Journal of Gerontology & Geriatric Medicine Category: Medical Type: Research Article
Patient-Reports of Fatigue and Cognitive Changes in Cancer Survivors
- Melissa Frick1, Carolyn Vachani1, Christina Bach1, Karen Arnold-Korzienowski1, James Metz1, Christine Hill-Kayser2*
- 1 Department Of Radiation Oncology, University Of Pennsylvania, Philadelphia, Pennsylvania, United States
- 2 Department Of Radiation Oncology, University Of Pennsylvania, Philadelphia, Pennsylvania, Australia
*Corresponding Author:Christine Hill-Kayser
Department Of Radiation Oncology, University Of Pennsylvania, Philadelphia, Pennsylvania, Australia
Tel:+1 2156627771, +1 2158507903
Received Date: Oct 12, 2017 Accepted Date: Apr 27, 2018 Published Date: May 11, 2018
Older cancer survivors utilized an Internet-based resource for creation of survivorship care plans by their own volition, creating a convenience sample frame. The care plan program allows patients to answer a series of questions in order to generate a detailed survivorship care plan, the details of which have been described previously . Created in 2007 by a team of oncology nurses and physicians, the tool has undergone several revisions and modifications to include questions regarding patient-related outcomes and late sequela in order to provide more focused information for the user. Survivors are queried regarding their experience with perceived cognitive changes via the question “are you concerned about cognitive changes, such as memory loss, difficulty with short-term memory, concentration, or learning new skills?” and about pervasive fatigue via the question “Are you experiencing fatigue (overwhelming physical, mental or emotional exhaustion)?” Responses to these questions included “yes,” “no,” and “don't know” and were collapsed into two categories (“yes” versus “no” and “don't know”) for analysis. Survivors also provide information on demographics (age, race, gender), cancer diagnosis and cancer treatments received. We used Fisher's exact tests to assess the statistical significance of comparisons; statistical significance was defined as p<0.05. Institutional Review Board approval was obtained prior to any study proceedings. For this study, data were obtained from the survivor user database for all survivors with a diagnosis age of 75 years or older.
|Survivor Characteristics||N (%)|
|Time Since Diagnosis|
|Breast/chest wall||30 (32%)|
|Head and neck||6 (3%)|
Table 1: Characteristics of “old-old” cancer survivors utilizing an Internet-based tool for creation of survivorship care plans and providing patient-reported information on late effects.
Dx: Diagnosis; RT: Radiotherapy
CONFLICTS OF INTEREST
There are no conflicts of interest to disclose on the part of any author.
This work was funded in part by a grant from the LIVESTRONG Foundation.
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Citation:Frick M, Vachani C, Bach C, Arnold-Korzienowski K, Metz J, et al. (2018) Patient-Reports of Fatigue and Cognitive Changes in Cancer Survivors. J Gerontol Geriatr Med 4: 018.
Copyright: © 2018 Melissa Frick, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.