PREDICTING LIFE EXPECTANCY IN OLDER ADULTS WITH ADVANCED CANCER: AN EVALUATION OF ONCOLOGISTS’ ESTIMATES AND A GERIATRIC ASSESSMENT-BASED PREDICTIVE MODEL

12049 Background: Prior studies suggest that social support plays a role in disease understanding of older patients with advanced cancer. In this study, we examined the association of quantity and quality of social support with belief in curability among older patients with advanced incurable cancer. Methods: We performed a secondary analysis of a cluster-randomized geriatric assessment trial (URCC 13070: PI Mohile) that recruited older adults (≥70) with advanced incurable cancer and caregivers. At enrollment, patients completed the Older Americans Resources and Services (OARS) Medical Social Support form to measure both quantity (number of close friends and relatives) and quality of social support. Quality of social support was measured using twelve questions, each ranged from 1 (none of the time) to 5 (all of the time). Higher cumulative scores indicated greater quality of support. For beliefs in curability, patients were asked, “What do you believe are the chances that your cancer will go away and never come back with treatment?” Responses were 0%, <50%, 50/50, >50%, and 100%. Ordinal logistic regression was used to investigate the association of social support with beliefs in curability, adjusting for adjusting for age, gender, education, race, number of Geriatric Assessment (GA) impairments, cancer type, and locality (rural versus urban). Results: We included 347 patients; mean age was 76.4 years, 91% were white, 52% were male, 46% had household income <$50,000, and 55% had high school degree or higher. For every unit increase in OARS Medical Social Support score, the odds of believing in curability decreases by 36.4% [Adjusted Odds Ratio (AOR) 0.733, 95% Confidence Interval (CI): (0.555, 0.969)], after controlling for covariates. Quantity of social support was not associated with belief in curability [AOR 1.033 95% CI: (0.921, 1.156)]. Conclusions: Our study revealed that older patients with advanced cancer who felt more supported by their social network were more likely to report that their cancer was not curable. Interventions that improve quality of social support may also affect disease understanding. Funding: Patient-Centered Outcomes Research Institute (PCORI) 4634 and NIH K24 AG056589 to SGM, NCI UG1CA189961, T32CA102618, NCI K99CA237744 to Loh.

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Faculty Opinions recommendation of Reliability, Validity, and Feasibility of a Computer-Based Geriatric Assessment for Older Adults With Cancer.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726746563.793526057 ◽

2016 ◽

Author(s):

Maria-José Molina-Garrido

Keyword(s):

Older Adults ◽

Geriatric Assessment ◽

Computer Based

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PATIENT-REPORTED NUMBNESS AND TINGLING AUGMENTS COMMON TERMINOLOGY CRITERIA FOR ADVERSE EVENTS (CTCAE) TO DETECT CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) IN OLDER ADULTS WITH ADVANCED CANCER UNDERGOING SYSTEMIC TREATMENT

Journal of Geriatric Oncology ◽

10.1016/s1879-4068(19)31231-7 ◽

2019 ◽

Vol 10 (6) ◽

pp. S67-S68

Author(s):

E. Culakova ◽

M. Mohamed ◽

M. Flannery ◽

A. Patil ◽

S. Obrecht ◽

...

Keyword(s):

Older Adults ◽

Peripheral Neuropathy ◽

Adverse Events ◽

Advanced Cancer ◽

Systemic Treatment ◽

Patient Reported

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Changing Educational Gradients in Life Expectancy With and Without Disease Among U.S. Older Adults From 2000 to 2010

Innovation in Aging ◽

10.1093/geroni/igaa057.1630 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 505-505

Author(s):

Matthew Farina ◽

Phillip Cantu ◽

Mark Hayward

Keyword(s):

Older Adults ◽

Life Expectancy ◽

Chronic Diseases ◽

Population Aging ◽

Good Health ◽

Vital Statistics ◽

Healthy Life Expectancy ◽

Healthy Life ◽

Education Group ◽

Education Groups

Abstract Recent research has documented increasing education inequality in life expectancy among U.S. adults; however, much is unknown about other health status changes. The objective of study is to assess how healthy and unhealthy life expectancies, as classified by common chronic diseases, has changed for older adults across education groups. Data come from the Health and Retirement Study and National Vital Statistics. We created prevalence-based life tables using the Sullivan method to assess sex-specific life expectancies for stroke, heart disease, cancer, and arthritis by education group. In general, unhealthy life expectancy increased with each condition across education groups. However, the increases in unhealthy life expectancy varied greatly. While stroke increased by half a year across education groups, life expectancy with diabetes increased by 3 to 4 years. In contrast, the evidence for healthy life expectancy provides mixed results. Across chronic diseases, healthy life expectancy decreased by 1 to 3 years for respondents without a 4-year degree. Conversely, healthy life expectancy increased for the college educated by .5 to 3 years. While previous research shows increases in life expectancy for the most educated, trends in life expectancy with chronic conditions is less positive: not all additional years are in lived in good health. In addition to documenting life expectancy changes across education groups, research assessing health of older adults should consider the changing inequality across a variety of health conditions, which will have broad implications for population aging and policy intervention.

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Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

Journal of Aging and Health ◽

10.1177/0898264321993321 ◽

2021 ◽

pp. 089826432199332

Author(s):

Wanda Rietkerk ◽

Jannet de Jonge-de Haan ◽

Joris P. J. Slaets ◽

Sytse U. Zuidema ◽

Debby L. Gerritsen

Keyword(s):

Older Adults ◽

Behavior Change ◽

Older Adult ◽

Goal Setting ◽

Geriatric Assessment ◽

Well Being ◽

Community Dwelling ◽

Implementation Processes ◽

Adult Involvement ◽

Community Dwelling Older Adults

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

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How Is Geriatric Assessment Used in Clinical Practice for Older Adults With Cancer? A Survey of Cancer Providers by the American Society of Clinical Oncology

JCO Oncology Practice ◽

10.1200/op.20.00442 ◽

2020 ◽

pp. OP.20.00442

Author(s):

William Dale ◽

Grant R. Williams ◽

Amy R. MacKenzie ◽

Enrique Soto-Perez-de-Celis ◽

Ronald J. Maggiore ◽

...

Keyword(s):

Older Adults ◽

Geriatric Assessment ◽

Online Survey ◽

Task Force ◽

Statistical Significance ◽

Geriatric Oncology ◽

Perceived Barriers ◽

Patients With Cancer ◽

Change Behavior ◽

American Society

PURPOSE: For patients with cancer who are older than 65 years, the 2018 ASCO Guideline recommends geriatric assessment (GA) be performed. However, there are limited data on providers’ practices using GA. Therefore, ASCO’s Geriatric Oncology Task Force conducted a survey of providers to assess practice patterns and barriers to GA. METHODS: Cancer providers treating adult patients including those ≥ 65 years completed an online survey. Questions included those asking about awareness of ASCO’s Geriatric Oncology Guideline (2018), use of validated GA tools, and perceived barriers to using GA. Descriptive statistics and statistical comparisons between those aware of the Guideline and those who were not were conducted. Statistical significance was set at P < .05. RESULTS: Participants (N = 1,277) responded between April 5 and June 5, 2019. Approximately half (53%) reported awareness of the Guideline. The most frequently used GA tools, among those aware of the Guideline and those who were not, assessed functional status (69% v 50%; P < .001) and falls (62% v 45%; P < .001). Remaining tools were used < 50% of the time, including tools assessing weight loss, comorbidities, cognition, life expectancy, chemotherapy toxicity, mood, and noncancer mortality risk. GA use was two to four times higher among those who are aware of the Guideline. The most frequent barriers for those who reported being Guideline aware were lack of resources, specifically time (81.7%) and staff (77.0%). In comparison, those who were unaware of the Guideline most often reported the following barriers: lack of knowledge or training (78.4%), lack of awareness about tools (75.2%), and uncertainty about use of tools (75.0%). CONCLUSION: Among providers caring for older adults, 52% were aware of the ASCO Guideline. Some domains were assessed frequently (eg, function, falls), whereas other domains were assessed rarely (eg, mood, cognition). Guideline awareness was associated with two to four times increased use of GA and differing perceived barriers. Interventions facilitating Guideline-consistent implementation will require various strategies to change behavior.

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Results from a multidisciplinary clinic guided by geriatric assessment before stem cell transplantation in older adults

Blood Advances ◽

10.1182/bloodadvances.2019000790 ◽

2019 ◽

Vol 3 (22) ◽

pp. 3488-3498 ◽

Cited By ~ 11

Author(s):

Benjamin A. Derman ◽

Keriann Kordas ◽

Jean Ridgeway ◽

Selina Chow ◽

William Dale ◽

...

Keyword(s):

Older Adults ◽

Stem Cell ◽

Stem Cell Transplantation ◽

Cell Transplantation ◽

Older Adult ◽

Geriatric Assessment ◽

Cellular Therapy ◽

Morbidity And Mortality ◽

Key Points ◽

Multidisciplinary Clinic

Key Points GA to guide an MDC evaluation to optimize older adult candidates for hematopoietic cellular therapy is feasible and practical. An MDC evaluation for older adults before transplantation holds promise to mitigate transplant-related morbidity and mortality.

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Feasibility and reliability of a self-administered geriatric assessment tool for Spanish-speaking Mexican older adults with cancer

Journal of Geriatric Oncology ◽

10.1016/j.jgo.2021.05.013 ◽

2021 ◽

Author(s):

Andrea Pérez-de-Acha-Chávez ◽

Carolina Gómez-Moreno ◽

José Carlos Aguilar-Velazco ◽

María Luisa Moreno-García ◽

Concepción Pérez-de-Celis-Herrero ◽

...

Keyword(s):

Older Adults ◽

Geriatric Assessment ◽

Assessment Tool ◽

Spanish Speaking

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