Exploring the geriatric needs of oncology inpatients at an academic cancer centre
| Autor: | Shabbir M.H. Alibhai, Raymond Woo-Jun Jang, Daniel Yokom, Andrea Bezjak, Martine Puts, Carla O. Rosario |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pain Pilot Projects Comorbidity Cancer Care Facilities Patient Health Questionnaire Tertiary care Medication Adherence 03 medical and health sciences 0302 clinical medicine Cognition Neoplasms Oncology Service Hospital Cancer centre Activities of Daily Living medicine Humans 030212 general & internal medicine Geriatric Assessment Fatigue Aged Response rate (survey) Aged 80 and over Academic Medical Centers Inpatients business.industry Cancer Social Support Physical Functional Performance medicine.disease Hospitalization Affect Mood Cross-Sectional Studies Oncology 030220 oncology & carcinogenesis Emergency medicine Observational study Female Geriatrics and Gerontology business Social vulnerability Needs Assessment |
| Zdroj: | Journal of geriatric oncology. 10(5) |
| ISSN: | 1879-4076 |
| Popis: | Purpose Geriatric Assessments (GAs) in older adults with cancer have informed treatment decision-making and refined survival prediction. However, little is known about the needs of older inpatients with cancer. Our objectives were to test the feasibility of a bedside GA, assess the prevalence of impairments in geriatric domains, determine how many were unknown to the medical team, and assess the impact of GA on patient care. Methods We conducted a cross-sectional observational single-centre pilot study. Structured GAs were performed on patients age 65+ admitted to the medical or radiation oncology inpatient wards at a tertiary care cancer centre. GA findings were shared with the patient's most responsible physician (MRP). Results 356 patients were screened, 39 were eligible and approached, and 37 were enrolled (recruitment rate 95%). Completion of the GA was possible in 92% of patients (34/37) and required a mean of 35 min. The mean number of geriatric domains impaired per patient was five (of seven assessed domains). The most common abnormal domains not known to the medical team were medication optimization (91%), cognition (90%), mood (69%), and social vulnerability (69%). MRPs responded to our survey for fifteen of thirty-three participants (45% response rate), and indicated that the GA results provided helpful information for patient management in 10 of 15 cases. Conclusion Abnormal geriatric domains are common in older inpatients with cancer. Domains such as medication optimization, cognition, mood, and social vulnerability often go undetected and unaddressed. Identifying abnormal domains may improve the care of older inpatients with cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect