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Older patients’ experiences of treatment for colorectal cancer: an analysis of functional status and service use

Bailey, C., Corner, J., Addington-Hall, J., Kumar, D. and Haviland, J. (2004) Older patients’ experiences of treatment for colorectal cancer: an analysis of functional status and service use European Journal of Cancer Care, 13, (5), pp. 483-493. (doi:10.1111/j.1365-2354.2004.00555.x).

Record type: Article

Abstract

Age and ageing are an important part of the context within which the care and treatment of people with cancer is provided. More information is needed about the effects of cancer treatment on the lives of older people following inpatient care. We conducted a 3-year study in which older people with colorectal cancer completed a detailed questionnaire on multidimensional function and service use before and after elective treatment. Here we present an analysis of changes in functional status and service use over the pre- to post-treatment period, and set out a detailed picture of older people's experiences before and after treatment. In total, 337 patients with colorectal adenocarcinoma aged 5895 years were interviewed before treatment using the OARS Multidimensional Functional Assessment Questionnaire (OMFAQ), Rotterdam Symptom Checklist (RSCL) and a severity of morbidity score. Study end points were defined as post-treatment functional status, symptom distress, severity of morbidity and frequency of service use. Pre- and post-treatment data were compared using matched analyses. Logistic regression was used to assess associations between age and the main outcome measures, and frequency of service use after treatment was compared between age groups using the 2 test. Overall, patients experienced both positive and negative outcomes following treatment. It was notable that patients aged 75 years showed improvement in only one of the principal outcome measures. Patterns of service use following treatment suggest that support at home is a key issue for patients. With the exception of nursing care, however, help at home is provided on a majority of occasions by families themselves. This raises important questions about how much preparation patients and families receive or would like before they leave hospital after treatment for cancer. A collaborative, family-centred approach to meeting people's needs is called for in the months following inpatient care.

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More information

Published date: December 2004
Keywords: older people, cancer, treatment experience, service use, families

Identifiers

Local EPrints ID: 17358
URI: http://eprints.soton.ac.uk/id/eprint/17358
ISSN: 0961-5423
PURE UUID: cbf52a97-40c9-4315-a9e7-d5dfb68ef069
ORCID for C. Bailey: ORCID iD orcid.org/0000-0002-7528-6264

Catalogue record

Date deposited: 25 Aug 2005
Last modified: 17 Jul 2017 16:38

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Contributors

Author: C. Bailey ORCID iD
Author: J. Corner
Author: D. Kumar
Author: J. Haviland

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