Cancer in home care: unintended weight loss and ethical challenges. A cross-sectional study of older people at 11 sites in Europe

TitleCancer in home care: unintended weight loss and ethical challenges. A cross-sectional study of older people at 11 sites in Europe
Publication TypeJournal Article
Year of Publication2011
AuthorsSorbye L.W
JournalArchives of Gerontology & Geriatrics
Volume53
Issue1
Pagination64-9
Date PublishedJul-Aug
Type of ArticleResearch Support, Non-U.S. Gov't
ISBN Number1872-6976
Accession Number20569997
Keywords*Home Care Services/sn [Statistics & Numerical Data], *Neoplasms/ep [Epidemiology], *Weight Loss, Aged, Aged, 80 and over, Cross-Sectional Studies, Europe/ep [Epidemiology], Female, Geriatric Assessment/sn [Statistics & Numerical Data], Home Care Services/es [Ethics], Humans, Male, Malnutrition/ep [Epidemiology], Severity of Illness Index
Abstract

The aim of this study was to compare unintended weight loss in cancer patients to other elderly. Home care users, aged >65 from urban areas at 11 sites in Europe (N=4010) were assessed with the Resident Assessment Instrument for Home Care. Epidemiological and medical characteristics of clients and service utilization were recorded. A total of 321 (8%) patients had a cancer diagnosis; they were on average 80.4+/-7.3 years. Socio-demographic, functional and clinical parameters revealed small variations in the two groups. Compared to the non-cancer group, they more frequently suffered from: severe malnutrition (odds ratio=OR=2.4) unintended weight loss (OR=2.0), had been hospitalized during the last 6 months (OR=1.8). Older patients with cancer suffer more frequently from problems associated with nutrition than non-cancer patients. A comprehensive assessment could lead to better management of food and fluid supply based on basic ethical principles.Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

DOI10.1016/j.archger.2010.05.001
Link

https://www.ncbi.nlm.nih.gov/pubmed/20569997

Alternate JournalArch Gerontol Geriatr