Social support for older adults with cancer: Young International Society of Geriatric Oncology review paper

Kadambi, Sindhuja; Soto‐Pérez‐de‐Celis, Enrique; Garg, Tullika; Loh, Kah Poh; Krok‐Schoen, Jessica L.; Battisti, Nicolò Matteo Luca; Moffat, Gordon Taylor; Gil-Jr, Luiz A.; Mohile, Supriya G.; Hsu, Tina

doi:10.1016/j.jgo.2019.09.005

Cited by 69 publications

(46 citation statements)

References 94 publications

(95 reference statements)

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“…[14][15][16] The vital role played by a family caregiver for patients receiving palliative care is well recognized, but despite the amount of studies on the needs of patients with cancer, little is known about what is involved in being elderly caregivers. 17,18 This aspect is mainly due to the fact that research in this context is distinctly difficult but also for ethical reasons that may arise when approaching caregivers of dying patients. 19 On the other hand, there are a series of practical aspects to consider in the psychosocial assessment of older persons (ie, easy fatigability, reduced capacity for resistance and attention maintenance, poor familiarity with psychometric instruments, and finally sensory deficits such as reduced vision and hearing).…”

Section: Introductionmentioning

confidence: 99%

Does Family Caregiver Burden Differ Between Elderly and Younger Caregivers in Supporting Dying Patients With Cancer? An Italian Study

Spatuzzi

Giulietti

Ricciuti

et al. 2019

Am J Hosp Palliat Care

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Context: The aging of the world’s population increasingly calls on older people to care for their cancer relatives. This scenario confronts clinicians involved with end-of-life care with an imposing challenge: elderly family caregivers could have a different perception of the burdens associated with assistance compared to their younger counterparts. Palliativists need to know what limits and resources of these new age categories of caregivers could be for a global management of dying patients with cancer and their family. Objectives: To evaluate the caregiver burden in family caregivers supporting dying patients with cancer in order to compare the differences between 2 different caregivers age groups (younger vs elderly population). Methods: This is a cross-sectional study. A total of 174 family caregivers of hospice patients were interviewed through the Caregiver Burden Inventory (CBI). The sample group was divided into 2 subgroups aged <65 (younger group) and ≥65 years old (elderly group). Results: Compared with younger caregivers, the elderly group reported significantly higher scores in the CBI–developmental subscale ( P = .009) confirmed by the generalized linear model (multivariate) evaluation that included possible predictors in the model. No further differences were found between the 2 age groups in the other CBI scores (time-dependent, physical, social, emotional, and overall score). Conclusion: Elderly caregivers are at high risk for experiencing developmental burden. This finding could prompt mental health professionals to pay greater attention to the value that assistance to the family member can have on their personal story and on that of the family or couple.

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Section: Introductionmentioning

confidence: 99%

Does Family Caregiver Burden Differ Between Elderly and Younger Caregivers in Supporting Dying Patients With Cancer? An Italian Study

Spatuzzi

Giulietti

Ricciuti

et al. 2019

Am J Hosp Palliat Care

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“…La variable dependiente fueron las complicaciones hospitalarias, definidas como cualquier problema médico o resultado clínico inesperado durante el transcurso de la hospitalización, relacionado o no con el tratamiento (8). Entre ellas, se consideraron las infecciones adquiridas en el ámbito hospitalario detectadas 48 horas después del ingreso (9), la aparición de úlceras por presión 24 horas después del ingreso (10), las caídas o traumas durante la estancia, los eventos trombóticos documentados 48 horas después del ingreso (trombosis venosa profunda y tromboembolia pulmonar) y las reacciones adversas a los medicamentos (1,7) Las variables independientes incluyeron: la edad, como variable continua; el sexo (masculino o femenino); la dependencia moderada en las actividades básicas de la vida diaria, reflejada en un puntaje menor o igual a 60 en la escala de Barthel al ingreso; el diagnóstico de demencia al ingreso, como variable dicotómica (tenerlo o no) (11); la malnutrición, definida por un puntaje menor de 24 en el Mini-Nutritional Assessment (MNA) (12,13); y el poco soporte social, definido de forma dicotómica según si el paciente tenía o no cuidador en el momento de ingreso (14).…”

Section: Poblaciónunclassified

Complicaciones intrahospitalarias en una unidad geriátrica de agudos

et al. 2021

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Introducción. Las complicaciones hospitalarias ocurren con gran frecuencia en personas mayores de 65 años hospitalizadas y conllevan peores resultados clínicos. Son pocos los estudios sobre los factores asociados con las complicaciones hospitalarias en la atención de adultos mayores.Objetivo. Evaluar los factores asociados con las complicaciones hospitalarias en una unidad geriátrica de agudos en Bogotá, Colombia.Materiales y métodos. Se hizo un estudio observacional analítico basado en una cohorte retrospectiva que incluyó 1.657 pacientes mayores de 65 años atendidos en una unidad de hospitalización en Bogotá, Colombia. La variable dependiente fueron las complicaciones hospitalarias y, las independientes, la dependencia funcional, la demencia, el estado nutricional, el soporte social, las comorbilidades y la polifarmacia. Se utilizó el modelo de regresión lineal de Poisson para determinar las variables asociadas.Resultados. En el análisis bivariado se encontró que la dependencia funcional (razón de prevalencia, RP=2,092; p≤0,001) y la malnutrición (RP=2,850; p≤0,001) eran factores asociados con una mayor tasa de complicaciones hospitalarias. En el análisis multivariado aparecían como factores independientes (dependencia funcional: RP=1,931 y p=0,003; malnutrición: RP=2,502 y p=0,002).Conclusión. El hacer una evaluación integral que permita determinar la dependencia funcional y la malnutrición en el momento de ingreso en las unidades de hospitalización, permitiría predecir complicaciones hospitalarias.

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“…Caregivers play a crucial role in the care of older adults with cancer [1]. They assist patients with daily activities and help manage cancer-and treatment-related symptoms [1][2][3]. Caregivers are often involved in patients' decision-making throughout the cancer continuum from diagnosis to end-oflife, serving as important advocates [4,5].…”

Section: Introductionmentioning

confidence: 99%

Caregiver–Oncologist Prognostic Concordance, Caregiver Mastery, and Caregiver Psychological Health and Quality of Life

et al. 2021

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Background Caregivers of adults with cancer often report a different understanding of the patient's prognosis than the oncologist. We examine the associations of caregiver–oncologist prognostic concordance with caregiver depressive symptoms, distress, and quality of life (QoL). We also explore whether these relationships differed by caregiver environment mastery, an individual's sense of control, and effectiveness in managing life situations. Materials and Methods We used data from a national geriatric assessment cluster‐randomized trial (URCC 13070) that recruited patients aged 70 years and older with incurable cancer considering any line of cancer treatment at community oncology practices, their caregivers, and their oncologists. At enrollment, caregivers and oncologists estimated the patient's prognosis (0–6 months, 7–12 months, 1–2 years, 2–5 years, and >5 years; identical responses were concordant). Caregivers completed the Ryff's environmental mastery at enrollment. At 4–6 weeks, caregivers completed the Patient Health Questionnaire‐2 (depressive symptoms), distress thermometer, and 12‐Item Short‐Form Health Survey (quality of life [QoL]). We used generalized estimating equations in models adjusted for covariates. We then assessed the moderation effect of caregiver mastery. Results Of 411 caregiver–oncologist dyads (mean age = 66.5 years), 369 provided responses and 28% were concordant. Prognostic concordance was associated with greater caregiver depressive symptoms (β = 0.30; p = .04) but not distress or QoL. A significant moderation effect for caregiver depressive symptoms was found between concordance and mastery (p = .01). Specifically, among caregivers with low mastery (below median), concordance was associated with greater depressive symptoms (β = 0.68; p = .003). Conclusions Caregiver–oncologist prognostic concordance was associated with caregiver depressive symptoms. We found a novel moderating effect of caregiver mastery on the relationship between concordance and caregiver depressive symptoms. Implications for Practice Caregiver–oncologist prognostic concordance is associated with greater caregiver depressive symptoms, particularly in those with low caregiver mastery. When discussing prognosis with caregivers, physicians should be aware that prognostic understanding may affect caregiver psychological health and should assess their depressive symptoms. In addition, while promoting accurate prognostic understanding, physicians should also identify strengths and build resilience among caregivers.

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Social support for older adults with cancer: Young International Society of Geriatric Oncology review paper

Cited by 69 publications

References 94 publications

Does Family Caregiver Burden Differ Between Elderly and Younger Caregivers in Supporting Dying Patients With Cancer? An Italian Study

Does Family Caregiver Burden Differ Between Elderly and Younger Caregivers in Supporting Dying Patients With Cancer? An Italian Study

Complicaciones intrahospitalarias en una unidad geriátrica de agudos

Caregiver–Oncologist Prognostic Concordance, Caregiver Mastery, and Caregiver Psychological Health and Quality of Life

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