Comorbidity, Disability, and Geriatric Syndromes in Elderly Cancer Patients Receiving Home Health Care
- 20 May 2006
- journal article
- supportive care-and-quality-of-life
- Published by American Society of Clinical Oncology (ASCO) in Journal of Clinical Oncology
- Vol. 24 (15), 2304-2310
- https://doi.org/10.1200/jco.2005.03.1567
Abstract
Purpose To assess the prevalence of comorbidity, disability, and geriatric syndromes, or a combination thereof, in elders with cancer receiving home health care (HHC). Patients and Methods Using the Ohio Cancer Incidence Surveillance System, we identified Ohio residents 65 years of age or older who were diagnosed with incident breast (n = 952), prostate (n = 324), or colorectal cancer (n = 1,276) during the 28-month study period, August 1999 through November 2001. We used the Outcome and Assessment Information Set, a database compiling comprehensive assessment forms completed for all HHC patients, to group individuals in independent and overlapping categories of comorbidity, disability, and geriatric syndromes on the basis of the patients' clinical condition 14 days before the date of the assessment. Results The proportion with no comorbidity, disability, or geriatric syndromes was 26.4% in breast cancer patients, 12.0% in prostate cancer patients, and 14.0% in colorectal cancer patients. The proportion of patients presenting all three entities at once was 11.7%, 24.7%, and 15.7%, respectively, in three cancer sites. As expected, the proportion of patients with no comorbidity, disability, or geriatric syndromes declined gradually with increasing age, and that of patients with all three entities was highest among patients 85 years or older. Conclusion The proposed taxonomy will help us gain a more nuanced understanding of older cancer patients' clinical presentation and may lead to a more accurate identification of older patients who might benefit from standard cancer treatment, and those who might experience adverse outcomes.Keywords
This publication has 10 references indexed in Scilit:
- Cancer Statistics, 2005CA: A Cancer Journal for Clinicians, 2005
- Interrater reliability of the outcomes and assessment information set: results from the field.The Gerontologist, 2004
- Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and CareThe Journals of Gerontology: Series A, 2004
- Models, Measures, and Methods: Variability in Aging ResearchHome Health Care Services Quarterly, 2003
- Chemotherapy for advanced breast cancer: what influences oncologists' decision-making?British Journal of Cancer, 2001
- Effect of Age and Comorbidity in Postmenopausal Breast Cancer Patients Aged 55 Years and OlderJama-Journal Of The American Medical Association, 2001
- Perspectives on Comorbidity and Cancer in Older Patients: Approaches to Expand the Knowledge BaseJournal of Clinical Oncology, 2001
- Management of the frail person with advanced cancerCritical Reviews in Oncology/Hematology, 2000
- Comorbidity and age as predictors of risk for early mortality of male and female colon carcinoma patientsCancer, 1998
- Comorbidity and breast cancer survival: A comparison between black and white womenAnnals of Epidemiology, 1996