Trans sectoral care of geriatric cancer patients based on comprehensive geriatric assessment and patient-reported quality of life - Results of a multicenter study to develop and pilot test a patient-centered interdisciplinary care concept for geriatric oncology patients (PIVOG)
| Autor: | Stephanie Boese, Katharina Lampe, Karin Jordan, Heike Schmidt, Dirk Vordermark, Andreas Wienke, Eckhard Fiedler, Ursula Müller-Werdan |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Pilot Projects Medical Oncology 03 medical and health sciences 0302 clinical medicine Quality of life Risk Factors Neoplasms Patient-Centered Care Intervention (counseling) Activities of Daily Living medicine Clinical endpoint Humans 030212 general & internal medicine Geriatric Assessment Aged Aged 80 and over Patient Care Team business.industry Cancer medicine.disease Comorbidity Telephone Oncology Geriatric oncology Supportive psychotherapy 030220 oncology & carcinogenesis Quality of Life Physical therapy Feasibility Studies Female Self Report Geriatrics and Gerontology business |
| Zdroj: | Journal of Geriatric Oncology. 8:262-270 |
| ISSN: | 1879-4068 |
| DOI: | 10.1016/j.jgo.2017.04.002 |
| Popis: | Objectives For older patients with cancer the maintenance of independence, functionality and health-related quality of life (HRQOL) is of great importance. Aiming to maintain HRQOL of older patients with cancer we developed an interdisciplinary care program based on comprehensive geriatric assessment (CGA) and patient-reported HRQOL comprising tailored supportive measures and telephone-based counseling during 6 month aftercare. Materials and Methods Pilot-testing of the intervention took place in three centers at the University Hospital Halle to examine feasibility, acceptance and potential benefit. Patients ≥ 70 years with confirmed diagnosis of cancer, at least one comorbidity and/or one functional impairment, receiving curative or palliative care were eligible. Primary endpoint was global HRQOL (EORTC QLQ C30). Results Mean age of the participants (n = 100) was 76.3 years (SD 4.8), 47% were female. On average they had 5 comorbidities (SD 2.8, min. 0, max. 15) and took 8 prescribed medications (SD 3.6, min. 0, max. 15). According to predefined treatment pathways, supportive care was triggered by summarized individual assessments that were presented to the treating physicians. Descriptive analyses showed that global HRQOL measured at the 6-month follow-up (n = 57) had declined (≥ 10 points) for n = 16 (28%) and improved or remained unchanged for n = 41 (72%) patients, although some functional scales (e.g. mobility, role function) and some symptoms (e.g. fatigue, pain) had worsened. The nurse-led telephone-based aftercare was well accepted. Conclusion The results show feasibility and potential benefit of the combination of CGA and HRQOL to complement standard assessments. Patient-reported symptoms and functioning indicate the need for intensified supportive therapy during aftercare. |
| Databáze: | OpenAIRE |
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