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Pain among older adults with gastrointestinal malignancies- results from the cancer and aging resilience evaluation (CARE) Registry.
Al-Obaidi, Mustafa; Kosmicki, Sarah; Harmon, Christian; Lobbous, Mina; Outlaw, Darryl; Khushman, Moh'd; McGwin, Gerald; Bhatia, Smita; Giri, Smith; Williams, Grant R.
Affiliation
  • Al-Obaidi M; Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder 500, Birmingham, AL, 35233, USA. mustafalobaidi@yahoo.com.
  • Kosmicki S; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Harmon C; Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder 500, Birmingham, AL, 35233, USA.
  • Lobbous M; Department of Neurology, Division of Neuro-Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Outlaw D; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Khushman M; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
  • McGwin G; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Bhatia S; Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder 500, Birmingham, AL, 35233, USA.
  • Giri S; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Williams GR; Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder 500, Birmingham, AL, 35233, USA.
Support Care Cancer ; 30(12): 9793-9801, 2022 Dec.
Article in En | MEDLINE | ID: mdl-36329186
ABSTRACT

PURPOSE:

The impact of pain on functional status and mental health among older adults with cancer is a relevant, yet understudied. We sought to identify the prevalence of pain at diagnosis in older adults with gastrointestinal (GI) malignancies and evaluate the association of pain with functional status limitations, cognition, and mental health.

METHODS:

This prospective cross-sectional study included older adults (age ≥ 60) with GI cancers enrolled in the CARE Registry. Pain measured in numeric rating scale from 0 to 10. We utilized the literature based cutoff for moderate-severe as ≥ 4. Logistic regression used to assess differences in functional status, falls, cognitive complaints, and depression/anxiety associated with moderate/severe pain, adjusted for sex, race, education, ethnicity, marital status, cancer type/stage, and treatment phase.

RESULTS:

Our cohort included 714 older adults with an average mean age of 70 years and 59% male. Common diagnoses included colorectal (27.9%) and pancreatic (18%). A total of 43.3% reported moderate/severe pain. After multivariate adjusting for covariates, participants with self-reported moderate/severe pain were more likely to report limitations in instrumental activities of daily living (adjusted odds ratio [aOR] 4.3 95% confidence interval [CI] 3.1-6.1, p < .001), limitation in activities of daily living (aOR 3.2 95% CI 2.0-5.1, p < .001), cognitive complaints (aOR 2.9 95% CI 1.4-6.0, p < .004), anxiety (aOR 2.2 95% CI 1.4-3.4, p < 0.01), and depression (aOR 3.7 95% CI 2.2-6.5, p < .001).

CONCLUSIONS:

Pain is common among older adults with GI cancers and is associated with functional status limitations, cognitive complaints, and depression/anxiety. Strategies to reduce pain and minimize its potential impact on function and mental health warrant future research.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Activities of Daily Living / Gastrointestinal Neoplasms Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Female / Humans / Male Language: En Journal: Support Care Cancer Journal subject: NEOPLASIAS / SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Activities of Daily Living / Gastrointestinal Neoplasms Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Female / Humans / Male Language: En Journal: Support Care Cancer Journal subject: NEOPLASIAS / SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: United States