Prevalence and socio-demographic characteristics of disability in older adults in China: Findings from China Comprehensive Geriatric Assessment Study

Ma, Lina; Li, Zhenzhen; Tang, Zhe; Sun, Fei; Li, Diao; Li, Jian; He, Yao; Dong, Birong; Li, Yun

doi:10.1016/j.archger.2017.07.029

Cited by 32 publications

(36 citation statements)

References 22 publications

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“…A study in the Netherlands showed that older patients might wish to avoid the daily hospital visit required for radiotherapy, as well as the limited mobility experienced and reliance on others. A higher proportion of elderly patients (≥ 80) develop disabilities and require daily care in China . By contrast, young patients favor BCS because of lesser physical disfigurement and psychological trauma .…”

Section: Discussionmentioning

confidence: 99%

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Present and changing trends in surgical modalities and neoadjuvant chemotherapy administration for female breast cancer in Beijing, China: A 10‐year (2006–2015) retrospective hospitalization summary report‐based study

et al. 2018

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BackgroundThis study was conducted to describe present and changing trends in surgical modalities and neoadjuvant chemotherapy (NACT) in female breast cancer patients in China from 2006 to 2015.MethodsData of 44 299 female breast cancer patients from 15 tertiary hospitals in Beijing were extracted from hospitalization summary reports. Surgeries were categorized into five modalities: breast‐conserving surgery (BCS), simple mastectomy (SM), modified radical mastectomy (MRM), radical mastectomy (RM), and extensive radical mastectomy (ERM).ResultsIn total, 38 471 (86.84%) breast cancer patients underwent surgery: 22.64% BCS, 8.22% SM, 63.97% MRM, 4.24% RM, and 0.93% ERM. Older patients (> 60) underwent surgery more frequently than younger patients (< 60). The proportion of patients who underwent BCS was highest in the age ≥ 80 (39.24%) and < 40 (28.69%) subgroups and in patients with papillary carcinoma (35.48%), and lowest in the age 60‐ subgroup (18.17%) and in patients with Paget's disease (19.05%). SM was most frequently performed in patients with Paget's disease (29.00%), and MRM for ductal (64.99%), and lobular (63.78%) carcinomas. During the study period, the proportion of patients who underwent MRM dropped by 29.04%, SM and BCS increased from 15.78% and 30.83%, respectively, and NACT increased in all subgroups, particularly in patients with lymph node involvement (26.72%).ConclusionsSurgical modalities varied significantly by age and histologic group. The use of BCS and SM increased dramatically, while MRM declined significantly. The proportion of patients treated with NACT has increased significantly, especially in patients with lymph node involvement.

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Section: Discussionmentioning

confidence: 99%

“…A higher proportion of elderly patients (≥ 80) develop disabilities and require daily care in China. 47,48 By contrast, young patients favor BCS because of lesser physical disfigurement and psychological trauma. 49 This may explain why patients aged 60-70 are less likely to undergo BCT.…”

Section: Discussionmentioning

confidence: 99%

Present and changing trends in surgical modalities and neoadjuvant chemotherapy administration for female breast cancer in Beijing, China: A 10‐year (2006–2015) retrospective hospitalization summary report‐based study

et al. 2018

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“…Based on well‐established cluster, stratification, and random selection statistical sampling techniques, 7 cities from 7 provinces were chosen to represent 6 main regions in China: northern (Beijing), south‐central (Changsha), eastern (Shanghai), northwestern (Xi'an), southwestern (Chongqing and Chengdu), and northeastern (Harbin) (Figure ). Further details regarding the CCGAS have been previously reported . In total, 6,867 older adults were included, of whom 5,844 had complete CGA‐FI data.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Frailty and Associated Factors in the Community‐Dwelling Population of China

Tang

Zhang

et al. 2017

J American Geriatrics Society

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126

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“…Besides, a series of independent variables included in CHARLS dataset were taken into account based on a comprehensive literature review [3,5,8,[19][20][21][22][23][24][25][26]. A set of variables were included to identify the long-term effect of childhood environment and health.…”

Section: Other Covariatesmentioning

confidence: 99%

Decomposing Inequality in Long-Term Care Need Among Older Adults with Chronic Diseases in China: A Life Course Perspective

2020

IJERPH

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Background: China has the largest number of aging people in need of long-term care, among whom 70% have chronic diseases. For policy planners, it is necessary to understand the different levels of needs of long-term care and provide long-term care insurance to ensure the long-term care needs of all people can be met. Methods: This study combines the 2013 wave of CHARLS survey and the Life Course Survey of 2014. The combination allows us to factor in both childhood and adulthood data to provide life-course analysis. We identified 7,734 older adults with chronic diseases for analysis. The need for long-term care is defined by the presence of functional limitations based on the performance of basic activities of daily living (ADLs) and of instrumental activities of daily living (IADLs). Two dummy variables, ADLs disability and IADLs disability, and two count variables, ADLs score and IADLs score, were defined to measure incidence and severity of long-term care need, respectively. The concentration index was used to capture the inequality in long-term care need, and a decomposition method based on Probit Regression and Negative Binomial Regression was exploited to identify the contribution of each determination. Results: At least a little difficulty was reported in ADLs and IADLs in 20.44% and 19.25% of respondents, respectively. The concentration index of ADLs disability, ADLs score, IADLs disability, IADLs score were −0.085, −0.109, −0.095 and −0.120, respectively, all of which were statistically significant, indicating the pro-poor inequality in the incidence and severity of long-term care need. Decomposition analyses revealed that family income, education attainment, aging, and childhood experience played a significant role in explaining the inequalities. Conclusions: The long-term care need among older adults with chronic disease is high in China and low socioeconomic groups had a higher probability of needing long-term care or need more long-term care. It is urgent to implement long-term care insurance, especially for the individuals from lower socioeconomic groups.

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Prevalence and socio-demographic characteristics of disability in older adults in China: Findings from China Comprehensive Geriatric Assessment Study

Cited by 32 publications

References 22 publications

Present and changing trends in surgical modalities and neoadjuvant chemotherapy administration for female breast cancer in Beijing, China: A 10‐year (2006–2015) retrospective hospitalization summary report‐based study

Present and changing trends in surgical modalities and neoadjuvant chemotherapy administration for female breast cancer in Beijing, China: A 10‐year (2006–2015) retrospective hospitalization summary report‐based study

Prevalence of Frailty and Associated Factors in the Community‐Dwelling Population of China

Decomposing Inequality in Long-Term Care Need Among Older Adults with Chronic Diseases in China: A Life Course Perspective

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