Evidence map›Paper›PMID 26856729›Full record

ArticleJournal of cancer survivorship : research and practice2016

Cancer and frailty in older adults: a nested case-control study of the Mexican Health and Aging Study.

Mario Ulises Pérez-Zepeda, Eduardo Cárdenas-Cárdenas, Matteo Cesari, Ana Patricia Navarrete-Reyes, Luis Miguel Gutiérrez-Robledo

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  6. Observational
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  8. Article
  9. Frailty syndrome in ambulatory patients with COPD.International journal of chronic obstructive pulmonary disease · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Mario Ulises Pérez-ZepedaGeriatric Epidemiology Research Department, Instituto Nacional de Geriatría, Periférico Sur 2767, colonia San Jerónimo Lídice, delegación Magdalena Contreras, México DF, México, CP 10200, Mexico. ulises.perez@salud.gob.mx.
Eduardo Cárdenas-CárdenasOncology Service, Hospital 20 de Noviembre, Instituto de Salud y Seguridad Social de los Trabajadores del Estado, Mexico City, Mexico.
Matteo CesariGérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Ana Patricia Navarrete-ReyesGeriatric Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico.
Luis Miguel Gutiérrez-RobledoPrincipal Office at the Instituto Nacional de Geriatría, Mexico City, Mexico.
Instituto Nacional de Pediatria · MXCentre Hospitalier Universitaire de Toulouse · FRInstitute for Social Security and Services for State Workers · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MX

Funding

The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
NIA NIH HHS R01 AG018016
6 · The paper itself

Abstract

purposeUnderstanding how the convergence between chronic and complex diseases-such as cancer-and emerging conditions of older adults-such as frailty-takes place would help in halting the path that leads to disability in this age group. The objective of this manuscript is to describe the association between a past medical history of cancer and frailty in Mexican older adults.

methodsThis is a nested in cohort case-control study of the Mexican Health and Aging Study. Frailty was categorized by developing a 55-item frailty index that was also used to define cases in two ways: incident frailty (incident >0.25 frailty index score) and worsening frailty (negative residuals from a regression between 2001 and 2012 frailty index scores). Exposition was defined as self-report of cancer between 2001 and 2012. Older adults with a cancer history were further divided into recently diagnosed (<10 years) and remotely diagnosed (>10 years from the initial diagnosis). Odds ratios were estimated by fitting a logistic regression adjusted for confounding variables.

resultsOut of a total of 8022 older adults with a mean age of 70.6 years, the prevalence of a past medical history of cancer was 3.6 % (n = 288). Among these participants, 45.1 % had been diagnosed with cancer more than 10 years previously. A higher risk of incident frailty compared to controls [odds ratio (OR) 1.53 (95 % confidence interval (CI) 1.04-2.26, p = 0.03); adjusted model OR 1.74 (95 % CI 1.15-2.61, p = 0.008)] was found in the group with a recent cancer diagnosis. Also, an inverse association between a remote cancer diagnosis and worsening frailty was found [OR = 0.56 (95 % CI 0.39-0.8), p = 0.002; adjusted model OR 0.61 (95 % CI 0.38-0.99, p = 0.046)].

conclusionsCancer is associated with a higher frailty index, with a potential relevant role of the time that has elapsed since the cancer diagnosis. IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors may be more likely to develop frailty or worsening of the health status at an older age. This relationship seems especially evident among individuals with a recent oncological diagnosis. Health professionals in charge of older adult care should be aware of this association in order to improve outcomes of older adults who survived cancer.

Indexed as

AgedAgingCase-Control StudiesCohort StudiesFemaleFrail ElderlyHealth StatusHumansMaleMexicoNeoplasmsPrevalenceSurvivorsChronic diseaseDisabilityFrailtyOncogeriatrics

Identifiers

PMID26856729
PMCPMC4966647
OpenAlexW2258380862

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.