Article (Scientific journals)
Unplanned hospitalizations in older patients with cancer: Occurrence and predictive factors
Lodewijckx, Elke; Kenis, Cindy; Flamaing, Johan et al.
2021In Journal of Geriatric Oncology, 12 (3), p. 368-374
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Abstract :
[en] BACKGROUND: This study aims to investigate the occurrence of unplanned hospitalizations in older patients with cancer and to determine predictive factors. METHODS: A prospective Belgian multicentre (n = 22), observational cohort study was performed. Patients ≥70 years with a malignant tumor were included. Patients underwent G8 screening followed by geriatric assessment (GA) if abnormal at baseline and were followed for unplanned hospitalizations at approximately three months. Uni- and multivariable regression models were performed to determine predictive factors associated with unplanned hospitalizations in older patients with an abnormal G8. RESULTS: In total, 7763 patients were included in the current analysis of which 2409 (31%) patients with a normal G8 score and 5354 (69%) with an abnormal G8 score. Patients with an abnormal G8 were hospitalized more frequently than patients with a normal G8 (22.9% versus 12.4%; p < 0.0001). Reasons for unplanned hospitalizations were most frequently cancer related (25.7%) or cancer therapy related (28%). In multivariable analysis, predictive factors for unplanned hospitalizations in older patients with cancer and an abnormal G8 were female gender, absence of surgery, chemotherapy, ADL dependency, malnutrition and presence of comorbidities. CONCLUSION: Older patients with cancer and an abnormal G8 screening present a higher risk (23%) for unplanned hospitalizations. Predictive factors for these patients were identified and include not only patient and treatment related factors but also GA related factors.
Disciplines :
Oncology
Author, co-author :
Lodewijckx, Elke
Kenis, Cindy
Flamaing, Johan
Debruyne, Philip
De Groof, Inge
Focan, Christian
Cornélis, Frank
Verschaeve, Vincent
Bachmann, Christian
Bron, Dominique
Luce, Sylvie
Debugne, Gwenaelle
Van den Bulck, Heidi
Goeminne, Jean-Charles
Schrijvers, Dirk
Geboers, Katrien
Petit, Benedicte
Langenaeken, Christine
Van Rijswijk, Ruud
Specenier, Pol
Jerusalem, Guy  ;  Université de Liège - ULiège > Département des sciences cliniques > Oncologie
Praet, Jean-Philippe
Vandenborre, Katherine
Lobele, Jean-Pierre
Milisen, Koen
Wildiers, Hans
Decoster, Lore
More authors (17 more) Less
Language :
English
Title :
Unplanned hospitalizations in older patients with cancer: Occurrence and predictive factors
Publication date :
2021
Journal title :
Journal of Geriatric Oncology
ISSN :
1879-4068
eISSN :
1879-4076
Publisher :
Elsevier, Amsterdam, Netherlands
Volume :
12
Issue :
3
Pages :
368-374
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 01 May 2021

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