ArticleEuropean journal of oncology nursing : the official journal of European Oncology Nursing Society2020
Co-occurrence of decrements in physical and cognitive function is common in older oncology patients receiving chemotherapy.
Article in European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 12 citations in OpenAlex.
- Latent class analysis of intrinsic capacity among rural older adults in China and its influencing factors.Frontiers in public health · 2025Article
- Characteristics associated with decrements in objective measures of physical function in older patients with cancer during chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Cancer-related cognitive impairment is associated with perturbations in inflammatory pathways.Cytokine · 2021Article
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Authors and funding
13 authors at 6 institutions in 2 countries.
Funding
Abstract
purposeOlder adults receiving cancer chemotherapy are at increased risk for decrements in physical (PF) and cognitive (CF) function.
objectivesStudy identified subgroups of patients with distinct PF and CF profiles; risk factors associated with subgroup membership; and impact of subgroup membership on quality of life (QOL).
methodsIn 366 older oncology patients, PF and CF were assessed using the Physical Component Summary (PCS) of the SF-12 and Attentional Function Index, respectively. Latent profile analysis was used to identify subgroups of older patients with distinct PF/CF profiles.
resultsThree distinct PF/CF profiles were identified (i.e., Very Low PF + Moderate CF (15.6%); Low PF + Low CF (39.3%), Normal PF + Normal CF (45.1%)). Compared to the both Normal class, patients in the other two classes had a lower functional status, a worse comorbidity profile, and were less likely to exercise on a regular basis. Compared to the Both Normal class, patients in the Both Low class were less likely to be married/partnered, more likely to live alone, less likely to be employed, and more likely to report depression and back pain. Compared to the other two classes, patients in the Both Low class had a lower annual household income and were receiving chemotherapy with a worse toxicity profile.
conclusionFirst study to use a person-centered analytic approach to identify subgroups of older adults with distinct PF/CF profiles. Fifty-five percent of the older adults had statistically significant and clinically meaningful decrements in both PF AND CF that had negative effects on all aspects of QOL.
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