دورية أكاديمية
أعرض في EDS

How to incorporate chronic health conditions in oncologic decision-making and care for older patients with cancer? A survey among healthcare professionals.

التفاصيل البيبلوغرافية
العنوان: How to incorporate chronic health conditions in oncologic decision-making and care for older patients with cancer? A survey among healthcare professionals.
المؤلفون: Seghers PALN; Department of Geriatric Medicine, Diakonessenhuis, Bosboomstraat 1, 3572 KE, Utrecht, The Netherlands. nseghers@diakhuis.nl., Rostoft S; Department of Geriatric Medicine, Oslo University Hospital, 0424, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway., O'Hanlon S; Department of Geriatric Medicine, St Vincent's University Hospital, Dublin, D04 T6F4, Ireland.; Department of Geriatric Medicine, University College Dublin, Dublin, D04 V1W8, Ireland., O'Donovan A; Applied Radiation Therapy Trinity (ARTT), Discipline of Radiation Therapy, School of Medicine, Trinity St. James's Cancer Institute, Trinity College Dublin, University of Dublin, Dublin, Ireland., Schulkes K; Department of Pulmonology, Diakonessenhuis, 3582 KE, Utrecht, The Netherlands., Montroni I; Division of Colorectal Surgery, Ospedale Santa Maria delle Croci, Viale Randi 5, 48121, Ravenna, Italy., Portielje JEA; Department of Medical Oncology, Leiden University Medical Center-LUMC, 2333 ZA, Leiden, The Netherlands., Wildiers H; Department of General Medical Oncology, University Hospitals Leuven, Louvain, Belgium., Soubeyran P; Department of Medical Oncology, Institut Bergonié, Inserm U1312, SIRIC BRIO, Université de Bordeaux, 33076, Bordeaux, France., Hamaker ME; Department of Geriatric Medicine, Diakonessenhuis, Bosboomstraat 1, 3572 KE, Utrecht, The Netherlands.
المصدر: European geriatric medicine [Eur Geriatr Med] 2024 Aug; Vol. 15 (4), pp. 1055-1067. Date of Electronic Publication: 2024 Mar 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101533694 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1878-7649 (Print) Linking ISSN: 18787649 NLM ISO Abbreviation: Eur Geriatr Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Cham : Springer International Publishing
Original Publication: Issy-les-Moulineaux, Paris : Elsevier Masson SAS
مواضيع طبية MeSH: Neoplasms*/therapy , Neoplasms*/epidemiology, Humans ; Chronic Disease/therapy ; Aged ; Male ; Female ; Health Personnel ; Surveys and Questionnaires ; Clinical Decision-Making ; Aged, 80 and over ; Decision Making ; Multimorbidity ; Middle Aged
مستخلص: Purpose: A substantial proportion of patients with cancer are older and experience multimorbidity. As the population is ageing, the management of older patients with multimorbidity including cancer will represent a significant challenge to current clinical practice.
Methods: This study aimed to (1) identify which chronic health conditions may cause change in oncologic decision-making and care in older patients and (2) provide guidance on how to incorporate these in decision-making and care provision of older patients with cancer. Based on a scoping literature review, an initial list of prevalent morbidities was developed. A subsequent survey among healthcare providers involved in the care for older patients with cancer assessed which chronic health conditions were relevant and why.
Results: A list of 53 chronic health conditions was developed, of which 34 were considered likely or very likely to influence decision-making or care according to the 39 healthcare professionals who responded. These conditions were further categorized into five patient profiles. From these conditions, five patient profiles were developed, namely, (1) a somatic profile consisting of cardiovascular, metabolic, and pulmonary disease, (2) a functional profile, including conditions that cause disability, dependency or a high caregiver burden, (3) a psychosocial profile, including cognitive impairment, (4) a nutritional profile also including digestive system diseases, and finally, (5) a concurrent cancer profile. All profiles were considered likely to impact decision-making with differences between treatment modalities. The impact on the care trajectory was generally considered less significant, except for patients with care dependency and psychosocial health problems.
Conclusions: Chronic health conditions have various ways of influencing oncologic decision-making and the care trajectory in older adults with cancer. Understanding why specific chronic health conditions may impact the oncologic care trajectory can aid clinicians in the management of older patients with multimorbidity, including cancer.
(© 2024. The Author(s).)
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معلومات مُعتمدة: grant agreement No. 945218 H2020 Societal Challenges
فهرسة مساهمة: Keywords: Chronic health conditions; Decision-making; Geriatric oncology; Multimorbidity; Older patients
تواريخ الأحداث: Date Created: 20240320 Date Completed: 20240905 Latest Revision: 20240913
رمز التحديث: 20240913
مُعرف محوري في PubMed: PMC11377634
DOI: 10.1007/s41999-023-00919-2
PMID: 38507039
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-7649
DOI:10.1007/s41999-023-00919-2