Caring for older cancer patients: A scoping review

Bagayogo, Fatou; Berre, Mélanie Le; Ruchon, Christian; Denis, Jean‐Louis; Lamothe, Lise; Vedel, Isabelle; Lapointe, Liette

doi:10.1016/j.healthpol.2020.05.002

Cited by 5 publications

(13 citation statements)

References 63 publications

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“…Over half of individuals diagnosed with cancer are aged over 70 years [1]. Cancer can have a significant impact on an individual's wellbeing, leading to poor health or disability after primary cancer treatment [2,3]. Older adults are at increased risk of side-effects from cancer-related treatments, and these can aggravate common characteristics of ageing including fatigue, memory loss and reduced appetite [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Cancer can have a significant impact on an individual's wellbeing, leading to poor health or disability after primary cancer treatment [2,3]. Older adults are at increased risk of side-effects from cancer-related treatments, and these can aggravate common characteristics of ageing including fatigue, memory loss and reduced appetite [3,4]. After treatment, many older adults can be left with ongoing problems related to poor quality of life [5].…”

Section: Introductionmentioning

confidence: 99%

“…Concurrently, the number of people living with multimorbidity is rising with an ageing population [6,7]. More than 75% of people with cancer report at least one other medical condition, and multimorbidity (defined here as the co-existence of two or more conditions) increases with age [3,8]. Having multiple conditions alongside cancer may lead to delayed diagnosis due to masked symptoms, lower functional status, greater likelihood of treatment complications, less favourable prognoses [9,10] and poorer quality of life [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Needs that arise from other conditions must be managed alongside cancer, potentially leading to increased health-related work for the individual. For example, increased instance of polypharmacy is likely because this group is often prescribed many medications, for cancer management as well as management of other conditions [3,5]. The older cancer population also face practical challenges in relation to physical barriers (e.g., poor mobility and transport) that limit their access to their care [3,13].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, there has been increasing calls for research into the experiences of older adults living with cancer [3]. We have previously conducted a review which found that for older people with cancer and multimorbidity difficulties may complicate self-management, increase burden and diminish capacity [5].…”

Section: Introductionmentioning

confidence: 99%

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Self-management by older people living with cancer and multi-morbidity: a qualitative study

Corbett

Lee

Cummings

et al. 2022

Support Care Cancer

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Purpose Over half of individuals diagnosed with cancer are aged over 70 years, and more than 75% of those with cancer report at least one other medical condition. Having multiple conditions alongside cancer in old age may lower functional status, greater likelihood of treatment complications and less favourable prognoses. This qualitative study explored how older people with long-term chronic conditions manage their health and meet their health-related goals after they have completed treatment for cancer. Methods One-to-one face-to-face qualitative interviews were conducted with 8 older people and 2 informal caregivers based in the UK. Older adults were eligible to participate if they were over 70 and had completed primary cancer treatment with curative intent and had at least one other chronic health condition. A semi-structured interview schedule developed a priori based on Shippee's cumulative complexity model was used. We aimed to explore experiences that could influence self-management, utilisation of healthcare services and health outcomes. A framework analysis was used to describe and interpret the data. Results Four overarching themes were identified in the analysis. These themes related to factors that influenced the everyday health-related workload and capacity of the participants. These factors included their health, resources, and opportunities, as well their motivation and sense of perceived control over their lives. Conclusions Fragmented healthcare systems and relationships with healthcare professionals also influenced the participants' self-management of their health. Our findings highlight the interaction between an individuals' needs, capacity, treatment burden, and the services and resources available to them. These findings support calls to promote person-centred care to better support older adults to manage their health.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Self-management by older people living with cancer and multi-morbidity: a qualitative study

Corbett

Lee

Cummings

et al. 2022

Support Care Cancer

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“Age is just a number”; frailty as a marker of peri‐operative risk in head and neck surgery: Systematic review and meta‐analysis

2022

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Background: Frailty refers to a patient's reduced capacity to withstand stressors due to a reduction in physiologic reserves. We assessed the impact of frailty on outcomes following head and neck surgery.Methods: We performed a systematic review in accordance with the PRISMA guidelines. Meta-analysis was performed using the Mantel-Haenszel method.Results: Fourteen studies incorporating 182 059 patients were included in qualitative synthesis with 15 953 (8.8%) of patients deemed as frail. Metaanalysis incorporating nine studies demonstrated that frailty is associated with an increased 30 day postoperative morbidity (OR 2.74; 95% CI 1.98-3.80; p < 0.01) and meta-analysis with six studies suggested increased 30-day mortality (OR 2.94; 95% CI 2.62-3.31; p < 0.01). Preliminary meta-analyses between two and five studies suggested that frail patients had reduced overall survival and were more likely to be discharged to a nonhome location or readmitted within 30 days.Conclusions: Frailty appears to be associated with poor short-term outcomes following head and neck surgery and may improve understanding of an individual patient's peri-operative risk.

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The impact of ageism in the care of older adults with cancer

Krasovitsky

Porter²,

Tuch

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review This review summarizes recent research on the impact of ageism in older adults with cancer and how society can best address the issue. Despite older individuals representing the vast majority of those with cancer, with a dramatic increase in incidence anticipated in the coming decades, ageism remains an under-recognized and extremely detrimental phenomenon in cancer care. Recent findings We examine the associations between ageism and health, and highlight the consequences of higher mortality, a deterioration in mental and physical health, worse functional status and increased comorbidity burden. We then discuss the oncologic-specific impacts of ageism, including lower rates of cancer screening, decreased histological confirmation of cancer, decreased surgical intervention and systemic therapy prescription and poorer survivorship experience. To conclude, we illustrate the opportunities within oncologic systems of care to engage with, and dismantle, the damaging effects of ageism, namely policy and legislation, education and intergenerational contact. Summary Despite recognition of the numerous negative sequelae of ageism, there remains a paucity of literature regarding the intersection between ageism and cancer. Our piece summarizes the key developments in this field, but further evaluation is desperately required.

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Caring for older cancer patients: A scoping review

Cited by 5 publications

References 63 publications

Self-management by older people living with cancer and multi-morbidity: a qualitative study

Self-management by older people living with cancer and multi-morbidity: a qualitative study

“Age is just a number”; frailty as a marker of peri‐operative risk in head and neck surgery: Systematic review and meta‐analysis

The impact of ageism in the care of older adults with cancer

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