scholarly journals FIMA, the questionnaire for health-related resource use in the elderly population: validity, reliability, and usage of the Polish version in clinical practice

2018 ◽  
Vol Volume 13 ◽  
pp. 787-795 ◽  
Author(s):  
Justyna Mazurek ◽  
Edyta Sutkowska ◽  
Dorota Szcześniak ◽  
Katarzyna Małgorzata Urbańska ◽  
Joanna Rymaszewska
Keyword(s):  
Clinical Practice ◽  
Resource Use ◽  
Elderly Population ◽  
The Elderly ◽  
Polish Version ◽  
Health Related

Treatment and clinical outcomes of very elderly (≥ 80 yrs) metastatic castration-resistant prostate cancer (mCRPC) patients (pts): A single-institution retrospective analysis.

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 327-327
Author(s):  
Orazio Caffo ◽  
Stefania Kinspergher ◽  
Francesca Maines ◽  
Sveva Macrini ◽  
Antonello Veccia
Keyword(s):  
Clinical Practice ◽  
Clinical Outcomes ◽  
Elderly Population ◽  
The Elderly ◽  
Daily Clinical Practice ◽  
Survival Outcomes ◽  
Consecutive Series ◽  
Castration Resistant Prostate Cancer ◽  
Very Elderly ◽  
Radium 223

327 Background: The development of mCRPC is generally observed in senior adults and in the daily clinical practice it is frequent to treat pts ≥ 80 yrs. In this population comorbidities can influence the treatment choices and, consequently, the clinical outcomes. The aim of this retrospective study was to describe management and clinical outcomes in mCRPC pts ≥ 80 yrs treated in the daily clinical practice. Methods: We retrospectively evaluated all mCRPC pts treated in our Institution from 02/2002 to 06/2015 and recorded their medical history, anticancer treatments and survival outcomes. Results: We evaluated a consecutive series of 45 pts aged ≥ 80 yrs: median age was 83 yrs (range 81-90 yrs). At the time of mCRPC development bone, nodal, and lung mets were present in 84%, 60%, and 9% of the cases, respectively; no pts with liver mets were observed. Pain was present 53.3% of the pts, the ECOG PS 2 rate was 17.1%. These baseline characteristics were not statistically different compared to those of the younger counterpart. Most of the elderly pts received docetaxel (78%), although this rate was significantly higher (96%) in the younger population (p < 0.0001); similarly elderly pts received less frequently cabazitaxel (CAB) (2% vs 16%, p = 0.01). On the contrary elderly population received more frequently only new generation hormonal agents [abiraterone (AA) or enzalutamide ENZ)] without any chemotherapy (22% vs 4%, p < 0.0001). The median cumulative overall survival (OS) from the start of the first treatment line for mCRPC was 20.5 mos (compared to 21.1 of younger pts). In the elderly population a significant different median OS was observed by comparing pts who received the new agents [NAs (AA, CAB, ENZ, Radium 223)] e those who did not (22.9 vs 13.0 mos, p = 0.001). Conclusions: Although the limitation due to its retrospective nature, our analysis showed that mCRPC pts ≥ 80 yrs were managed differently than younger ones. Nevertheless, the survival outcomes did not differ from the younger counterpart and also very elderly pts benefitted from the introduction of NAs in the daily clinical practice.

scholarly journals A study on health-related quality of life and comorbidity among elderly population in rural Sabah, Malaysia

2016 ◽  
Vol 5 (2) ◽  
pp. 35-42
Author(s):  
Thant Zin ◽  
Than Myint ◽  
Daw KS Naing ◽  
Kyaw Htay ◽  
Aye Aye Wynn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Joint Pain ◽  
Elderly Population ◽  
The Elderly ◽  
Health Related Quality ◽  
Hrqol Score ◽  
Related Quality ◽  
Health Related

Ageing is a global phenomenon. In Malaysia, a projected model estimated that the number of elderly would be 3.4 million in 2020 which is more than 10% of the population. A cross-sectional study targeted the elderly population of three villages in rural Sabah, Malaysia aimed to investigate the health-related quality of life, comorbidity, and the socio-demographic profile amongst the elderly in the community. Participants (60 years and above) were selected for face-to-face interviews using health-related quality of life questionnaires (SF-36). SPSS 21 was used for statistical analyses. Results showed that mean (sd) of age; 67.71 (6.95) years. Five common co-morbidities were hypertension (67%), bone and joint pain (63%), gastric pain (67%), poor vision (58%), and hearing problems (33%). The highest HRQoL score was social functioning (67.96) whereas the lowest HRQoL score is role limitation due to emotional problems (30.54). There is a significant relationship between HRQoL domains and socio-demographic factors (gender, marital status, membership in association), and health condition (co-morbidities and access to healthcare, bone and joint pain or arthritis and treatment, hearing impairment and treatment) which indicated need for health and social support like participating in association and access to health care for rural elderly in future programme. We recommend a further study to compare elderly HRQoL in rural, urban and institutional settings for future health-care planning.South East Asia Journal of Public Health Vol.5(2) 2015: 35-42

scholarly journals Health-Related Quality of Life among Elderly Population of Bangladesh

2020 ◽  
Vol 15 (2) ◽  
pp. 161-164
Author(s):  
FM Shamim Ahmmed ◽  
Md Saydur Rahman ◽  
Farzana Zafreen ◽  
Rowshan Ara ◽  
Md Ziaul Islam
Keyword(s):  
Quality Of Life ◽  
Elderly Population ◽  
The Elderly ◽  
Significant Negative Correlation ◽  
Rural Elderly ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Introduction: Elderly population in Bangladesh is one of the largest in the world in term of absolute number and ageing is an emerging problem. Elderly are at risk from non-communicable diseases as well as mental problems and health-related quality of life (HRQoL) affects in urban and rural elderly. Objective: To find out and compare HRQoL in urban and rural elderly population of Bangladesh. Materials and Methods:A comparative cross-sectional study was carried out to compare HRQoL in urban and rural elderly. This was a two samples study; 130 each from urban and rural. Total 260 elderly were selected conveniently. Data were collected through face to face interview using a pre-tested semi structured questionnaire of SF-36 v2 HRQoL survey.  This study was carried in urban elderly residing in Ward number 3, Race Course, Cumilla City Corporation and in rural elderly residing in Noapuskuni Village of Babutipara Union, Muradnager Upazila, Cumilla. This one-year study was conducted from 15 July 2017 to 14 June 2018. Results: Majority of the elderly were Muslim (91.5%), female (53.5%), married (59.6%) and from joint family (91%). The mean ± SD age of elderly was 69.26±6.337 years and mean ± SD monthly family income was Tk. 16561.54±9192.076. SF- 36 v2 HRQoL scale; a licensed software-based survey tool was used measure the health-related quality of life of elderly.  Most of the elderly were found with average physical component summary (PCS) (53.1%) and mental component summary (MCS) (50.8%) of HRQoL. Age had significant negative correlation with PCS (p<0.001) and MCS (p<0.001) in urban and rural elderly. Education level of urban and rural elderly had significant positive correlation with PCS (p<0.01) and MCS (p<0.01). Marital status of urban and rural elderly had significant negative correlation with PCS (p<0.001) and MCS (p<0.001) of HRQoL. Among the rural respondents, the mean ± SD of PCS of male was 43.79±5.766 and female was 41.14±6.860. The difference was statistically significant (p<0.05). Mean score of PCS of urban and rural respondents were 45.68±6.366 and 42.43±6.467 respectively. This difference was statistically significant (p<0.001). Mean scores of MCS of urban and rural respondents were 43.96±4.921 and 42.56±7.028 respectively. This difference was not statistically significant (p>0.05). Conclusion: Most of the elderly had average level of health-related quality life. Rural female elderly had significantly lower physical health of HRQoL than that of rural male elderly. Physical dimension of HRQoL of rural elderly was significantly lower than that of urban elderly. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 161-164

scholarly journals Psychosocial impact of COVID-19 on the Brazilian elderly population

2021 ◽  
Vol 2 (4) ◽  
pp. 5259-5267
Author(s):  
Larissa Pinheiro De Castro ◽  
Lúcia Aparecida De Souza ◽  
Hortência Gueve Da Fonseca ◽  
João Gabriel Modesto ◽  
Marília Lopes Pernambuco ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Isolation ◽  
Elderly Population ◽  
The Elderly ◽  
Self Esteem ◽  
Documentary Analysis ◽  
Health Related ◽  
Salud Mental ◽  
The Subject ◽  
Specific Health

ABSTRACT COVID-19 is a highly contagious disease caused by the new betacoronavirus of severe acute respiratory syndrome 2 (SARS-CoV-2). The high mortality of the disease occurs in a small portion of the infected population, especially in elderly individuals. The main measure adopted in Brazil to contain the virus is social isolation and this can have an impact on the mental health of the elderly population. This study aims to provide an educational intervention, understanding the repercussions that the COVID-19 pandemic has on the routine of the elderly. This is a study carried out through documentary analysis, based on bibliographic reviews, national and international, of specialists in the subject. It was found that mandatory social isolation causes uncertainties, insecurity, fear, and sometimes low self-esteem, which can lead to an emotional imbalance during this period of the pandemic of the new coronavirus, causing the elderly to become more fragile. Therefore, it is important to give special attention to this group based on specific health plans during this period together with the relatives of these elderly, which will enable better results in coping with COVID-19 in this group, besides preventing a spike in the incidence of mental health-related diseases.   RESUMEN La COVID-19 es una enfermedad altamente contagiosa causada por el nuevo betacoronavirus del síndrome respiratorio agudo severo 2 (SARS-CoV-2). La elevada mortalidad de la enfermedad se produce en una pequeña parte de la población infectada, especialmente en individuos de edad avanzada. La principal medida adoptada en Brasil para contener el virus es el aislamiento social y esto puede tener un impacto en la salud mental de la población anciana. Este estudio tiene como objetivo proporcionar una intervención educativa, entendiendo las repercusiones que la pandemia de COVID-19 tiene en la rutina de los ancianos. Se trata de un estudio realizado a través de un análisis documental, basado en revisiones bibliográficas, nacionales e internacionales, de especialistas en el tema. Se constató que el aislamiento social obligatorio provoca incertidumbres, inseguridad, miedo y, a veces, baja autoestima, lo que puede llevar a un desequilibrio emocional durante este período de la pandemia del nuevo coronavirus, provocando la fragilidad de los ancianos. Por lo tanto, es importante dar una atención especial a este grupo en base a planes de salud específicos durante este período junto con los familiares de estos ancianos, lo que permitirá obtener mejores resultados en el afrontamiento de la COVID-19 en este grupo, además de evitar un repunte en la incidencia de enfermedades relacionadas con la salud mental.

scholarly journals Relationship between Subjective Oral Discomfort and Health-Related Quality of Life in the South Korean Elderly Population

2020 ◽  
Vol 17 (6) ◽  
pp. 1906
Author(s):  
Kyung-Yi Do ◽  
Sook Moon
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Elderly Population ◽  
The Elderly ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Korean Elderly ◽  
The Impact

This study examined the relationship between oral discomfort and health-related quality of life (HRQOL) in the Korean elderly, using the datasets provided by the Korea National Health and Nutrition Examination Survey (KHNANES) over 6 consecutive years (2010–2015). A total of 13,618 participants aged 65 years and over were included in the final analysis. A complex sample logistic regression was performed to determine the impact of oral discomfort on HRQOL. The results revealed that toothache, masticatory discomfort, and pronunciation problems caused by oral health conditions were all risk factors for decreased HRQOL. In particular, masticatory discomfort (adjusted odds ratio (AOR) 1.63, Model III (adjusted for all covariates)) and pronunciation problems (AOR 1.64, Model III) negatively impacted the HRQOL of the elderly to a great extent. Masticatory discomfort had a stronger negative impact on HRQOL in the domains of “self-care” (AOR 1.83) and “usual activities” (AOR 1.66), while pronunciation problems had a similar impact on all five domains of the EuroQol 5-Dimension (EQ-5D). These findings could serve as baseline data for setting up early intervention programs for the timely prevention of oral health-related discomfort problems that greatly affect the QOL of the elderly population, and for the development of comprehensive and efficient dental insurance policies.

scholarly journals Factors Related to Blood Pressure Response after Community-Based Exercise Program in the Elderly Population

2021 ◽  
Vol 18 (6) ◽  
pp. 3149
Author(s):  
Yi-Pin Wang ◽  
Kuo-Wei Tseng ◽  
Meng-Hui Lin ◽  
Mei-Wun Tsai
Keyword(s):  
Blood Pressure ◽  
Elderly Population ◽  
Exercise Intervention ◽  
Blood Pressure Response ◽  
The Elderly ◽  
City Government ◽  
Active Lifestyle ◽  
Related Factors ◽  
Health Related ◽  
Potential Factors

Exercise has been recommended for blood pressure (BP) control, but not every individual can improve BP and reduce the risk of cardiovascular disease effectively by exercise. This study aimed to evaluate the BP response after 12-week exercise intervention and then identify the potential factors of responders on BP (R-BP) control. This was a retrospective cohort study from a project of Taipei City Government. Subjects completed the original program were included for further analysis. Sociodemographic factors, health-related behaviors, and cardiovascular risks were extracted as potential factors. The results were categorized into R-BP control, i.e., BP under optimal level (systolic BP (SBP) < 140 mmHg; and diastolic BP (DBP) < 90 mmHg) or a significant BP reduction (SBP ↓10 mmHg or DBP ↓5 mmHg) after intervention, or non-responder on BP control, i.e., subjects who failed to achieve the targets. There were 81.62% R-BP subjects. R-BP showed lower SBP and lower risk of hypertension at baseline. Active lifestyle could quadruple the number of R-BP. Higher educational level or more prescription medications were likely to be R-BP in subjects with diagnosed hypertension. Active lifestyle combined with exercise could benefit R-BP in the elderly population. Health-related factors also need to be considered for BP control.

scholarly journals Assessment of Health Related Quality of Life and Medication Adherence in the Elderly Population

2021 ◽  
Vol 12 (3) ◽  
pp. 2233-2238
Author(s):  
Aishwaria Jyothi Bhasu ◽  
Mangala Susmitha ◽  
Rhea Climies ◽  
Asmita Clara Baral ◽  
Divya Mol E. C. ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Elderly Population ◽  
The Elderly ◽  
Health Related Quality ◽  
Efficient Treatment ◽  
Prescription Analysis ◽  
Related Quality ◽  
Health Related

The elderly population, aged above 60 years, are prone to various chronic and concurrent diseases. This requires prolonging medication usage, often with complex regimens which affect their medication-taking behavior, compliance, adherence, and overall prognosis of the disease. Thereby, an accurate assessment of adherence behavior and its complimentary factors, prescription analysis are necessary for effective and efficient treatment planning and an overall improvement in the Health Related Quality of Life (HRQOL) of the elderly population. Our study was aimed to comprehend the HRQOL and medication adherence pattern of the elderly. One hundred and thirty-three subjects with a mean age of 66.68 ± 5.49 years were recruited for the study and were assessed for their HRQOL, medication adherence, and the factors influencing medication adherence. Relevant data were collected, questionnaires were administered, and appropriate descriptive and inferential statistics were performed. Our findings demonstrated that there is a noticeable change in the HRQOL of the elderly population. It was also found that subjects were highly adherent to their medications, but certain factors played a major role in influencing medication non-adherence. This implies the importance of determining factors affecting HRQOL, medication adherence, adequate prescription analysis, and promoting and practicing rational use of drugs that can significantly optimize therapy and provide a good prognosis of disease for the elderly population.

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