Background
The aim is to describe the association of functional capacity and cognitive functioning with 1-year mortality in older patients with cancer in the head and neck region.
Methods
We performed a cohort study in which all patients aged 70 years and older received a geriatric screening before treatment. Main outcome was 1-year mortality.
Results
A total of 102 patients were included. Median age was 78.7 years (interquartile range [IQR], 72.3-84.5), 25% were cognitive impaired, 40% were malnourished, and 28.4% used a walking device. Overall, 1-year mortality was 42.3%. Male sex (hazard ratio [HR], 4.30; 95% confidence interval [CI], 1.35-13.67), malnutrition (HR, 2.55; 95% CI, 1.19-5.16), and using a walking device (HR, 2.80; 95% CI 1.13-6.93) were associated with higher mortality risk, independent of stage and comorbidities.
Conclusion
In older patients with head and neck cancer, the mortality rates are high. Nutritional status and mobility are determinants of 1-year mortality, independent of tumor stage, age, and comorbidity.
Overzicht publicatie
Titel | Geriatric assessment and 1-year mortality in older patients with cancer in the head and neck region: A cohort study |
Datum | 28 februari 2019 |
Tijdschrift naam | Head & Neck |
Tijdschrift nummer | 2019 Aug; 41(8):2477-2483. doi: 10.1002/hed.25714. Epub 2019 Feb 28. PubMed PMID: 30816619; PubMed Central PMCID: PMC6766841 |
Auteurs | |
Lees verder | Lees publicatie |