Use of the <scp>B</scp>arthel index, activities of daily living, in dermatologic surgery in patients aged 80 years and older

Pascual, José C.; Belinchón, Isabel; Ramos, José Manuel

doi:10.1111/ijd.12680

Cited by 11 publications

(18 citation statements)

References 9 publications

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“…Furthermore, most of the studies involving postoperative complication rate show no difference in the occurrence of complications between age groups. 12,14,[29][30][31][32] On the contrary, Mueller et al 20 found that patients >70 years of age were 2.7 times more likely to develop postoperative wound healing disorders compared with younger patients (P = 0.03) and Pascual et al 33 describe more haemorrhagic complications in the higher age group (P = 0.04). On the other hand, an age of <60 years was found to be associated with a higher risk of postoperative complications by Sclafani et al 32 (P = 0.01) ( Table 1).…”

Section: Effect Of Age On Treatment Outcomes Of Common Treatment Modamentioning

confidence: 99%

Treatment of keratinocyte carcinoma in elderly patients – a review of the current literature

Leus

Frie

Haisma

et al. 2020

Acad Dermatol Venereol

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A large percentage of the patients with keratinocyte carcinoma (KC, formerly known as non‐melanoma skin cancer) is of advanced age and often too frail for standard therapies. However, no specific treatment recommendations are given for this population. This review aimed to give an overview of the current literature on the best practice for the treatment of elderly patients with KC. A literature search was performed in MEDLINE, using ‘keratinocyte carcinoma’, ‘elderly’, ‘treatment’ and various synonyms. Case reports, reviews, comments, non‐English literature and studies with a sample size <15 were excluded. After selection, a total of 47 studies were reviewed. Two types of studies were identified, focusing on (I) the effect of age on treatment outcomes and (II) alternative treatment schedules for elderly patients. Studies on surgery, the gold standard, describe larger lesions and defect size in the elderly population. Recurrence rate, complication rate and disease‐specific survival were not affected by age. Depending on the expected morbidity of a suggested (re‐)excision and patient preferences, a conservative watchful waiting policy can be agreed upon as a shared decision. Other common treatment modalities, such as adjuvant radiotherapy, photodynamic therapy and systemic therapy for basal cell carcinoma (BCC), show comparable results in the elderly and younger population. Alternative treatment schedules for elderly patients include primary hypofractionated radiotherapy, which seems effective and well‐tolerated, although research is limited to case series. Additionally, localized and topical treatments seem safe and effective especially for low‐risk tumours. Data are lacking on the efficacy of systemic therapies of metastatic KC in elderly patients. Efficacy of most treatments (with the exception of photodynamic therapy) is not dependent on age. There is need for more research on the efficacy of adjusted treatment modalities, such as hypofractionated radiotherapy and palliative or curative systemic treatment.

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Section: Effect Of Age On Treatment Outcomes Of Common Treatment Modamentioning

confidence: 99%

Treatment of keratinocyte carcinoma in elderly patients – a review of the current literature

Leus

Frie

Haisma

et al. 2020

Acad Dermatol Venereol

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“…Moreover, patients aged 60 years or older, patients with tumours larger than 10 cm, and patients with malignant tumours required a longer rehabilitation period; these results were consistent with past reports on cancers other than musculoskeletal tumours. 21,22) Although soft tissue tumours required a longer rehabilitation period than bone tumours, there was no reduction in the Barthel Index at the end of rehabilitation. One reason for this result may be complications, such as the necessity for functional reconstruction during surgery, failure of sutures, or infection.…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors for a low post-rehabilitation Barthel Index were malignant tumours and tumours larger than 10 cm; these findings were also consistent with past reports on other types of cancers. 21,22) In the current study, we also examined the relationship between the post-rehabilitation Barthel Index and the Musculoskeletal Tumour Society Score/Toronto Extremity Salvage Score were developed as disease-specific postoperative functional evaluation scales for musculoskeletal tumours. 23,24) The Musculoskeletal Tumour Society Score is an easily applied, highly reproducible, and versatile scale that is aimed at evaluating functional impairment and decreased functional ability after treatment of musculoskeletal tumours.…”

Section: Discussionmentioning

confidence: 99%

Using the Barthel Index to Assess Activities of Daily Living after Musculoskeletal Tumour Surgery: A Single-centre Observational Study

Okamoto

Kito

Yoshimura

et al. 2019

PRM

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“…The Barthel Index (BI) is a 10-item instrument measuring disability in terms of a person's level of functional independence in personal ADL (8). BI comprises 10 ADL, each of which is graded as 0, 5, or 10 with a maximum total score of 100 (9). A higher score means better capacity to perform daily living activities (8,9).…”

Section: Measurement Instrumentsmentioning

confidence: 99%

“…BI comprises 10 ADL, each of which is graded as 0, 5, or 10 with a maximum total score of 100 (9). A higher score means better capacity to perform daily living activities (8,9). IADL were measured by employing the Instrumental Activities of Daily Living Scale (IADL) (5), which includes a range of higher-level activities that are considered to address the older adult's capacity to interact with his or her community (10).…”

Section: Measurement Instrumentsmentioning

confidence: 99%

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

Liu

Jiao

Zhu

et al. 2020

Preprint

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Background: Older adults are vulnerable to a decline in physical functioning, including basic activities of daily living (ADL) and higher-level instrumental activities of daily living (IADL). The causes of functional disability in older adults are multifactorial. A comprehensive understanding of these factors will contribute toward future health service planning. However, studies of ADL and IADL in Chinese older adults are insufficient. The aim of this study is to describe the level of ADL and IADL in different age groups and explore the factors associated with functional disability in Chinese older inpatients. Methods: We conducted a cross-sectional study consisted of 9,996 Chinese older inpatients aged 65 years and older. Participants were recruited from six provinces or municipality city in southwest (Sichuan province), northeast (Heilongjiang), south central (Hubei province), northern (Beijing municipality city), northwest (Qinghai province), and eastern China (Zhejiang province) from October 2018 to February 2019. The levels of ADL and IADL were measured by scores of the Barthel index and Instrumental Activities of Daily Living Scale in consecutive intervals from 65 years of age. After controlling for the cluster effect of hospital wards, a mixed-effect generalized linear model was used to examine the association between functional disability and covariates. Results: The average ADL score was 27.68±4.59 and the mean IADL score 6.76±2.01 for all participants. A negative correlation between scores and age was observed, and there was a significant difference in ADL and IADL scores among different age groups. The top negatively influential factor in ADL and IADL was stair climbing and shopping, respectively. After controlling for the cluster effect of hospital wards, aging, emaciation, frailty, depression, falling accidents in past 12 months, hearing dysfunction, cognitive dysfunction, urinary dysfunction, and defecation dysfunction were associated with ADL and IADL. Patients transitioned from the emergency department and other hospitals were also affected by ADL disability. Former smoking was associated with lower IADL scores. Higher level of education, living in a building without elevators, and current alcohol consumption were correlated with better IADL performance. Conclusion: Decreased functional ability was associated with the increasing age. Sociodemographic characteristics (such as age), physical health variables (frailty, emaciation, hearing dysfunction, urinary dysfunction, defecation dysfunction, falling accidents in past 12 months), and mental health variables (cognitive dysfunction, depression) were associated with functional disability. These findings potentially have major importance for the planning of hospital services, discharge planning, and post-discharge care.

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Use of the Barthel index, activities of daily living, in dermatologic surgery in patients aged 80 years and older

Abstract: Activities of daily living were not significantly affected in patients aged 80 years and older, after dermatologic surgery for NMSC.

Cited by 11 publications

References 9 publications

Treatment of keratinocyte carcinoma in elderly patients – a review of the current literature

Treatment of keratinocyte carcinoma in elderly patients – a review of the current literature

Using the Barthel Index to Assess Activities of Daily Living after Musculoskeletal Tumour Surgery: A Single-centre Observational Study

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

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