Psychosocial needs of older patients with metastatic breast cancer treated at community centers

Somayaji, Khyati H.; Handorf, Elizabeth A.; Meeker, Caitlin R.; Lewis, Bianca; Filchner, Kelly; Goldstein, Lori J.; Dotan, Efrat

doi:10.1016/j.jgo.2023.101444

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…86 Older adults, regardless of race, often depend on family members or other caregivers for home care, transportation, and medication assistance, among other physical and emotional support needs. In recent studies, nearly half of older adults with cancer reported having an unmet social support need, 87,88 with the most common unmet needs being medical and informational. 87 Across all domains, patients with less education and household income, who were non-White, had comorbidities, were never married or were divorced had significantly greater unmet needs.…”

Section: Social Supportmentioning

confidence: 99%

Disparities in care of older adults of color with cancer: A narrative review

Dotan,

Lynch,

Ryan

et al. 2024

Cancer Medicine

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This review describes the barriers and challenges faced by older adults of color with cancer and highlights methods to improve their overall care. In the next decade, cancer incidence rates are expected to increase in the United States for people aged ≥65 years. A large proportion will be older adults of color who often have worse outcomes than older White patients. Many issues contribute to racial disparities in older adults, including biological factors and social determinants of health (SDOH) related to healthcare access, socioeconomic concerns, systemic racism, mistrust, and the neighborhood where a person lives. These disparities are exacerbated by age‐related challenges often experienced by older adults, such as decreased functional status, impaired cognition, high rates of comorbidities and polypharmacy, poor nutrition, and limited social support. Additionally, underrepresentation of both patients of color and older adults in cancer clinical research results in a lack of adequate data to guide the management of these patients. Use of geriatric assessments (GA) can aid providers in uncovering age‐related concerns and personalizing interventions for older patients. Research demonstrates the ability of GA‐directed care to result in fewer treatment‐related toxicities and improved quality of life, thus supporting the routine incorporation of validated GA into these patients' care. GA can be enhanced by including evaluation of SDOH, which can help healthcare providers understand and address the needs of older adults of color with cancer who face disparities related to their age and race.

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Section: Social Supportmentioning

confidence: 99%

Disparities in care of older adults of color with cancer: A narrative review

Dotan,

Lynch,

Ryan

et al. 2024

Cancer Medicine

Self Cite

View full text Add to dashboard Cite

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“…Older individuals rely on their cultivated cognitive reserves to decipher treatment options, understand complex prognostic discussions, and diligently adhere to multifaceted therapeutic regimens. This honed cognitive agility, refined through years of experience, plays an instrumental role in manoeuvring through the uncertainties and intricacies intrinsic to cancer care for the elderly [5]. Moreover, the profound impact of social networks and support structures within this paradigm cannot be overstated.…”

Section: Introductionmentioning

confidence: 99%

Unveiling Psychological Perspectives on Aging Minds and Cancer: A Review

Sheelam

2023

ijcsrr

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In geriatric oncology, the intersection of aging complexities and cancer care intricacies shapes the journey of elderly individuals facing cancer. This review explores emotional, cognitive, and social dynamics influencing their experiences and care. Following a cancer diagnosis, older adults navigate a spectrum of emotions—from shock to resilience—crucial in shaping coping strategies and treatment decisions. The toll of cancer treatments, compounded by age-related vulnerabilities, underscores the need for tailored care plans that account for social and familial dynamics. Cognitive functions undergo shifts influenced by aging and treatments, emphasizing the importance of understanding these changes in decision-making processes. Caregiver-patient relationships emerge as pivotal, impacting cognitive well-being and necessitating interventions supporting both parties. Psychological interventions, from counselling to mindfulness practices, offer avenues for comprehensive care. Integrating these interventions into multidisciplinary care fosters resilience and enriches survivorship experiences among elderly cancer patients. This review advocates a personalized approach in geriatric oncology, emphasizing tailored interventions and comprehensive care strategies that honour individual experiences. Future research directions focus on exploring emotional resilience, cognitive adaptability, and intervention outcomes to enhance care for elderly individuals navigating cancer’s challenges. In conclusion, geriatric oncology demands personalized, multidisciplinary care strategies that integrate psychological support and acknowledge the complexities of aging. This integration marks a transformative shift towards holistic care, paving the way for tailored and effective interventions supporting elderly patients throughout their cancer journey.

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Psychosocial needs of older patients with metastatic breast cancer treated at community centers

Cited by 2 publications

References 31 publications

Disparities in care of older adults of color with cancer: A narrative review

Disparities in care of older adults of color with cancer: A narrative review

Unveiling Psychological Perspectives on Aging Minds and Cancer: A Review

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