The assessment, management, and reporting of falls, and the impact of falls on cancer treatment in community-dwelling older patients receiving cancer treatment: Results from a mixed-methods study

Journal of Geriatric Oncology
Schroder SattarMartine T E Puts

Abstract

Falls are major health issues among older adults and even more so in those with cancer due to cancer and its treatment. Delays in cancer treatment caused by fall injuries may have significant implications on disease trajectory and patient outcomes. However, it is not known how falls impact cancer treatment in this population. We conducted a convergent-parallel mixed-methods study at the Princess Margaret Cancer Centre in Toronto, Canada, to examine how falls impact cancer treatment in community-dwelling cancer patients aged ≥ 65, patients' fall reporting, and how falls were assessed and managed in oncology clinics. Data were collected by self-reported survey, chart review, and open-ended interviews. One hundred older adults and fourteen oncologists participated. Falls were not commonly reported by patients to their oncologists (72 of 168 falls [43%] reported to researchers by patients were also reported to oncologists). One of fourteen oncologists routinely assessed falls. In 7% of all 72 reported falls, cancer treatment was impacted (e.g. treatment delay/cessation, dose reduction). Fifty-seven patients perceived their fall as minor incident not worth mentioning (amounted to a total of 72 falls not reported). When a participant...Continue Reading

Citations

Jul 17, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S SattarS Alibhai
May 18, 2019·American Society of Clinical Oncology Educational Book·Allison MagnusonKelly M Trevino
May 25, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Daniel S ChildsAminah Jatoi
Mar 2, 2021·Dental Clinics of North America·Roseann Mulligan, Piedad Suarez Durall
Jul 29, 2019·Journal of Geriatric Oncology·Kelley R CovingtonMackenzi Pergolotti

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