BACKGROUND: Patients experience reductions in quality of life (QOL) while receiving cancer treatment and several approaches have been proposed to address QOL issues. In this project, the QOL differences between older adult (age 65+) and younger adult (age 18-64) advanced cancer patients in response to a multidisciplinary intervention designed to improve QOL were examined. METHODS: This study was registered on ClinicalTrials.gov, NCT01360814. Newly diagnosed advanced cancer patients undergoing radiation therapy were randomized to active QOL intervention or control groups. Those in the intervention group received six multidisciplinary 90-minute sessions designed to address the five major domains of QOL. Outcomes measured at baseline and weeks 4, 27, and 52 included QOL (Linear Analogue Self-Assessment (LASA), Functional Assessment of Cancer Therapy-General (FACT-G)) and mood (Profile of Mood States (POMS)). Kruskall-Wallis methodology was used to compare scores between older and younger adult patients randomized to the intervention. RESULTS: Of 131 patients in the larger randomized controlled study, we report data on 54 evaluable patients (16 older adults and 38 younger adults) randomized to the intervention. Older adult patients reported better overall QOL (LASA 74.4 vs. 62.9, p = 0.040), higher social well-being (FACT-G 91.1 vs. 83.3, p = 0.045), and fewer problems with anger (POMS anger-hostility 95.0 vs. 86.4, p = 0.028). Long-term benefits for older patients were seen in the anger-hostility scale at week 27 (92.2 vs. 84.2, p = 0.027) and week 52 (96.3 vs. 85.9, p = 0.005). CONCLUSIONS:Older adult patients who received amultidisciplinary intervention to improve QOL while undergoing advanced cancer treatments benefited differently in some QOL domains, compared to younger adult patients. Future studies can provide further insight on how to tailor QOL interventions for these age groups.
RCT Entities:
BACKGROUND:Patients experience reductions in quality of life (QOL) while receiving cancer treatment and several approaches have been proposed to address QOL issues. In this project, the QOL differences between older adult (age 65+) and younger adult (age 18-64) advanced cancerpatients in response to a multidisciplinary intervention designed to improve QOL were examined. METHODS: This study was registered on ClinicalTrials.gov, NCT01360814. Newly diagnosed advanced cancerpatients undergoing radiation therapy were randomized to active QOL intervention or control groups. Those in the intervention group received six multidisciplinary 90-minute sessions designed to address the five major domains of QOL. Outcomes measured at baseline and weeks 4, 27, and 52 included QOL (Linear Analogue Self-Assessment (LASA), Functional Assessment of Cancer Therapy-General (FACT-G)) and mood (Profile of Mood States (POMS)). Kruskall-Wallis methodology was used to compare scores between older and younger adult patients randomized to the intervention. RESULTS: Of 131 patients in the larger randomized controlled study, we report data on 54 evaluable patients (16 older adults and 38 younger adults) randomized to the intervention. Older adult patients reported better overall QOL (LASA 74.4 vs. 62.9, p = 0.040), higher social well-being (FACT-G 91.1 vs. 83.3, p = 0.045), and fewer problems with anger (POMS anger-hostility 95.0 vs. 86.4, p = 0.028). Long-term benefits for older patients were seen in the anger-hostility scale at week 27 (92.2 vs. 84.2, p = 0.027) and week 52 (96.3 vs. 85.9, p = 0.005). CONCLUSIONS: Older adult patients who received a multidisciplinary intervention to improve QOL while undergoing advanced cancer treatments benefited differently in some QOL domains, compared to younger adult patients. Future studies can provide further insight on how to tailor QOL interventions for these age groups.
Authors: L B Wenzel; D L Fairclough; M J Brady; D Cella; K M Garrett; B C Kluhsman; L A Crane; A C Marcus Journal: Cancer Date: 1999-11-01 Impact factor: 6.860
Authors: Laurel L Northouse; Darlene W Mood; Ann Schafenacker; Gregory Kalemkerian; Mark Zalupski; Patricia LoRusso; Daniel F Hayes; Maha Hussain; John Ruckdeschel; A Mark Fendrick; Peter C Trask; David L Ronis; Trace Kershaw Journal: Psychooncology Date: 2012-01-31 Impact factor: 3.894
Authors: Matthew M Clark; Teresa A Rummans; Pamela J Atherton; Andrea L Cheville; Mary E Johnson; Marlene H Frost; Janis J Miller; Jeff A Sloan; Karen M Graszer; Jean G Haas; Jean M Hanson; Yolanda I Garces; Katherine M Piderman; Maria I Lapid; Pamela J Netzel; Jarrett W Richardson; Paul D Brown Journal: Cancer Date: 2012-08-28 Impact factor: 6.860
Authors: Teresa A Rummans; Matthew M Clark; Jeff A Sloan; Marlene H Frost; John Michael Bostwick; Pamela J Atherton; Mary E Johnson; Gail Gamble; Jarrett Richardson; Paul Brown; James Martensen; Janis Miller; Katherine Piderman; Mashele Huschka; Jean Girardi; Jean Hanson Journal: J Clin Oncol Date: 2006-02-01 Impact factor: 44.544
Authors: Maria I Lapid; Teresa A Rummans; Paul D Brown; Marlene H Frost; Mary E Johnson; Mashele M Huschka; Jeff A Sloan; Jarrett W Richardson; Jean M Hanson; Matthew M Clark Journal: Palliat Support Care Date: 2007-06
Authors: Nathan A Berger; Panos Savvides; Siran M Koroukian; Eva F Kahana; Gary T Deimling; Julia H Rose; Karen F Bowman; Robert H Miller Journal: Trans Am Clin Climatol Assoc Date: 2006
Authors: Ryan D Nipp; Joseph A Greer; Areej El-Jawahri; Lara Traeger; Emily R Gallagher; Elyse R Park; Vicki A Jackson; William F Pirl; Jennifer S Temel Journal: Oncologist Date: 2015-11-30
Authors: Sarah A Wall; Erin Stevens; Jennifer Vaughn; Naresh Bumma; Ashley E Rosko; Uma Borate Journal: Curr Hematol Malig Rep Date: 2022-01-13 Impact factor: 4.213