Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences
Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada...
Gespeichert in:
| Veröffentlicht in: | Cancers 2024-04, Vol.16 (8), p.1477 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 8 |
| container_start_page | 1477 |
| container_title | Cancers |
| container_volume | 16 |
| creator | Kim, Valerie S Carrozzi, Anthony Papadopoulos, Efthymios Tejero, Isabel Thiruparanathan, Thirisangi Perlis, Nathan Hope, Andrew J Jang, Raymond W Alibhai, Shabbir M H |
| description | Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada, where MCCs spanning five tumour sites were attended over six months. For presentations pertaining to a patient aged 75 or older, a standardized data collection form was used to record their demographic, cancer-related, and non-cancer-related information, as well as the presenter's specialty and training level. Descriptive statistics and thematic analysis were employed to explore MCC depictions of older patients (
= 75). Frailty status was explicitly mentioned in 20.0% of presentations, but discussions more frequently referenced comorbidity burden (50.7%), age (33.3%), and projected treatment tolerance (30.7%) as surrogate measures. None of the presentations included mentions of formal geriatric assessment (GA) or validated frailty tools; instead, presenters tended to feature select GA domains and subjective descriptions of appearance ("looks to be fit") or overall health ("relatively healthy"). In general, MCCs appeared to rely on age-focused language that may perpetuate ageism. Further work is needed to investigate how frailty and geriatric considerations can be objectively incorporated into discussions in geriatric oncology. |
| doi_str_mv | 10.3390/cancers16081477 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3047951436</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3046719335</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-4861a9cad6a85f840310b7dd64d828e0c70dd68050eb7a9041c3476583bc6ef03</originalsourceid><addsrcrecordid>eNpdkL1PwzAQxS0Eoqh0ZkOWWFhC7dixnRGF8iEVlYGuRI5zKalSJ9iJBP89Li0I9ZZ7J_3u9O4hdEHJDWMpmRptDThPBVGUS3mEzmIi40iIlB__0yM08X5NQjFGpZCnaMSUkHGSpGfobfbZNa2r7Qr374Dn2q4GvQK89FDivsV34I2rC8CLpgSHX3Rfg-091j1-Hpq-Lmtv6q6prXZfOPsxhLPWVuAgaH-OTirdeJjs-xgt72ev2WM0Xzw8ZbfzyLCY9BFXgurU6FJolVSKE0ZJIctS8FLFCoiRJAyKJAQKqVPCqWFcikSxwgioCBuj693dzrUfA_g-3wRj0DTaQjv4nBEu04RyJgJ6dYCu28HZ4G5LCUlTxpJATXeUca33Dqq8c_UmPJlTkm_Tzw_SDxuX-7tDsYHyj__Nmn0D6RyAhA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3046719335</pqid></control><display><type>article</type><title>Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><creator>Kim, Valerie S ; Carrozzi, Anthony ; Papadopoulos, Efthymios ; Tejero, Isabel ; Thiruparanathan, Thirisangi ; Perlis, Nathan ; Hope, Andrew J ; Jang, Raymond W ; Alibhai, Shabbir M H</creator><creatorcontrib>Kim, Valerie S ; Carrozzi, Anthony ; Papadopoulos, Efthymios ; Tejero, Isabel ; Thiruparanathan, Thirisangi ; Perlis, Nathan ; Hope, Andrew J ; Jang, Raymond W ; Alibhai, Shabbir M H</creatorcontrib><description>Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada, where MCCs spanning five tumour sites were attended over six months. For presentations pertaining to a patient aged 75 or older, a standardized data collection form was used to record their demographic, cancer-related, and non-cancer-related information, as well as the presenter's specialty and training level. Descriptive statistics and thematic analysis were employed to explore MCC depictions of older patients (
= 75). Frailty status was explicitly mentioned in 20.0% of presentations, but discussions more frequently referenced comorbidity burden (50.7%), age (33.3%), and projected treatment tolerance (30.7%) as surrogate measures. None of the presentations included mentions of formal geriatric assessment (GA) or validated frailty tools; instead, presenters tended to feature select GA domains and subjective descriptions of appearance ("looks to be fit") or overall health ("relatively healthy"). In general, MCCs appeared to rely on age-focused language that may perpetuate ageism. Further work is needed to investigate how frailty and geriatric considerations can be objectively incorporated into discussions in geriatric oncology.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers16081477</identifier><identifier>PMID: 38672559</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Cancer ; Cancer therapies ; Chemotherapy ; Comorbidity ; Data collection ; Decision making ; Frailty ; Geriatrics ; Language ; Medical students ; Meetings ; Older people ; Oncology ; Patients ; Statistical analysis ; Terminology ; Training level ; Tumors ; Variables</subject><ispartof>Cancers, 2024-04, Vol.16 (8), p.1477</ispartof><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-4861a9cad6a85f840310b7dd64d828e0c70dd68050eb7a9041c3476583bc6ef03</cites><orcidid>0000-0001-7779-832X ; 0000-0001-7815-6046</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38672559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Valerie S</creatorcontrib><creatorcontrib>Carrozzi, Anthony</creatorcontrib><creatorcontrib>Papadopoulos, Efthymios</creatorcontrib><creatorcontrib>Tejero, Isabel</creatorcontrib><creatorcontrib>Thiruparanathan, Thirisangi</creatorcontrib><creatorcontrib>Perlis, Nathan</creatorcontrib><creatorcontrib>Hope, Andrew J</creatorcontrib><creatorcontrib>Jang, Raymond W</creatorcontrib><creatorcontrib>Alibhai, Shabbir M H</creatorcontrib><title>Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada, where MCCs spanning five tumour sites were attended over six months. For presentations pertaining to a patient aged 75 or older, a standardized data collection form was used to record their demographic, cancer-related, and non-cancer-related information, as well as the presenter's specialty and training level. Descriptive statistics and thematic analysis were employed to explore MCC depictions of older patients (
= 75). Frailty status was explicitly mentioned in 20.0% of presentations, but discussions more frequently referenced comorbidity burden (50.7%), age (33.3%), and projected treatment tolerance (30.7%) as surrogate measures. None of the presentations included mentions of formal geriatric assessment (GA) or validated frailty tools; instead, presenters tended to feature select GA domains and subjective descriptions of appearance ("looks to be fit") or overall health ("relatively healthy"). In general, MCCs appeared to rely on age-focused language that may perpetuate ageism. Further work is needed to investigate how frailty and geriatric considerations can be objectively incorporated into discussions in geriatric oncology.</description><subject>Age</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Comorbidity</subject><subject>Data collection</subject><subject>Decision making</subject><subject>Frailty</subject><subject>Geriatrics</subject><subject>Language</subject><subject>Medical students</subject><subject>Meetings</subject><subject>Older people</subject><subject>Oncology</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Terminology</subject><subject>Training level</subject><subject>Tumors</subject><subject>Variables</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkL1PwzAQxS0Eoqh0ZkOWWFhC7dixnRGF8iEVlYGuRI5zKalSJ9iJBP89Li0I9ZZ7J_3u9O4hdEHJDWMpmRptDThPBVGUS3mEzmIi40iIlB__0yM08X5NQjFGpZCnaMSUkHGSpGfobfbZNa2r7Qr374Dn2q4GvQK89FDivsV34I2rC8CLpgSHX3Rfg-091j1-Hpq-Lmtv6q6prXZfOPsxhLPWVuAgaH-OTirdeJjs-xgt72ev2WM0Xzw8ZbfzyLCY9BFXgurU6FJolVSKE0ZJIctS8FLFCoiRJAyKJAQKqVPCqWFcikSxwgioCBuj693dzrUfA_g-3wRj0DTaQjv4nBEu04RyJgJ6dYCu28HZ4G5LCUlTxpJATXeUca33Dqq8c_UmPJlTkm_Tzw_SDxuX-7tDsYHyj__Nmn0D6RyAhA</recordid><startdate>20240412</startdate><enddate>20240412</enddate><creator>Kim, Valerie S</creator><creator>Carrozzi, Anthony</creator><creator>Papadopoulos, Efthymios</creator><creator>Tejero, Isabel</creator><creator>Thiruparanathan, Thirisangi</creator><creator>Perlis, Nathan</creator><creator>Hope, Andrew J</creator><creator>Jang, Raymond W</creator><creator>Alibhai, Shabbir M H</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7779-832X</orcidid><orcidid>https://orcid.org/0000-0001-7815-6046</orcidid></search><sort><creationdate>20240412</creationdate><title>Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences</title><author>Kim, Valerie S ; Carrozzi, Anthony ; Papadopoulos, Efthymios ; Tejero, Isabel ; Thiruparanathan, Thirisangi ; Perlis, Nathan ; Hope, Andrew J ; Jang, Raymond W ; Alibhai, Shabbir M H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-4861a9cad6a85f840310b7dd64d828e0c70dd68050eb7a9041c3476583bc6ef03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Comorbidity</topic><topic>Data collection</topic><topic>Decision making</topic><topic>Frailty</topic><topic>Geriatrics</topic><topic>Language</topic><topic>Medical students</topic><topic>Meetings</topic><topic>Older people</topic><topic>Oncology</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Terminology</topic><topic>Training level</topic><topic>Tumors</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Valerie S</creatorcontrib><creatorcontrib>Carrozzi, Anthony</creatorcontrib><creatorcontrib>Papadopoulos, Efthymios</creatorcontrib><creatorcontrib>Tejero, Isabel</creatorcontrib><creatorcontrib>Thiruparanathan, Thirisangi</creatorcontrib><creatorcontrib>Perlis, Nathan</creatorcontrib><creatorcontrib>Hope, Andrew J</creatorcontrib><creatorcontrib>Jang, Raymond W</creatorcontrib><creatorcontrib>Alibhai, Shabbir M H</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Valerie S</au><au>Carrozzi, Anthony</au><au>Papadopoulos, Efthymios</au><au>Tejero, Isabel</au><au>Thiruparanathan, Thirisangi</au><au>Perlis, Nathan</au><au>Hope, Andrew J</au><au>Jang, Raymond W</au><au>Alibhai, Shabbir M H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2024-04-12</date><risdate>2024</risdate><volume>16</volume><issue>8</issue><spage>1477</spage><pages>1477-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>Older adults with cancer often present with distinct complexities that complicate their care, yet the language used to discuss their management at multidisciplinary cancer conferences (MCCs) remains poorly understood. A mixed methods study was conducted at a tertiary cancer centre in Toronto, Canada, where MCCs spanning five tumour sites were attended over six months. For presentations pertaining to a patient aged 75 or older, a standardized data collection form was used to record their demographic, cancer-related, and non-cancer-related information, as well as the presenter's specialty and training level. Descriptive statistics and thematic analysis were employed to explore MCC depictions of older patients (
= 75). Frailty status was explicitly mentioned in 20.0% of presentations, but discussions more frequently referenced comorbidity burden (50.7%), age (33.3%), and projected treatment tolerance (30.7%) as surrogate measures. None of the presentations included mentions of formal geriatric assessment (GA) or validated frailty tools; instead, presenters tended to feature select GA domains and subjective descriptions of appearance ("looks to be fit") or overall health ("relatively healthy"). In general, MCCs appeared to rely on age-focused language that may perpetuate ageism. Further work is needed to investigate how frailty and geriatric considerations can be objectively incorporated into discussions in geriatric oncology.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38672559</pmid><doi>10.3390/cancers16081477</doi><orcidid>https://orcid.org/0000-0001-7779-832X</orcidid><orcidid>https://orcid.org/0000-0001-7815-6046</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2072-6694 |
| ispartof | Cancers, 2024-04, Vol.16 (8), p.1477 |
| issn | 2072-6694 2072-6694 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3047951436 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Age Cancer Cancer therapies Chemotherapy Comorbidity Data collection Decision making Frailty Geriatrics Language Medical students Meetings Older people Oncology Patients Statistical analysis Terminology Training level Tumors Variables |
| title | Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T06%3A09%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Exploring%20the%20Language%20Used%20to%20Describe%20Older%20Patients%20at%20Multidisciplinary%20Cancer%20Conferences&rft.jtitle=Cancers&rft.au=Kim,%20Valerie%20S&rft.date=2024-04-12&rft.volume=16&rft.issue=8&rft.spage=1477&rft.pages=1477-&rft.issn=2072-6694&rft.eissn=2072-6694&rft_id=info:doi/10.3390/cancers16081477&rft_dat=%3Cproquest_cross%3E3046719335%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3046719335&rft_id=info:pmid/38672559&rfr_iscdi=true |