Severe functional limitation due to pain & emotional distress and subsequent receipt of prescription medications among older adults with cancer
| Autor: | Ella Sheinfeld, Maureen Canavan, Shelli Feder, Shi-Yi Wang, Erin E. Kent, Jennifer Kapo, Carolyn J Presley, Amy J. Davidoff, Maureen L. Saphire |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Emotions Population Pain Medicare Psychological Distress Logistic regression Article 03 medical and health sciences 0302 clinical medicine Neoplasms Epidemiology Humans Medicine Medicare Part D 030212 general & internal medicine Medical prescription education Aged Aged 80 and over education.field_of_study business.industry United States Confidence interval Prescriptions Oncology 030220 oncology & carcinogenesis Relative risk Physical therapy Female Geriatrics and Gerontology business Cancer pain |
| Zdroj: | J Geriatr Oncol |
| ISSN: | 1879-4068 |
| Popis: | BACKGROUND: Certain cancer types and subsequent treatment can cause or worsen pain and emotional distress, leading to functional limitation, particularly among a growing population of older adults with cancer.. METHODS: We constructed a national sample of older adult Medicare beneficiaries with cancer using the 2007– 2012 Surveillance, Epidemiology and End Results (SEER)-Medicare Health Outcomes Survey (MHOS) database linked to Medicare Part D enrollment and prescription claims data. MHOS survey responses described functional limitations due to pain and emotional distress. Using multivariable logistic regression, we estimated the association between participant characteristics and patient-reported functional limitation due to pain and emotional distress and subsequent prescription medication use. RESULTS: Among 9,105 older adults with cancer, aged 66–102 years (y), 68.6% reported moderate to severe functional limitation due to pain, and 48.3% reported moderate to severe functional limitation due to emotional distress. Nearly 10% reported severe functional limitation due to co-occurring symptoms of pain and emotional distress. Significant predictors of severe functional limitation due to co-occurring symptoms included age ≥80y (ref: 66–69y, adjusted relative risk (aRR): 1.74; 95% confidence interval (CI) 1.39–2.18, p |
| Databáze: | OpenAIRE |
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