THE INFLUENCE OF ACTIVITIES OF DAILY LIVING DISABILITY ON FALLS IN OLDER CANCER SURVIVORS

INTRODUCTION: The impact of age-related comorbidity on functional mobility limitations in older cancer survivors is not known and likely varies by diagnosis. The purpose of this study was to examine activities of daily living (ADL) performance in older cancer survivors (colorectal, lung, breast, pro...

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Veröffentlicht in:Innovation in aging 2018-11, Vol.2 (suppl_1), p.605-606
Hauptverfasser: Blackwood, J, Huang, M, Pfalzer, L
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Sprache:eng
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Zusammenfassung:INTRODUCTION: The impact of age-related comorbidity on functional mobility limitations in older cancer survivors is not known and likely varies by diagnosis. The purpose of this study was to examine activities of daily living (ADL) performance in older cancer survivors (colorectal, lung, breast, prostate) undergoing active cancer treatment. METHODS: In this cross-sectional study, data from cohorts 9–14 (year 2006–2013) of the Surveillance, Epidemiology and End Results national cancer registry and Medicare Health Outcomes Survey linkage were used to examine differences in ADL (walking, getting out of a chair, toileting, bathing, dressing, or eating) performance and falls in older cancer survivors. Forward stepwise logistic regression analyses examined the contribution of ADL performance to falls by cancer type. RESULTS: In this sample of 15,367 older cancer survivors (colon: 15.4%, lung: 10.5%, breast: 26.4%, prostate: 47.7%), ADL deficits were greatest in those with lung (1.57, SD: 1.96) followed by colorectal cancers (1.36, SD: 1.84). The highest prevalence of falls (28.1%), impairments in walking (48.1%), getting out of a chair (32.4%), bathing (29.3%), and dressing (20.9%), and the highest level of comorbidity (3.98, SD: 2.4) were in lung cancer survivors. Difficulty getting out a chair or walking significantly increased the risk of falls in all cancers, but for prostate cancer, falls risk increased further when impairments in bathing and dressing are reported. DISCUSSION/CONCLUSIONS: The contribution of ADL disability on falls risk differs by cancer type. Interventions to address ADL limitations and improve functional mobility should be considered, especially in older lung cancer survivors.
ISSN:2399-5300
2399-5300
DOI:10.1093/geroni/igy023.2251