Cancer in home care: unintended weight loss and ethical challenges. A cross-sectional study of older people at 11 sites in Europe

Arch Gerontol Geriatr. 2011 Jul-Aug;53(1):64-9. doi: 10.1016/j.archger.2010.05.001. Epub 2010 May 31.

Abstract

The aim of this study was to compare unintended weight loss in cancer patients to other elderly. Home care users, aged ≥65 from urban areas at 11 sites in Europe (N=4010) were assessed with the Resident Assessment Instrument for Home Care. Epidemiological and medical characteristics of clients and service utilization were recorded. A total of 321 (8%) patients had a cancer diagnosis; they were on average 80.4±7.3 years. Socio-demographic, functional and clinical parameters revealed small variations in the two groups. Compared to the non-cancer group, they more frequently suffered from: severe malnutrition (odds ratio=OR=2.4) unintended weight loss (OR=2.0), had been hospitalized during the last 6 months (OR=1.8). Older patients with cancer suffer more frequently from problems associated with nutrition than non-cancer patients. A comprehensive assessment could lead to better management of food and fluid supply based on basic ethical principles.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Europe / epidemiology
  • Female
  • Geriatric Assessment / statistics & numerical data
  • Home Care Services / ethics
  • Home Care Services / statistics & numerical data*
  • Humans
  • Male
  • Malnutrition / epidemiology
  • Neoplasms / epidemiology*
  • Severity of Illness Index
  • Weight Loss*