Comprehensive assessment of the elderly cancer patient

The feasibility of self-report methodology

Sally S. Ingram, Pearl H Seo, Robert E. Martell, Elizabeth C. Clipp, Martha E. Doyle, Gustavo S. Montana, Harvey J. Cohen

Research output: Contribution to journalArticle

131 Citations (Scopus)

Abstract

Purpose: Comprehensive geriatric assessment (CGA) has aided the medical community greatly in understanding the quality-of-life issues and functional needs of older patients. With its professional team assessment approach, however, CGA may be time consuming and costly. The goal of the present study was to assess the ability of cancer patients to complete a self-administered CGA and then to characterize cancer patients across multiple domains and age groups. Patients and Methods: Two hundred sixty-six male outpatient oncology patients at the Durham Veterans Affairs Medical Center were asked to fill out a survey assessing 10 domains (demographics, comorbid conditions, activities of daily living, functional status, pain, financial well being, social support, emotional state, spiritual well-being, and quality of life). Results: Seventy-six percent of the patients who received their surveys and kept their appointments returned the assessment tool. Older oncology patients had significantly less education (P < .0001), income (P = .05), frequent exercise (P = .01), and chance of being disease free (P = .003) than younger patients. Other findings in older patients were a higher rate of marriage (P = .02), more difficulty in taking medications (P = .05), and less cigarette (P = .03) and alcohol (P = .03) use. Members of all age cohorts reported a sense of social support, with younger patients deriving this more from family and friends than older patients, and older patients deriving social support more from membership in religious communities than younger patients. No differences were found across age groups for number and impact of comorbid illnesses, number of medications, basic and instrumental activities of daily living, pain, overall health rating, financial adequacy, anxiety, depression, and quality of life. Conclusion: CGA can be conducted in an outpatient cancer community using a self-report format. Despite the fact that this population varied demographically across age groups and is limited to veterans, this study demonstrated remarkable similarities between younger and older cancer patients in terms of functional status, health states, and quality of life.

Original languageEnglish
Pages (from-to)770-775
Number of pages6
JournalJournal of Clinical Oncology
Volume20
Issue number3
DOIs
StatePublished - Feb 1 2002
Externally publishedYes

Fingerprint

Self Report
Neoplasms
Geriatric Assessment
Quality of Life
Social Support
Age Groups
Veterans
Activities of Daily Living
Outpatients
Pain
Aptitude
Marriage
Tobacco Products
Health Status
Appointments and Schedules
Anxiety
Alcohols
Demography
Exercise
Depression

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Ingram, S. S., Seo, P. H., Martell, R. E., Clipp, E. C., Doyle, M. E., Montana, G. S., & Cohen, H. J. (2002). Comprehensive assessment of the elderly cancer patient: The feasibility of self-report methodology. Journal of Clinical Oncology, 20(3), 770-775. https://doi.org/10.1200/JCO.20.3.770

Comprehensive assessment of the elderly cancer patient : The feasibility of self-report methodology. / Ingram, Sally S.; Seo, Pearl H; Martell, Robert E.; Clipp, Elizabeth C.; Doyle, Martha E.; Montana, Gustavo S.; Cohen, Harvey J.

In: Journal of Clinical Oncology, Vol. 20, No. 3, 01.02.2002, p. 770-775.

Research output: Contribution to journalArticle

Ingram, Sally S. ; Seo, Pearl H ; Martell, Robert E. ; Clipp, Elizabeth C. ; Doyle, Martha E. ; Montana, Gustavo S. ; Cohen, Harvey J. / Comprehensive assessment of the elderly cancer patient : The feasibility of self-report methodology. In: Journal of Clinical Oncology. 2002 ; Vol. 20, No. 3. pp. 770-775.
@article{3eae8485995f40d9831bbff09491a441,
title = "Comprehensive assessment of the elderly cancer patient: The feasibility of self-report methodology",
abstract = "Purpose: Comprehensive geriatric assessment (CGA) has aided the medical community greatly in understanding the quality-of-life issues and functional needs of older patients. With its professional team assessment approach, however, CGA may be time consuming and costly. The goal of the present study was to assess the ability of cancer patients to complete a self-administered CGA and then to characterize cancer patients across multiple domains and age groups. Patients and Methods: Two hundred sixty-six male outpatient oncology patients at the Durham Veterans Affairs Medical Center were asked to fill out a survey assessing 10 domains (demographics, comorbid conditions, activities of daily living, functional status, pain, financial well being, social support, emotional state, spiritual well-being, and quality of life). Results: Seventy-six percent of the patients who received their surveys and kept their appointments returned the assessment tool. Older oncology patients had significantly less education (P < .0001), income (P = .05), frequent exercise (P = .01), and chance of being disease free (P = .003) than younger patients. Other findings in older patients were a higher rate of marriage (P = .02), more difficulty in taking medications (P = .05), and less cigarette (P = .03) and alcohol (P = .03) use. Members of all age cohorts reported a sense of social support, with younger patients deriving this more from family and friends than older patients, and older patients deriving social support more from membership in religious communities than younger patients. No differences were found across age groups for number and impact of comorbid illnesses, number of medications, basic and instrumental activities of daily living, pain, overall health rating, financial adequacy, anxiety, depression, and quality of life. Conclusion: CGA can be conducted in an outpatient cancer community using a self-report format. Despite the fact that this population varied demographically across age groups and is limited to veterans, this study demonstrated remarkable similarities between younger and older cancer patients in terms of functional status, health states, and quality of life.",
author = "Ingram, {Sally S.} and Seo, {Pearl H} and Martell, {Robert E.} and Clipp, {Elizabeth C.} and Doyle, {Martha E.} and Montana, {Gustavo S.} and Cohen, {Harvey J.}",
year = "2002",
month = "2",
day = "1",
doi = "10.1200/JCO.20.3.770",
language = "English",
volume = "20",
pages = "770--775",
journal = "Journal of Clinical Oncology",
issn = "0732-183X",
publisher = "American Society of Clinical Oncology",
number = "3",

}

TY - JOUR

T1 - Comprehensive assessment of the elderly cancer patient

T2 - The feasibility of self-report methodology

AU - Ingram, Sally S.

AU - Seo, Pearl H

AU - Martell, Robert E.

AU - Clipp, Elizabeth C.

AU - Doyle, Martha E.

AU - Montana, Gustavo S.

AU - Cohen, Harvey J.

PY - 2002/2/1

Y1 - 2002/2/1

N2 - Purpose: Comprehensive geriatric assessment (CGA) has aided the medical community greatly in understanding the quality-of-life issues and functional needs of older patients. With its professional team assessment approach, however, CGA may be time consuming and costly. The goal of the present study was to assess the ability of cancer patients to complete a self-administered CGA and then to characterize cancer patients across multiple domains and age groups. Patients and Methods: Two hundred sixty-six male outpatient oncology patients at the Durham Veterans Affairs Medical Center were asked to fill out a survey assessing 10 domains (demographics, comorbid conditions, activities of daily living, functional status, pain, financial well being, social support, emotional state, spiritual well-being, and quality of life). Results: Seventy-six percent of the patients who received their surveys and kept their appointments returned the assessment tool. Older oncology patients had significantly less education (P < .0001), income (P = .05), frequent exercise (P = .01), and chance of being disease free (P = .003) than younger patients. Other findings in older patients were a higher rate of marriage (P = .02), more difficulty in taking medications (P = .05), and less cigarette (P = .03) and alcohol (P = .03) use. Members of all age cohorts reported a sense of social support, with younger patients deriving this more from family and friends than older patients, and older patients deriving social support more from membership in religious communities than younger patients. No differences were found across age groups for number and impact of comorbid illnesses, number of medications, basic and instrumental activities of daily living, pain, overall health rating, financial adequacy, anxiety, depression, and quality of life. Conclusion: CGA can be conducted in an outpatient cancer community using a self-report format. Despite the fact that this population varied demographically across age groups and is limited to veterans, this study demonstrated remarkable similarities between younger and older cancer patients in terms of functional status, health states, and quality of life.

AB - Purpose: Comprehensive geriatric assessment (CGA) has aided the medical community greatly in understanding the quality-of-life issues and functional needs of older patients. With its professional team assessment approach, however, CGA may be time consuming and costly. The goal of the present study was to assess the ability of cancer patients to complete a self-administered CGA and then to characterize cancer patients across multiple domains and age groups. Patients and Methods: Two hundred sixty-six male outpatient oncology patients at the Durham Veterans Affairs Medical Center were asked to fill out a survey assessing 10 domains (demographics, comorbid conditions, activities of daily living, functional status, pain, financial well being, social support, emotional state, spiritual well-being, and quality of life). Results: Seventy-six percent of the patients who received their surveys and kept their appointments returned the assessment tool. Older oncology patients had significantly less education (P < .0001), income (P = .05), frequent exercise (P = .01), and chance of being disease free (P = .003) than younger patients. Other findings in older patients were a higher rate of marriage (P = .02), more difficulty in taking medications (P = .05), and less cigarette (P = .03) and alcohol (P = .03) use. Members of all age cohorts reported a sense of social support, with younger patients deriving this more from family and friends than older patients, and older patients deriving social support more from membership in religious communities than younger patients. No differences were found across age groups for number and impact of comorbid illnesses, number of medications, basic and instrumental activities of daily living, pain, overall health rating, financial adequacy, anxiety, depression, and quality of life. Conclusion: CGA can be conducted in an outpatient cancer community using a self-report format. Despite the fact that this population varied demographically across age groups and is limited to veterans, this study demonstrated remarkable similarities between younger and older cancer patients in terms of functional status, health states, and quality of life.

UR - http://www.scopus.com/inward/record.url?scp=0036467844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036467844&partnerID=8YFLogxK

U2 - 10.1200/JCO.20.3.770

DO - 10.1200/JCO.20.3.770

M3 - Article

VL - 20

SP - 770

EP - 775

JO - Journal of Clinical Oncology

JF - Journal of Clinical Oncology

SN - 0732-183X

IS - 3

ER -