Swipe om te navigeren naar een ander artikel
It is generally known that health-related quality of life (HRQOL) predicts cause-specific mortality. Few studies have explored whether generic self-reported HRQOL, sociodemographic factors and illness variables are independently associated with mortality among cognitively intact nursing home (NH) residents with and without cancer. We hypothesized that sociodemographic factors and illness variables would be associated with mortality and that HRQOL, measured using the SF-36 Health Survey, would predict mortality among NH residents with and without cancer.
We followed a cohort of 227 cognitively intact (Clinical Dementia Rating scale score ≤0.5) older residents (60 with cancer and 167 without) from 30 NH from 2004–2005 to 2010. We collected data by face-to-face interview. We obtained sociodemographic variables and medical diagnoses from the records.
Survival did not differ between residents with and without cancer (P = 0.31). Twenty percent of the residents with cancer and 13% without cancer were still alive. After adjustment for sociodemographic and illness variables, increasing age (P < 0.001), higher education (P = 0.009), comorbidity (P = 0.04) and the subdimension physical functioning (P = 0.009) predicted mortality. Bodily pain was only marginally associated with mortality (P = 0.08).
Independent of cancer, HRQOL and comorbidity predicted mortality among NH residents without cognitive impairment.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Miller, T. R., & Wolinsky, F. D. (2007). Self-rated health trajectories and mortality among older adults. Journal of Gerontology B: Psychological Sciences and Social Sciences, 62(1), S22–S27. CrossRef
Rumsfeld, J. S., MaWhinney, S., McCarthy, M., Jr, Shroyer, A. L., VillaNueva, C. B., O’Brien, M., et al. (1999). Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery. JAMA, 281(14), 1298–1303. PubMedCrossRef
Tibblin, G., Svardsudd, K., Welin, L., Erikson, H., & Larsson, B. (1993). Quality of life as an outcome variable and a risk factor for total mortality and cardiovascular disease: A study of men born in 1913. Journal of Hypertension, 11(Suppl 4), S81–S86. PubMed
Kusleikaite, N., Bumblyte, I. A., Kuzminskis, V., & Vaiciuniene, R. (2010). The association between health-related quality of life and mortality among hemodialysis patients. Medicina (Kaunas), 46(8), 531–537.
Silberfarb, P. M., Anderson, K. M., Rundle, A. C., Holland, J. C., Cooper, M. R., & McIntyre, O. R. (1991). Mood and clinical status in patients with multiple myeloma. Journal of Clinical Oncology, 9(12), 2219–2224. PubMed
Myint, P. K., Smith, R. D., Luben, R. N., Surtees, P. G., Wainwright, N. W., Wareham, N. J., et al. (2010). The short-form six-dimension utility index predicted mortality in the European prospective investigation into cancer-norfolk prospective population-based study. Journal of Clinical Epidemiology, 63(2), 192–198. PubMedCrossRef
Grande, G. E., Farquhar, M. C., Barclay, S. I., & Todd, C. J. (2009). Quality of life measures (EORTC QLQ-C30 and SF-36) as predictors of survival in palliative colorectal and lung cancer patients. Palliative Support Care, 7(3), 289–297. CrossRef
Jakobsson, U., & Hallberg, I. R. (2006). Mortality among elderly receiving long-term care: A longitudinal cohort study. Aging—Clinical and Experimental Research, 18(6), 503–511. PubMed
Myint, P. K., Luben, R. N., Surtees, P. G., Wainwright, N. W., Welch, A. A., Bingham, S. A., et al. (2006). Relation between self-reported physical functional health and chronic disease mortality in men and women in the European Prospective Investigation into Cancer (EPIC-Norfolk): A prospective population study. Annals of Epidemiology, 16(6), 492–500. PubMedCrossRef
Drageset, J., Natvig, G. K., Eide, G. E., Bondevik, M., Nortvedt, M. W., & Nygaard, H. A. (2009). Health-related quality of life among old residents of nursing homes in Norway. International Journal of Nursing Practice, 15, 455–466. CrossRef
Drageset, J., Natvig, G. K., Eide, G. E., Clipp, E. C., Bondevik, M., Nortvedt, M. W., et al. (2008). Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway. Journal of Clinical Nursing, 17, 1227–1236. PubMedCrossRef
Drageset, J., Eide, G. E., Ranhoff, A. H. (2011) Cancer in nursing homes: Characteristics and health-related quality of life among cognitively intact residents with and without cancer. Cancer Nursing, in press.
Engedal, K., & Haugen, P. K. (1993). The prevalence of dementia in a sample of elderly Norwegians. International Journal of Geriatric Psychiatry, 8, 565–570. CrossRef
McCullla, M. M., Coats, M., Van Fleet, N., Duchek, J., Grant, E., & Morris, J. C. (1989). Reliability of clinical nurse specialists in the staging of dementia. Archives of Neurology, 46(11), 1210–1211. CrossRef
Ware, J. E., Gandek, B., & IQOLA Project Group. (1994). The SF-36 Health Survey: Development and use in mental health research and the IQOLA project. International Journal of Mental Health, 23(2), 49–73.
Ware, J. E. (2005). SF-36 Health Survey manual and interpretation guide. Boston: Medical Outcomes Trust.
Pit, S. W., Schurink, J., Nair, B. R., Byles, J., & Heller, R. F. (1996). Use of the Short- Form-36 Health Survey to assess quality of life among Australian elderly. Australian Journal of Ageing, 15(3), 132–135. CrossRef
Lydersen, S., Fagerland, M. W., & Laake, P. (2009). Recommended tests for association in 2 x 2 tables. Statistics and Medicine, 28(7), 1159–1175. CrossRef
Student. (1908). The probable error of a mean. Biometrika, V1, 1–25.
Kaplan, E. L., & Meier, P. (1958). Nonparametric estimation from incomplete observations. Journal of the American Statistical Association, 53, 457–481. CrossRef
Mantel, N. (1966). Evaluation of survival data and two new rank order statistics arising in its consideration. Cancer Chemotherapy Reports, 50(3), 163–170.
Cox, D. R. (1972). Regression models and life tables. Journal of the Royal Statistical Society: Series B, 189, 504–513.
Cigolle, C. T., Langa, K. M., Kabeto, M. U., Tian, Z., & Blaum, C. S. (2007). Geriatric conditions and disability: The Health and Retirement Study. Annals of Internal Medicine, 147(3), 156–164. PubMed
Garman, K. S., Pieper, C. F., Seo, P., & Cohen, H. J. (2003). Function in elderly cancer survivors depends on comorbidities. Journal of Gerontology A Biological Sciences and Medical Sciences, 58(12), M1119–M1124. CrossRef
Andersson, H. I. (2009). Increased mortality among individuals with chronic widespread pain relates to lifestyle factors: A prospective population-based study. Disability and Rehabilitation, 31(24), 1–8.
Torrance, N., Elliott, A. M., Lee, A. J., & Smith, B. H. (2010). Severe chronic pain is associated with increased 10 year mortality. A cohort record linkage study. European Journal of Pain, 14(4), 38–386. CrossRef
Duncan, J. G., Forbes-Thompson, S., Bott, M. J., Duncan, J. G., Forbes-Thompson, S., & Bott, M. J. (2008). Unmet symptom management needs of nursing home residents with cancer. Cancer Nursing, 31(4), 26–273. CrossRef
Ministry of Health and Care Services. (2003). FOR 2003- 06- 27 nr. 792: forskrift om kvalitet i pleie- og omsorgstjenestene for tjenesteyting etter lov av 19. november 1982 nr. 66 om helsetjenesten i kommune og etter lov av 13. desember 1991 nr. 81 om sosiale tjenester m.v. (FOR 2003-06-27 no. 792: Regulation on the quality of care in health and social services regulated by the Municipal Health Act, Act No. 66 of 19 November 1982 and the Social Services Act, Act No. 81 of 13 December 1991). Oslo: Ministry of Health and Care Services.
- Mortality in nursing home residents without cognitive impairment and its relation to self-reported health-related quality of life, sociodemographic factors, illness variables and cancer diagnosis: a 5-year follow-up study
Geir Egil Eide
Anette Hylen Ranhoff
- Springer Netherlands