Faculty Opinions recommendation of The prevalence and outcomes of frailty in older cancer patients: a systematic review.

Author(s):  
Siri Rostoft
2009 ◽  
Vol 45 (1) ◽  
pp. 19-32 ◽  
Author(s):  
Deborah Fitzsimmons ◽  
Jacqueline Gilbert ◽  
Frances Howse ◽  
Teresa Young ◽  
Juan-Ignacio Arrarras ◽  
...  

Author(s):  
Li-Ju Chen ◽  
Kira Trares ◽  
Dana Clarissa Laetsch ◽  
Thi Ngoc Mai Nguyen ◽  
Hermann Brenner ◽  
...  

Abstract Background Both polypharmacy and potentially inappropriate medication (PIM) intake are highly prevailing in older cancer patients. However, only studies on the association of polypharmacy and postoperative complications have been meta-analyzed previously. Methods A systematic review and a meta-analysis of prospective/retrospective observational studies reporting associations of polypharmacy or PIM with at least one out of five predefined adverse health outcomes in a population of older cancer patients (≥60 years) were carried out. PubMed and Web of Science were used to search for relevant studies published between January 1991 and March 2020. Data were pooled by adopting a random-effects model. Results Overall, 42 publications were included in the systematic review. Meta-analyses could be performed on 39 studies about polypharmacy and 13 studies about PIM. Polypharmacy was found to be statistically significantly associated with all-cause mortality (risk ratio [95% confidence interval]: 1.37 [1.25–1.50]), hospitalization (1.53 [1.37–1.71]), treatment-related toxicity (1.22 [1.01–1.47]), and postoperative complications (1.73 [1.36–2.20]). The association of polypharmacy with prolongation of hospitalization was not statistically significant at the p < .05 significance level (1.62 [0.98–2.66]). With respect to PIM, a statistically significant association with all-cause mortality (1.43 [1.08–1.88]) was observed but not with other adverse outcomes. Conclusions Polypharmacy was found to be associated with several adverse outcomes and PIM use with all-cause mortality in older cancer patients. However, these results should be interpreted with caution because about three-quarters of the studies identified did not adjust for comorbidity and are prone to confounding by indication.


2017 ◽  
Vol 36 (6) ◽  
pp. 1473-1482 ◽  
Author(s):  
Philippe Caillet ◽  
Evelyne Liuu ◽  
Agathe Raynaud Simon ◽  
Marc Bonnefoy ◽  
Olivier Guerin ◽  
...  

2015 ◽  
Vol 26 (6) ◽  
pp. 1091-1101 ◽  
Author(s):  
C. Handforth ◽  
A. Clegg ◽  
C. Young ◽  
S. Simpkins ◽  
M.T. Seymour ◽  
...  

2013 ◽  
Vol 53 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Marije E. Hamaker ◽  
Anandi H. Schiphorst ◽  
Daan ten Bokkel Huinink ◽  
Cees Schaar ◽  
Barbara C. van Munster

2007 ◽  
Vol 12 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Lucia Gagliese ◽  
Lynn R Gauthier ◽  
Gary Rodin

BACKGROUND: Pain is a common and debilitating symptom experienced by cancer patients of all ages. Cancer pain is associated with elevated levels of depression; however, age-related patterns in this relationship remain unclear. This information is important to provide effective palliation of pain and depression to the growing numbers of older cancer patients.OBJECTIVE: To provide a systematic review of the literature regarding age-related patterns in the intensity or prevalence of depression among cancer patients with pain.METHODS: Medical and psychological literature databases were searched to identify eligible studies. The methodological quality and outcomes of the studies were compiled and systematically reviewed.RESULTS: Five articles, describing four studies, met the inclusion and exclusion criteria. Due to high levels of cross-study methodological variability, a qualitative review was undertaken. Three of the four studies did not find evidence for age-related patterns in depression. The fourth study found that depression increased with age.CONCLUSION: The weight of the evidence suggests that younger and older cancer patients with pain report comparable levels of depression. However, this conclusion remains preliminary due to the methodological limitations of the available studies. Research is needed to more adequately address this important issue.


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