The fall rate of older community-dwelling cancer patients

被引:48
|
作者
Puts, Martine T. E. [1 ,2 ]
Monette, Johanne [2 ,3 ]
Girre, Veronique [2 ,4 ]
Wolfson, Christina [5 ]
Monette, Michele [2 ,6 ]
Batist, Gerald [6 ]
Bergman, Howard [2 ,3 ,6 ]
机构
[1] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON M5T 1P8, Canada
[2] McGill Univ, Jewish Gen Hosp, Solidage Res Grp Frailty & Aging, Montreal, PQ H3T 1E2, Canada
[3] McGill Univ, Jewish Gen Hosp, Div Geriatr Med, Montreal, PQ H3T 1E2, Canada
[4] Ctr Hosp Dept, Dept Hematol Oncol, La Roche Sur Yon, France
[5] McGill Univ, Res Inst, Ctr Hlth, Montreal, PQ, Canada
[6] McGill Univ, Jewish Gen Hosp, Segal Canc Ctr, Dept Oncol, Montreal, PQ H3T 1E2, Canada
关键词
Falls; Frail elderly; Geriatric oncology; Cancer; Cancer treatment; PHYSICAL PERFORMANCE-MEASURES; ANDROGEN DEPRIVATION THERAPY; PERIPHERAL NEUROPATHY; PROSTATE-CANCER; FRAILTY INDEXES; DISABILITY; PREDICTION; FRACTURES; MORTALITY; ADULTS;
D O I
10.1007/s00520-012-1579-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Little is known about the incidence of falls in cancer patients receiving cancer treatment. The aims were to explore the number of falls older adults report in the 6 months after cancer diagnosis, and if those with a fall were more frail than those who did not fall. Secondary data analysis of a prospective pilot study that recruited patients aged 65 and older with a new cancer diagnosis. At each interview (baseline, 3- and 6-month follow-up), participants were asked if they had a fall in the previous 3 months. The frailty markers and functional status were obtained at baseline, 3- and 6-month follow-up. Chi-square and t tests were used to compare those who had a fall to those who had no fall. Univariate logistic regression analysis was conducted to explore the association between sociodemographic and health characteristics and reporting a fall. Seventeen participants (18.7 %) reported one or more falls in the first 6 months after cancer diagnosis. Fifteen participants reported one or more falls in the 3 months prior to the cancer diagnosis. Those who had a fall and those with no fall were not different in terms of health and functioning. None of the sociodemographic and health characteristics including the frailty markers were associated with a fall. A fall is common in cancer patients. More research is needed to examine the risk factors for a fall in older adults receiving cancer treatment.
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页码:775 / 783
页数:9
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