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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Prevalence and associated factors of cognitive frailty in older patients with lung cancer undergoing chemotherapy: a cross-sectional study.

Fengping Zheng, Yawen Zhao, Xiaomei Ren, Xiaoqian Lan, Wentao Peng

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

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6citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Fengping ZhengLung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan, China.
Yawen ZhaoLung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiaomei RenLung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiaoqian LanDepartment of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan, China.
Wentao PengDepartment of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, 610041, China. wentaopumc@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the prevalence of cognitive frailty and identify its influencing factors among in older patients with lung cancer undergoing chemotherapy.

methodsA cross-sectional study was conducted between January and August 2024 among 304 older patients with lung cancer undergoing chemotherapy at a tertiary hospital in Chengdu, China. Data were collected using a general information questionnaire, the FRAIL Scale, the Mini-Mental State Examination (MMSE), the Hospital Anxiety and Depression Scale (HADS), and the Nutritional Risk Screening 2002 (NRS 2002). Binary logistic regression was performed to identify independent risk factors associated with cognitive frailty.

resultsA total of 304 older patients with lung cancer undergoing chemotherapy finished the investigation. The prevalence of cognitive frailty was 26.3% (80/304). In the initial phase of analysis, 13 independent variables were selected from 23 candidate variables through univariate analysis. Subsequent binary logistic regression analysis revealed that age, monthly household income per capita, employment status, health insurance type, cancer stage, anxiety, depression, nutritional risk, and daily exercise duration were independently associated with cognitive frailty.

conclusionThe prevalence of cognitive frailty is high among older patients with lung cancer undergoing chemotherapy and is influenced by multiple factors. Therefore, screening for cognitive frailty should be considered in clinical practice, with particular focus on elderly patients, those with low income, and those in advanced stages of the disease. It is crucial to take into account the patients' physiological, psychological, and behavioral factors when designing and implementing multimodal, individualized intervention strategies, aiming to effectively prevent and alleviate cognitive frailty.

Indexed as

Antineoplastic AgentsCognitive DysfunctionFrailtyLung NeoplasmsAgedAged, 80 and overAge FactorsAnxietyChinaCross-Sectional StudiesDepressionFemaleHumansLogistic ModelsMaleMiddle AgedAntineoplastic AgentsChemotherapyCognitive frailtyLung cancerOlder patients

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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.