Objectives To estimate the prevalence of malnutrition in elderly cancer patients and its association with frailty and primary cancer treatment recommendations in patients with the two most prevalent cancers(colorectal...Objectives To estimate the prevalence of malnutrition in elderly cancer patients and its association with frailty and primary cancer treatment recommendations in patients with the two most prevalent cancers(colorectal cancer,CRC and breast cancer,BC)in the Centre-Val de Loire region of France.Methods The entire cohort of 704 patients aged 75 years or older presenting with cancer who underwent comprehensive geriatric assessment(CGA)between 2014 and 2017 was included.Nutritional status,frailty(defined by the Balducci classification system based on CGA parameters and comorbidity),and pathological criteria were analyzed in terms of the cancer treatment recommendations suggested by geriatricians both in the whole cohort and in those with CRC and BC.Results In the whole group of 704 patients(84.3+/-4.8 years),the prevalence of malnutrition was 62.9%,and was higher in CRC than in BC patients(71.1%vs 55.4%,P<0.01).In a multivariate analysis,malnutrition and frailty(as determined by the Balducci classification system)were independently related in CRC patients(OR:7.28,95%CI,1.58~34.03;P=0.012)and were unrelated to metastasis[odds ratio(OR):1.34,95%CI,0.56~3.18;P=0.5].By contrast,malnutrition in BC patients was related exclusively to the extent of metastasis(OR:3.52,95%CI,1.50~8.24;P=0.002).It was also demonstrated that geriatricians had a greater tendency to suggest only palliative care to CRC patients presenting with malnutrition(15.4%vs 2.7%,P=0.006)than to BC patients(9.8%vs 5.4%,NS).Conclusion Malnutrition in elderly cancer patients is prevalent,especially in those with colorectal cancer,where malnutrition is frailty-related and may strongly impact on cancer treatment strategies.展开更多
<span style="font-family:Verdana;">Healthcare monitoring and analysis of healthcare parameters is a reality to reduce costs and increase access to specialist and experts that holds the future for geria...<span style="font-family:Verdana;">Healthcare monitoring and analysis of healthcare parameters is a reality to reduce costs and increase access to specialist and experts that holds the future for geriatric care in India. This paper proposes distinct methods towards the implementation of rural elder health information technologies (IT), which includes electronic medical records, clinical decision support, mobile medical applications, and software driven medical devices used in the diagnosis or treatment of disease for the older adult population in the villages of India. </span><span style="font-family:Verdana;">The purpose is online patient satisfaction at the microlev</span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">el</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> (village pan</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">chayat) through methods accessible and affordable by establishing a common standard of operations at the village primary care units giving way to early disease detection and routine screening among the aged population avoiding institutionalization. The rural elder health IT framework is of great interest for all stakeholders in the field, as it benefits the investors and the consumers, adding to the technological infrastructure, thereby opening new avenues of research in health informatics, telemedicine and enhancing the scope of geriatric research, which in turn enhances the health-related quality of life for the rural older adults in the remote villages of the nation.</span></span></span>展开更多
Background: Although the number of older immigrants and the prevalence of elder abuse are increasing in Canada, little is known about their experience of risk factors for elder abuse. This study examined Arabic-speaki...Background: Although the number of older immigrants and the prevalence of elder abuse are increasing in Canada, little is known about their experience of risk factors for elder abuse. This study examined Arabic-speaking older immigrants’ perception of the factors that increase the risk for elder abuse. Methods: Older Arabic-speaking women (n = 24) and men (n = 31) completed a questionnaire that inquired about the perceived frequency and importance of factors that contribute to elder abuse. Descriptive statistics were used to analyze the data. Results: Older women identified lack of English language proficiency, social isolation, and financial dependence as the most frequent, and lack of English language proficiency, income, and sponsorship status as the most important risk factors. Older men rated social isolation, lack of English language proficiency, and financial dependence as the most frequent, and social isolation, racialized, cultural or ethnic group status, and lack of English language proficiency as the most important factors contributing to elder abuse. Conclusion: Offering language-specific services, designing tailored outreach programs to address social isolation, and addressing systemic barriers that create financial dependence can help prevent elder abuse in Arabic-speaking immigrant communities.展开更多
文摘Objectives To estimate the prevalence of malnutrition in elderly cancer patients and its association with frailty and primary cancer treatment recommendations in patients with the two most prevalent cancers(colorectal cancer,CRC and breast cancer,BC)in the Centre-Val de Loire region of France.Methods The entire cohort of 704 patients aged 75 years or older presenting with cancer who underwent comprehensive geriatric assessment(CGA)between 2014 and 2017 was included.Nutritional status,frailty(defined by the Balducci classification system based on CGA parameters and comorbidity),and pathological criteria were analyzed in terms of the cancer treatment recommendations suggested by geriatricians both in the whole cohort and in those with CRC and BC.Results In the whole group of 704 patients(84.3+/-4.8 years),the prevalence of malnutrition was 62.9%,and was higher in CRC than in BC patients(71.1%vs 55.4%,P<0.01).In a multivariate analysis,malnutrition and frailty(as determined by the Balducci classification system)were independently related in CRC patients(OR:7.28,95%CI,1.58~34.03;P=0.012)and were unrelated to metastasis[odds ratio(OR):1.34,95%CI,0.56~3.18;P=0.5].By contrast,malnutrition in BC patients was related exclusively to the extent of metastasis(OR:3.52,95%CI,1.50~8.24;P=0.002).It was also demonstrated that geriatricians had a greater tendency to suggest only palliative care to CRC patients presenting with malnutrition(15.4%vs 2.7%,P=0.006)than to BC patients(9.8%vs 5.4%,NS).Conclusion Malnutrition in elderly cancer patients is prevalent,especially in those with colorectal cancer,where malnutrition is frailty-related and may strongly impact on cancer treatment strategies.
文摘<span style="font-family:Verdana;">Healthcare monitoring and analysis of healthcare parameters is a reality to reduce costs and increase access to specialist and experts that holds the future for geriatric care in India. This paper proposes distinct methods towards the implementation of rural elder health information technologies (IT), which includes electronic medical records, clinical decision support, mobile medical applications, and software driven medical devices used in the diagnosis or treatment of disease for the older adult population in the villages of India. </span><span style="font-family:Verdana;">The purpose is online patient satisfaction at the microlev</span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">el</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> (village pan</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">chayat) through methods accessible and affordable by establishing a common standard of operations at the village primary care units giving way to early disease detection and routine screening among the aged population avoiding institutionalization. The rural elder health IT framework is of great interest for all stakeholders in the field, as it benefits the investors and the consumers, adding to the technological infrastructure, thereby opening new avenues of research in health informatics, telemedicine and enhancing the scope of geriatric research, which in turn enhances the health-related quality of life for the rural older adults in the remote villages of the nation.</span></span></span>
文摘Background: Although the number of older immigrants and the prevalence of elder abuse are increasing in Canada, little is known about their experience of risk factors for elder abuse. This study examined Arabic-speaking older immigrants’ perception of the factors that increase the risk for elder abuse. Methods: Older Arabic-speaking women (n = 24) and men (n = 31) completed a questionnaire that inquired about the perceived frequency and importance of factors that contribute to elder abuse. Descriptive statistics were used to analyze the data. Results: Older women identified lack of English language proficiency, social isolation, and financial dependence as the most frequent, and lack of English language proficiency, income, and sponsorship status as the most important risk factors. Older men rated social isolation, lack of English language proficiency, and financial dependence as the most frequent, and social isolation, racialized, cultural or ethnic group status, and lack of English language proficiency as the most important factors contributing to elder abuse. Conclusion: Offering language-specific services, designing tailored outreach programs to address social isolation, and addressing systemic barriers that create financial dependence can help prevent elder abuse in Arabic-speaking immigrant communities.
