Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review.

Autor:	Halpin SN; GenOmics and Translational Research Center RTI International, Research Triangle Park, NC, USA., Alain G; School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, OH, USA., Seaman A; Department of General Internal Medicine, The University of Iowa, Iowa City, IA, USA., Stevens EE; Division of Palliative Care, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Zhao H; School of Nursing, James Madison University, Harrisonburg, VA, USA., Fowler ME; School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA., Zhang Q; Department of Structural & Cellular Biology, School of Medicine, Tulane University, New Orleans, LA, USA., Cadet T; School of Social Policy & Practice, University of Pennsylvania, Boston, MA, USA., Ye M; School of Lifespan Development and Educational Science, Kent State University, Kent, OH, USA., Krok-Schoen JL; School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, OH, USA.
Jazyk:	angličtina
Zdroj:	Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Aug; Vol. 43 (8), pp. 1132-1143. Date of Electronic Publication: 2024 Feb 12.
DOI:	10.1177/07334648241233375
Abstrakt:	Comorbid dementia complicates cancer therapy decision-making in older adults. We aimed to synthesize the recent literature (<5 years) on the challenges associated with cancer therapy decision-making among older people living with dementia (PLWD) and their caregivers. Of the 20,763 references, 8767 had their title and abstract screened, and eight met the inclusion criteria. Six studies were qualitative, one study employed mixed methods, and one study was quasi-experimental. Most studies were conducted in the UK (89%) and reported homogeneity in race and geography. Breast (56%) and prostate (45%) were the most frequent reported cancers. Five studies (56%) reported multiple types of dementia, with two (22%) indicating stages. The studies indicated that communication between patients, caregivers, and clinical teams might alleviate stress caused by worsening health prospects and potential ethical concerns. Information from this review can lead to better-informed, patient-centered treatment decision processes among older PLWD and cancer, their caregivers, and clinicians. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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