Perceived Needs, Psychological Distress and Quality of Life of Elderly Cancer Patients

Akechi, Tatsuo; Okuyama, Toru; Uchida, Megumi; Nakaguchi, Tomohiro; Ito, Yoshinori; Yamashita, Hiroko; Toyama, Tatsuya; Komatsu, Hirokazu; Kizawa, Yoshiyuki; Wada, Makoto

doi:10.1093/jjco/hys075

Cited by 23 publications

(24 citation statements)

References 34 publications

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“…In the setting of a rapidly aging population in the United States with an increasing number of older patients with cancer (18) an important factor to investigate is whether a patient’s age has any association with the caregiver’s QOL (19). Older cancer patients have been shown to have worse physical functioning than younger cancer patients (20, 21). While we cannot change the patient’s age, we can identify which caregivers might be at higher risk of worse QOL based on the patient’s age, and thus attempt focused interventions to try to improve caregiver QOL.…”

Section: Introductionmentioning

confidence: 99%

Do age and quality of life of patients with cancer influence quality of life of the caregiver?

Shahi

Lapid

Kung

et al. 2014

Journal of Geriatric Oncology

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Background There are significant burdens associated with providing care for loved ones with cancer. However, caregiver quality of life (QOL) is often overlooked. With the increasing number of older adults with cancer, it is important to determine whether a patient’s age and QOL have any association with the caregiver’s QOL. Objective The objective of our study was to describe caregiver QOL and explore whether patient age and other psychosocial factors impact caregiver QOL. Design Baseline information from patients with advanced cancer undergoing radiation and their caregivers, who were enrolled in a randomized, controlled clinical trial to test the effectiveness of a structured, multidisciplinary QOL intervention, was analyzed for this study. Measurement Caregivers completed the Caregiver Quality of Life Index—Cancer Scale (CQOLC). Both patients and caregivers completed the Linear Analogue Self-Assessment (LASA) to measure QOL, and Profile of Mood States (POMS) to measure mood states. Results Overall, 131 patient-caregiver pairs participated in the study. At baseline, caregivers of older adults (≥65 years) had higher mental (P=0.01), emotional (P=0.003), spiritual (P<0.01), and social support (P=0.03) LASA QOL scores. Caregivers of older adults also had higher baseline QOL (CQOLC, P=0.003) and mood (POMS, P=0.04) than caregivers of younger adults. Caregivers of patients with higher LASA QOL scores had higher overall (P=0.02), mental (P=0.006), physical (P=0.02), emotional (P=0.002), and spiritual LASA QOL scores (P=0.047). Conclusions Caregivers of older adults with advanced cancer demonstrated better QOL and fewer mood disturbances compared to caregivers of younger patients. When patients have good QOL, caregivers also had good QOL.

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Section: Introductionmentioning

confidence: 99%

Do age and quality of life of patients with cancer influence quality of life of the caregiver?

Shahi

Lapid

Kung

et al. 2014

Journal of Geriatric Oncology

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“…Mais de 70% dos pacientes foram descritos por seus familiares como tendo distress em níveis clínicos (≥ 4), e esta prevalência foi muito superior à apontada em estudos com pacientes que autoavaliaram o seu distress, nos quais a frequência variou entre 30% e 50% (2,(10)(11)(15)(16) . Os fatores supracitados (projeção do próprio estresse no outro) pode ser o responsável por este nível tão elevado.…”

Section: Resultsunclassified

“…A prevalência de distress em pacientes oncológicos é de aproximadamente 25% a 35%, sendo mais comum em mulheres jovens, com doença avançada e incapacidade funcional e quando há distúrbios psiquiátricos, como depressão maior (2,(10)(11)(12) . Em relação aos familiares, que compartilham a trajetória da doença e seu tratamento, 10% a 30% apresentam algum tipo de estresse (6)(7)10,13) .…”

Section: Introductionunclassified

“…Os poucos estudos existentes reforçam a hipótese que, apesar de haver instrumentos válidos para sua avaliação, o distress é uma condição pouco conhecida, diagnosticada e tratada por profissionais de saúde (2,(10)(11)(16)(17)(18) . Sendo assim, conhecer a prevalência e os desencadeadores de distress, na ótica dos familiares, pode contribuir para a triagem do distress de pacientes com câncer e para a organização de modelos de intervenção, onde os familiares atuem como peças fundamentais.…”

Section: Introductionunclassified

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Distress do paciente oncológico: prevalência e fatores associados na opinião de familiares

Albuquerque

Pimenta

2014

Rev. Bras. Enferm.

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The study aimed to verify the opinion of family members about distress on cancer patients and the factors associated with it. Interviews with 140 family members of cancer patients were conducted. The Distress Thermometer was adapted to be used with family members. Approximately 72.9% of patients were considered in distress, related to concern (80.4%), nervousness (78.4%), sadness (74.5%), pain (67.6%), fatigue (67.6%) and problems with eating (57.8%). The hierarchical logistic regression models showed that while male (OR=0.025) and older ages (OR=0.006 to 0.059) had lower risk of perceiving the distress, individuals Protestants, compared to Catholics, were 12.77 times more likely to perceive it. About the associated factors, nervousness (OR=10.8) contributed significantly more to the perception of distress for family members when compared to fatigue (OR=3.38) or have private health insurance (OR=2.55). Family can be great allies in the evaluation and monitoring of distress in patients with cancer.

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“…Older adult patients with cancer have been shown to score worse than younger patients in certain QOL domains, especially those relating to physical functioning (Akechi et al , 2012; Koo et al , 2012). These differences may be related to higher comorbidity with increased age (Ambs et al , 2008).…”

Section: Introductionmentioning

confidence: 99%

Impact of a structured multidisciplinary intervention on quality of life of older adults with advanced cancer

Chock¹,

Lapid²,

Atherton³

et al. 2013

Int. Psychogeriatr.

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Background Patients experience reductions in quality of life (QOL) while receiving cancer treatment and several approaches have been proposed to address QOL issues. In this project the QOL differences between older adult (age 65+) and younger adult (age 18-64) advanced cancer patients in response to a multidisciplinary intervention designed to improve QOL were examined. Methods This study was registered on ClinicalTrials.gov, NCT01360814. Newly diagnosed advanced cancer patients undergoing radiation therapy were randomized to active QOL intervention or control groups. Those in the intervention group received six multidisciplinary 90-minute sessions designed to address the five major domains of QOL. Outcomes measured at baseline and weeks 4, 27 and 52 included QOL (Linear Analogue Self Assessment [LASA], Functional Assessment of Cancer Therapy - General [FACT-G]) and mood (Profile of Mood States [POMS]). Kruskall-Wallis methodology was used to compare scores between older and younger adult patients randomized to the intervention. Results Of 131 patients in the larger randomized controlled study, we report data on 54 evaluable patients (16 older adults and 38 younger adults) randomized to the intervention. Older adult patients reported better overall QOL (LASA 74.4 vs 62.9, p=0.040), higher social well-being (FACT-G 91.1 vs 83.3, p=0.045), and fewer problems with anger (POMS Anger-Hostility 95.0 vs 86.4, p=0.028). Long-term benefits for older patients were seen in the Anger-Hostility scale at week 27 (92.2 vs 84.2, p=0.027) and week 52 (96.3 vs 85.9, p=0.005). Conclusions Older adult patients who received a multidisciplinary intervention to improve QOL while undergoing advanced cancer treatments benefitted differently in some QOL domains, compared to younger adult patients. Future studies can provide further insight on how to tailor QOL interventions for these age groups.

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Perceived Needs, Psychological Distress and Quality of Life of Elderly Cancer Patients

Cited by 23 publications

References 34 publications

Do age and quality of life of patients with cancer influence quality of life of the caregiver?

Do age and quality of life of patients with cancer influence quality of life of the caregiver?

Distress do paciente oncológico: prevalência e fatores associados na opinião de familiares

Impact of a structured multidisciplinary intervention on quality of life of older adults with advanced cancer

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