Functional trajectories before and after a new cancer diagnosis among community-dwelling older adults

Presley, Carolyn J.; Han, Ling; Hurria, Arti; Gross, Cary P.; Davidoff, Amy J.; Allore, Heather G.; Gill, Thomas M.

doi:10.1016/j.jgo.2018.05.017

Cited by 25 publications

(31 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies had shown trajectory grouping using the number of disabilities in patients with underlying diseases such as cancer. In a study with cancer patients, the percentage of the severe trajectory group was 21.2% prior to receiving cancer treatment [ 42 ]. Our study is unique in that we show the percentage of the severe disability group (rapidly-deteriorated group) to be around 5.5% in relatively healthy older adults living in rural communities.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

et al. 2020

View full text Add to dashboard Cite

Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the patient was not in a hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5%; n = 617), a gradually-aggravated group (16.0%; n = 126), and a rapidly-deteriorated group (5.5%; n = 43). Results The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of female was 52.7%. It was found that 78.5% of patients showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

show abstract

Section: Discussionmentioning

confidence: 99%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Previous studies had shown trajectory grouping using the number of disabilities in patients with underlying diseases such as cancer. In a study with cancer patients, the percentage of the severe trajectory group was 21.2% prior to receiving cancer treatment [41]. Our study is unique in that we show the percentage of the severe disability group (rapidly-deteriorated group) to be around 5.5% in relatively healthy older adults living in rural communities.…”

Section: Discussionmentioning

confidence: 65%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Park

Kim

Lee

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the patient was not in hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activity of daily living and 10 domains of instrumental activity of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5%; n=617), a gradually-aggravated group (16.0%; n=126), and a rapidly-deteriorated group (5.5%; n=43). Results It was found that 78.5% of patients showed relatively no dependence and 5.5% of older adults in rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3 rd year. Additionally, home time decrement was more pronounced in the trajectory method (3.33% between the rapidly-deteriorated group and the relatively-stable group), than in the conventional method (2.53% between the no dependency group and the severe-dependent group). Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

show abstract

“…Previous studies had shown trajectory grouping using the number of disabilities in patients with underlying diseases such as cancer. In a study with cancer patients, the percentage of the severe trajectory group was 21.2 % prior to receiving cancer treatment [42]. Our study is unique in that we show the percentage of the severe disability group (rapidlydeteriorated group) to be around 5.5% in relatively healthy older adults living in rural communities.…”

Section: Discussionmentioning

confidence: 66%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Kim

Lee

Seong

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the participant was not in a hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5 %; n=617), a gradually-aggravated group (16.0 %; n=126), and a rapidly-deteriorated group (5.5 %; n=43). Results The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of females was 52.7%. It was found that 78.5% of participants showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3 rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

show abstract

Functional trajectories before and after a new cancer diagnosis among community-dwelling older adults

Abstract: Older adults followed distinct functional trajectories in the twelve months before and after cancer diagnosis. Functional trajectory pre-diagnosis, poor physical capability, and incurable stage were independent risk factors for worsening disability post-diagnosis.

Cited by 25 publications

References 56 publications

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Contact Info

Product

Resources

About