Falls in older adults with cancer: an updated systematic review of prevalence, injurious falls, and impact on cancer treatment
Purpose This update of our 2016 systematic review answers the following questions: (1) How often do older adults with cancer fall? (2) What are the predictors for falls? (3) What are the rates and predictors of injurious falls? (4) What are the circumstances and outcomes of falls? (5) How do falls in older patients affect subsequent cancer treatment? and a new research question, (6) Which fall reduction interventions are efficacious in this population? Methods MEDLINE, PubMed, CINAHL, and Embase were searched (September 2015–January 25, 2019). Eligible studies included clinical trials and cohort, case-control, and cross-sectional studies published in English in which the sample (or subgroup) included adults aged ≥ 60, with cancer, in whom falls were examined as an outcome. Results A total of 2521 titles were reviewed, 67 full-text articles were screened for eligibility, and 30 new studies were identified. The majority involved the outpatient setting (n = 19) utilizing cross-sectional method (n = 18). Sample size ranged from 21 to 17,958. Fall rates ranged from 1.52 to 3.41% per 1000 patient days (inpatient setting) and from 39%/24 months to 64%/12 months (outpatient setting). One out of the 6 research questions contributed to a new finding: one study reported that 1 in 20 older patients experienced impact on cancer treatment due to falls. No consistent predictors for falls/fall injuries and no studies on fall reduction interventions in the geriatric oncology setting were identified. Conclusion This updated review highlights a new gap in knowledge pertaining to interventions to prevent falls. Additionally, new knowledge also emerged in terms of impact of falls on cancer treatment; however, further research may increase generalizability. Falls and fall-related injuries are common in older adults with cancer and may affect subsequent cancer treatment. Further studies on predictors of falls, subsequent impacts, and fall reduction in the oncology setting are warranted..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
|---|---|
| Enthalten in: |
Supportive care in cancer - 29(2020), 1 vom: 16. Juli, Seite 21-33 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Sattar, S. [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| Themen: |
|---|
| Anmerkungen: |
© Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
|---|
| doi: |
10.1007/s00520-020-05619-2 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2121464441 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2121464441 | ||
| 003 | DE-627 | ||
| 005 | 20230504184305.0 | ||
| 007 | tu | ||
| 008 | 230504s2020 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00520-020-05619-2 |2 doi | |
| 035 | |a (DE-627)OLC2121464441 | ||
| 035 | |a (DE-He213)s00520-020-05619-2-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 100 | 1 | |a Sattar, S. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Falls in older adults with cancer: an updated systematic review of prevalence, injurious falls, and impact on cancer treatment |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © Springer-Verlag GmbH Germany, part of Springer Nature 2020 | ||
| 520 | |a Purpose This update of our 2016 systematic review answers the following questions: (1) How often do older adults with cancer fall? (2) What are the predictors for falls? (3) What are the rates and predictors of injurious falls? (4) What are the circumstances and outcomes of falls? (5) How do falls in older patients affect subsequent cancer treatment? and a new research question, (6) Which fall reduction interventions are efficacious in this population? Methods MEDLINE, PubMed, CINAHL, and Embase were searched (September 2015–January 25, 2019). Eligible studies included clinical trials and cohort, case-control, and cross-sectional studies published in English in which the sample (or subgroup) included adults aged ≥ 60, with cancer, in whom falls were examined as an outcome. Results A total of 2521 titles were reviewed, 67 full-text articles were screened for eligibility, and 30 new studies were identified. The majority involved the outpatient setting (n = 19) utilizing cross-sectional method (n = 18). Sample size ranged from 21 to 17,958. Fall rates ranged from 1.52 to 3.41% per 1000 patient days (inpatient setting) and from 39%/24 months to 64%/12 months (outpatient setting). One out of the 6 research questions contributed to a new finding: one study reported that 1 in 20 older patients experienced impact on cancer treatment due to falls. No consistent predictors for falls/fall injuries and no studies on fall reduction interventions in the geriatric oncology setting were identified. Conclusion This updated review highlights a new gap in knowledge pertaining to interventions to prevent falls. Additionally, new knowledge also emerged in terms of impact of falls on cancer treatment; however, further research may increase generalizability. Falls and fall-related injuries are common in older adults with cancer and may affect subsequent cancer treatment. Further studies on predictors of falls, subsequent impacts, and fall reduction in the oncology setting are warranted. | ||
| 650 | 4 | |a Cancer treatment | |
| 650 | 4 | |a Falls | |
| 650 | 4 | |a Geriatric oncology | |
| 650 | 4 | |a Systematic review | |
| 700 | 1 | |a Haase, K. |4 aut | |
| 700 | 1 | |a Kuster, S. |4 aut | |
| 700 | 1 | |a Puts, M. |4 aut | |
| 700 | 1 | |a Spoelstra, S. |4 aut | |
| 700 | 1 | |a Bradley, C. |4 aut | |
| 700 | 1 | |a Wildes, T. M. |4 aut | |
| 700 | 1 | |a Alibhai, S. |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Supportive care in cancer |d Springer Berlin Heidelberg, 1993 |g 29(2020), 1 vom: 16. Juli, Seite 21-33 |w (DE-627)170972038 |w (DE-600)1134446-5 |w (DE-576)032868545 |x 0941-4355 |7 nnns |
| 773 | 1 | 8 | |g volume:29 |g year:2020 |g number:1 |g day:16 |g month:07 |g pages:21-33 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s00520-020-05619-2 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a GBV_ILN_2018 | ||
| 912 | |a GBV_ILN_4277 | ||
| 951 | |a AR | ||
| 952 | |d 29 |j 2020 |e 1 |b 16 |c 07 |h 21-33 | ||