Patient-Reported Symptom Burden After Cancer Surgery in Older Adults: A Population-Level Analysis

Background Older adults have unique needs for supportive care after surgery. We examined symptom trajectories and factors associated with high symptom burden after cancer surgery in older adults. Patients and Methods We conducted a population-level study of patients ≥ 70 years old undergoing cancer surgery (2007–2018) using prospectively collected Edmonton Symptom Assessment System (ESAS) scores. The monthly prevalence of moderate to severe symptoms (ESAS ≥ 4) for anxiety, depression, drowsiness, lack of appetite, nausea, pain, shortness of breath, tiredness, and poor wellbeing was computed over 12 months after surgery. Results Among 48,748 patients, 234,420 ESAS scores were recorded over 12 months after surgery. Moderate to severe tiredness (57.8%), poor wellbeing (51.9%), and lack of appetite (39.3%) were most common. The proportion of patients with moderate to severe symptoms was stable over the 1 month prior to and 12 months after surgery (< 5% variation for each symptom). There was no clinically significant change (< 5%) in symptom trajectory with the initiation of adjuvant therapy. Conclusions Patient-reported symptom burden was stable for up to 1 year after cancer surgery among older adults. Neither surgery nor adjuvant therapy coincided with a worsening in symptom burden. However, the persistence of symptoms at 1 year may suggest gaps in supportive care for older adults. This information on symptom trajectory and predictors of high symptom burden is important to set appropriate expectations and improve patient counseling, recovery care pathways, and proactive symptom management for older adults after cancer surgery..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Annals of surgical oncology - 30(2022), 2 vom: 06. Sept., Seite 694-708

Sprache:

Englisch

Beteiligte Personen:

Hallet, Julie [VerfasserIn]
Zuckerman, Jesse [VerfasserIn]
Guttman, Matthew P. [VerfasserIn]
Chesney, Tyler R. [VerfasserIn]
Haas, Barbara [VerfasserIn]
Mahar, Alyson [VerfasserIn]
Eskander, Antoine [VerfasserIn]
Chan, Wing C. [VerfasserIn]
Hsu, Amy [VerfasserIn]
Barabash, Victoria [VerfasserIn]
Coburn, Natalie [VerfasserIn]

Links:

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Anmerkungen:

© Society of Surgical Oncology 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1245/s10434-022-12486-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2133216987

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