Does cognitive decline decrease health utility value in older adult patients with cancer?

Objectives: The aim of this study was to perform a systematic review for previous publications that have assessed the incidence, risk factors, and favorable procedures to prevent and manage falls among cancer survivors of elderly and older adults. Materials: This systematic review was undertook using PubMed, SCOPUS, Web of Science, Medline, and Cochrane Database of clinical studies and systematic reviews to determine the incidence, risk factors, favorable inpatient and outpatient management, and non-pharmacological interventions for falls among elderly and older adult patients with cancer from 2010 to October, 2020. Results: After the comprehensive screening, clinical studies, meta-analysis, systematic reviews, and established guidelines were included in this review. Only 5 clinical studies (3 randomized and 2 single-arm studies), 5 systematic reviews, and 6 established guidelines were considered eligible. The five systematic reviews provide risk factors of falls and the 6 guidelines provide assessment & prevention modalities of falls, however, the 6 clinical studies provide the non-pharmacological intervention for falling among cancer survivors. Many factors associated are demonstrated among wide range of elderly individuals.Earlier falls were reliably listed as an important risk factor of falls in the two inpatient and outpatient environments including both general older people and geriatric cancer populations. Conclusions: This review concludes that the assessment of falls among older individuals with cancer is the most important way for determining who could need additional observation and treatment program. Health professions involving physical therapy and occupational therapy have an important function for promoting health well-being in elderly and older adults with cancer. Keywords: Cancer; falls; elderly; older adults, risk factors, intervention.

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Surgical under-treatment of older adult patients with cancer: A systematic review and meta-analysis

Journal of Geriatric Oncology ◽

10.1016/j.jgo.2021.11.004 ◽

2021 ◽

Author(s):

Abdul Qadr Akinoso-Imran ◽

Michael O'Rorke ◽

Frank Kee ◽

Haydee Jordao ◽

Gerard Walls ◽

...

Keyword(s):

Systematic Review ◽

Older Adult ◽

Meta Analysis ◽

Adult Patients ◽

Patients With Cancer

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Nursing Education: Review of Assessment, Clinical Care, and Implications for Practice Regarding Older Adult Patients With Cancer

10.1188/18.cjon.s2.19-25 ◽

2018 ◽

Keyword(s):

Nursing Education ◽

Older Adult ◽

Clinical Care ◽

Adult Patients ◽

Patients With Cancer ◽

Education Review

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The Value of Fatigue Severity to Rule Out Depression in Older Adult Patients With Cancer

Oncology Nursing Forum ◽

10.1188/15.onf.e302-e309 ◽

2015 ◽

Vol 42 (4) ◽

pp. E302-E309 ◽

Cited By ~ 4

Author(s):

Laura Deckx ◽

Marjan van den Akker ◽

Denise Vergeer ◽

Doris van Abbema ◽

Franchette van den Berkmortel ◽

...

Keyword(s):

Older Adult ◽

Adult Patients ◽

Patients With Cancer ◽

Fatigue Severity ◽

Rule Out

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Caregiver reactions and social provisions among family members caring for home-dwelling patients with cancer in the palliative phase: A cross-sectional study

Clinical Nursing Studies ◽

10.5430/cns.v7n4p1 ◽

2019 ◽

Vol 7 (4) ◽

pp. 1

Author(s):

Marianne Fjose ◽

Grethe Eilertsen ◽

Marit Kirkevold ◽

Ellen K. Grov

Keyword(s):

Older Adult ◽

Advanced Cancer ◽

Family Caregiver ◽

Family Members ◽

Adult Patients ◽

Patients With Cancer ◽

The Family ◽

Palliative Phase ◽

The Impact ◽

Social Provisions

Objective: Studies focusing on the impact of caregiving for older adult home-dwelling patients with cancer in the palliative phase, particularly the burdens on different family caregiver groups, are limited. The objective of this study was to assess and compare caregiver reactions and social provisions among different family caregiver groups in Norway.Methods: The sample consisted of 58 family members caring for 26 home-dwelling older adult patients with advanced cancer. The Caregiver Reaction Assessment and Social Provisions Scale were used to assess the caregiver reactions and social support, respectively. The analyses were performed using descriptive statistics.Results: Significant differences were revealed between the family caregiver groups in the following three dimensions of the Caregiver Reaction Assessment: impact on schedule, lack of family support and impact on health. Significant differences were revealed between the family caregiver groups in the following two dimensions of the Social Provisions Scale: nurturance and attachment.Conclusions: In our study, children and children-in-law caring for widowed patients and spouses were the most vulnerable family caregivers. We recommend assessing the caregiver situation of all available family members caring for older adult patients with advanced cancer to identify the most vulnerable caregivers.

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Rate of cannabis use in older adults with cancer

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-002384 ◽

2020 ◽

pp. bmjspcare-2020-002384

Author(s):

Sahana Rajasekhara ◽

Diane G Portman ◽

Young D Chang ◽

Meghan F Haas ◽

Anthony L Randich ◽

...

Keyword(s):

Older Adults ◽

Older Adult ◽

Drug Testing ◽

Performance Status ◽

Total Sample ◽

Clinic Visit ◽

Cannabis Use ◽

Adult Patients ◽

Self Report ◽

Patients With Cancer

ObjectivesOlder adults with cancer are increasingly inquiring about and using cannabis. Despite this, few studies have examined cannabis use in patients with cancer aged 65 years and older as a separate group and identified characteristics associated with use. The current study sought to determine the rate of cannabis use in older adult patients with cancer and to identify demographic and clinical correlates of use.MethodsWe conducted a retrospective review of patients with cancer referred for specialised symptom management between January 2014 and May 2017 who underwent routine urine drug testing for tetrahydrocannabinol as part of their initial clinic visit.ResultsApproximately 8% (n=24) of patients with cancer aged 65 years and older tested positive for tetrahydrocannabinol compared with 30% (n=51) of young adults and 21% (n=154) of adults. At the univariate level, more cannabis users had lower performance status than non-users (p=0.02, Fisher’s exact test). There were no other demographic and clinical characteristics significantly associated with cannabis use in older adults.ConclusionsOlder adult patients made up nearly 25% (n=301) of the total sample and had a rate of cannabis use of 8%. As one of the first studies to assess cannabis use via objective testing rather than self-report, this study adds significantly to the emerging literature on cannabis use in people aged 65 years and older. Findings suggest the rate of use in older adults living with cancer is higher than that among older adults in the general population.

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