright L, Moriarty J, Iliffe S. Four years on: the impact of the National Service Framework for Older People on the experiences, expectations and views of older people. 2007 To evaluate the impact of the National Framework of Services for Older Adults on aged people’s experiences and expectations. A qualitative study carried out with aged people and their caregivers who use health services in England. English
( 26 ) Pedersen R, Nortvedt P, Nordhaug M, Slettebø A, Grøthe KH, Kirkevold M, et al. In quest of justice? Clinical prioritisation in healthcare for the aged. 2008 To explore which criteria, values and other relevant considerations are important in clinical priorities in health services for aged patients. A qualitative study with physicians and nurses who care for aged people in public hospitals and nursing homes in different parts of Norway. English
( 27 ) Hudelson P, Kolly V, Perneger T. Patients’ perceptions of discrimination during hospitalization. 2010 To identify sources of perceived discrimination during hospitalization and to examine the relationship of perceived discrimination with patient and hospital characteristics, and with patient care ratings. A quantitative study with adults assisted in hospitals belonging to the University of Geneva, Switzerland. English
( 28 ) Mitford E, Reay R, McCabe K, Paxton R, Turkington D. Ageism in first episode psychosis. 2010 To compare the incidence, diagnosis groups and hospitalization of two different age groups with first-episode psychosis. A quantitative study using the PACE (Population-Adjusted Clinical Epidemiology) database in Northumberland, United Kingdom. English
( 29 ) Protière C, Viens P, Rousseau F, Moatti JP. Prescribers’ attitudes toward elderly breast cancer patients. Discrimination or empathy? 2010 To identify relevant characteristics of physicians, such as their sociodemographic characteristics, experience, knowledge of geriatric testing, “practice style effects” and belief in the effectiveness of the various adjuvant treatments available. A quantitative study with oncologists and radiotherapists who treat people with breast cancer, in hospitals from France. English
( 30 ) Clarke LH, Bennett EV, Korotchenko A. Negotiating vulnerabilities: how older adults with multiple chronic conditions interact with physicians. 2014 To understand how aged people perceived and experienced the care provided by their primary care physicians. A qualitative study with women and men with chronic diseases who use health services in Canada. English
( 31 ) Forrest L, Adams J, White M, Rubin G. Factors associated with timeliness of post-primary care referral, diagnosis and treatment for lung cancer: population-based, data-linkage study. 2014 To investigate the factors (socioeconomic status, age, gender, histology, comorbidity, year of diagnosis, stage and performance status) that may influence the likelihood of referral to post-primary care, diagnosis and treatment within the target times. A quantitative study with people diagnosed with lung cancer, obtained from the Northern and Yorkshire Cancer Registry and Information Service, in England. English
( 32 ) Polat U, Karadaǧ A, Ulger Z, Demir N. Nurses’ and physicians’ perceptions of older people and attitudes towards older people: Ageism in a hospital in Turkey. 2014 To determine the perceptions of old age and the prevalence of aging among nurses and physicians. A quantitative study with nurses and physicians in the medical and surgical clinics of a university hospital from Turkey. English
( 33 ) Skirbekk H, Nortvedt P. Inadequate treatment for elderly patients: professional norms and tight budgets could cause “ageism” in hospitals. 2014 To analyze ethical care considerations among health professionals when treating and prioritizing aged patients in Norway. A qualitative study with physicians and nurses from general hospitals in Norway. English
( 34 ) Ben-Harush A, Shiovitz-Ezra S, Doron I, Alon S, Leibovitz A, Golander H, et al. Ageism among physicians, nurses, and social workers: findings from a qualitative study. 2016 To investigate ageism among health professionals in therapeutic settings in Israel. A qualitative study with 76 nurses specialized in Oncology, at a specialized center from in Israel. English
( 35 ) Davis T, Teaster PB, Thornton A, Watkins JF, Alexander L, Zanjani F. Primary Care Providers’ HIV Prevention Practices Among Older Adults. 2016 To understand the HIV* prevention practices of providers and primary care among older adults. To understand the factors that affect provision of HIV education materials to older adults and HIV screening practices by the providers. A qualitative study carried out with physicians and nurses who care for patients over 50 years of age in primary health care, in the state of Kentucky, United States. English
( 36 ) Schroyen S, Missotten P, Jerusalem G, Gilles C, Adam S. Ageism and caring attitudes among nurses in oncology. 2016 To replicate the results of previous studies that reported differential support of medical treatment according to patient age in a different population of health professionals (nurses instead of physicians). To determine whether support for expensive immunotherapy, adjuvant chemotherapy, or breast reconstruction is related to age bias among nurses. A qualitative study carried out with nurses specialized in Oncology and working in different units of the Sart Tilman Liège University Hospital, Belgium. English
( 37 ) Taverner T, Baumbusch J, Taipale P. Normalization of Neglect: A Grounded Theory of RNs’ Experiences as Family Caregivers of Hospitalized Seniors. 2016 To develop a theory about the Nursing care performance, as described by caregivers of aged people in the intensive care sector. A qualitative study with aged women and caregivers recruited from two large hospitals in British Columbia. English
( 38 ) Demetriadou E, Kokkinou M, Metaxas G, Kyriakides E, Kyprianou T. Psychological support for families of ICU patients: longitudinal documentation of the service. 2017 To evaluate and describe the need for psychological support for relatives of patients admitted to the ICU†, for the period between 2011 and 2014. To identify the health professionals’ perception regarding the need for psychological support. A qualitative study carried out based on the documentation of psychological assistance to relatives of patients admitted to the ICU from 2011 to 2014 in Cyprus. English
( 39 ) Di Rosa M, Chiatti C, Rimland JM, Capasso M, Scandali VM, Prospero E, et al. Ageism and surgical treatment of breast cancer in Italian hospitals. 2018 To assess whether the patient’s age is a factor that influences the type of surgical treatment for breast cancer in Italy. To assess the existence and characteristics of possible regional differences in the type of surgical treatment for breast cancer. A retrospective study based on national hospital discharge records, in Italy. English
( 40 ) Forti P, Maioli F, Magni E, Ragazzoni L, Piperno R, Zoli M, et al. Risk of Exclusion From Stroke Rehabilitation in the Oldest Old. 2018 To investigate whether older age ≥ 85 (years old) is an independent predictor of exclusion from stroke rehabilitation. A retrospective cohort study carried out with aged people diagnosed with stroke, in an Italian hospital. English
( 41 ) Kiplagat J, Huschke S. HIV testing and counselling experiences: a qualitative study of older adults living with HIV in western Kenya. 2018 It describes HIV testing experiences of older adults living with HIV, and how their age shaped their interaction and treatment received during HIV testing and diagnosis. A qualitative study conducted with HIV-infected people aged ≥ 50 years old using rural and urban clinic services in western Kenya. English
( 42 ) Schatz, E, Seeley, J, Negin, J, Mugisha J. They ‘don’t cure old age’: Older Ugandans’ delays to health-care access. 2018 To examine the factors that cause older Ugandans to delay accessing health care. A qualitative study with aged people in the Kalungu district, rural southwestern Uganda. English
( 43 ) Schroyen S, Adam S, Marquet M, Jerusalem G, Thiel S, Giraudet AL, et al. Communication of healthcare professionals: Is there ageism? 2018 To observe whether characteristics of older adults’ speech (positive or negative) are more frequent in professionals with a negative view of aging. A qualitative study with physicians from the city of Liège, Belgium. English
( 44 ) Wiel E, Di Pompéo C, Segal N, Luc G, Marc JB, Vanderstraeten C, et al. Age discrimination in out-of-hospital cardiac arrest care: a case-control study. 2018 To compare out-of-hospital cardiac arrest care and outcomes among young patients. A quantitative study with data from adults with cancer, extracted from the French national cardiac arrest registry, in France. English
( 45 ) Dobrowolska B, Jędrzejkiewicz B, Pilewska-Kozak A, Zarzycka D, Ślusarska B, Deluga A, et al. Age discrimination in healthcare institutions perceived by seniors and students. 2019 To explore age-based discrimination in health institutions perceived by older adults and medical and nursing students. A multi-method study with 65-year-olds attending the University of Old Age in eastern Poland. English
( 46 ) Shin DW, Park K, Jeong A, Yang HK, Kim SY, Cho M, et al. Experience with age discrimination and attitudes toward ageism in older patients with cancer and their caregivers: A nationwide Korean survey. 2019 To understand the view of aged patients themselves in relation to their care in terms of their relationship with age. To determine: 1) Whether older adults and their caregivers believe that aged patients should be provided the same care level as younger cancer patients; 2) Whether aged patients experienced any age-based discrimination during their cancer treatment. A quantitative research study conducted with aged people with cancer and their caregivers who participated in the National Cancer Center and another ten regional cancer centers in Korea. English
( 47 ) Heyman N, Osman I, Ben Natan M. Ageist attitudes among healthcare professionals and older patients in a geriatric rehabilitation facility and their association with patients’ satisfaction with care. 2020 To explore the prevalence of age attitudes (based on the specific age group) in older adults admitted to geriatric rehabilitation, as well as the association between satisfaction with care and age attitudes. To estimate whether there is an association between patient satisfaction with care and age attitudes among health professionals working in the rehabilitation unit. To explore the prevalence of age attitudes among health professionals. A quantitative study with health professionals and aged people, in a rehabilitation department of a geriatric medical center located in Mid-North Israel. English
( 48 ) Kessler EM, Blachetta C. Age cues in patients’ descriptions influence treatment attitudes. 2020 To investigate how age cues in the psychotherapeutic context influence health professionals’ treatment attitudes. A quantitative study with psychotherapists from the Behavioral Therapy Association in Progress, Germany. English
( 49 ) Lee J, Yu H, Cho HH, Kim M, Yang S. Ageism between Medical and Preliminary Medical Persons in Korea. 2020 To analyze trends in ageism among health professionals and medical students in the Republic of Korea. A quantitative study with health professionals and aged people, conducted in the Republic of Korea. English
( 50 ) Motsohi T, Namane M, Anele AC, Abbas M, Kalula SZ. Older persons’ experience with health care at two primary level clinics in Cape Town, South Africa: a qualitative assessment. 2020 To evaluate how older adults experience health care provision in two primary care clinics; and to identify perceived gaps in health care for aged people. A qualitative study with aged people in two primary care units from the suburbs of Cape Town, South Africa. English
( 51 ) Rababa M, Hammouri AM, Hweidi IM, Ellis JL. Association of Nurses’ Level of Knowledge and Attitudes to Ageism Toward Older Adults: Cross-sectional Study. 2020 To examine how the sociodemographic and professional characteristics of nurses in Jordan correlate with their levels of knowledge, attitudes and age in relation to older adults. A descriptive, correlational and cross-sectional study carried out with nurses who work at a public hospital and a university hospital in Irbid, northern Jordan. English
( 52 ) Tomioka S, Rosenberg M, Fushimi K, Matsuda S. An analysis of equity in treatment of hip fractures for older patients with dementia in acute care hospitals: observational study using nationwide hospital claims data in Japan. 2020 To assess whether dementia status is associated with poorer care by examining the association of the patient’s dementia status with the likelihood of undergoing surgery and waiting time until hip fracture surgery in acute care hospitals in Japan. A quantitative study with victims of closed hip fracture, whose data were extracted from the Diagnosis Procedure Combination database in Japan. English
( 53 ) Hwang EH, Kim KH. Quality of Gerontological Nursing and Ageism: What Factors Influence on Nurses’ Ageism in South Korea? 2021 To identify the factors that influence nurses’ ageist attitudes A quantitative study with nurses from two general hospitals in a provincial town from South Korea. English

*HIV = Human Immunodeficiency Virus; †ICU = Intensive Care Unit