Article ; Online: Implementation and evaluation of a remote geriatric assessment and intervention program in Brazil.
2023 Volume 129, Issue 13, Page(s) 2095–2102
Abstract: Background: This study sought to determine the feasibility and acceptability of a remote geriatric assessment (GA) and implementation (GAIN) program in Brazil. The authors also explored the effect of this program on health-related quality of life (HR- ... ...
| Abstract | Background: This study sought to determine the feasibility and acceptability of a remote geriatric assessment (GA) and implementation (GAIN) program in Brazil. The authors also explored the effect of this program on health-related quality of life (HR-QOL) outcomes 3 months after initiating treatment. Methods: This is a longitudinal study enrolling older adults (65+ years), diagnosed with any type of solid tumor, scheduled to initiate chemotherapy in a networked Brazilian cancer center. The GA was performed through telehealth. We assessed the feasibility of the remote GA, acceptability to patients, and changes in patient-centered outcomes (HR-QOL, mood, function) from baseline to month 3. Linear mixed model analysis was done, adjusting for age, gender, race, income, and disease stage. Results: Fifty-six patients completed all intended assessments. Notably, the threshold of feasibility was 70% and there was 92% complete adherence. Average age was 76 years old (SD = 7.2). Most patients were female (57%), married (59%), and had a college degree (46%). The most common diagnoses were gastrointestinal (39%) and gynecological cancers (18%); most were diagnosed at an advance disease stage (77%). A total of 32 patients were referred to a remote appointment and 86% followed this recommendation(s). Significant improvement in Functional Assessment of Cancer Therapy - General FACT-G (mean difference, 6.04; p < .001), Geriatric Depression Scale (mean difference, -0.86; p = .008), and instrumental activities of daily living ratio (mean difference, 0.17; p < .001) were found. Conclusion: Remote GAIN is feasible and acceptable to older adults with cancer receiving treatment in Brazil. The authors also found significant improvement in HR-QOL outcomes over time. Notably, this GAIN program could guide early detection of chemotherapy toxicity and improving patient-reported outcomes in low-resource environments. |
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| MeSH term(s) | Humans ; Female ; Aged ; Male ; Geriatric Assessment ; Quality of Life ; Brazil/epidemiology ; Activities of Daily Living ; Longitudinal Studies ; Neoplasms/diagnosis ; Neoplasms/drug therapy | |||||
| Language | English | |||||
| Publishing date | 2023-03-25 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article ; Research Support, Non-U.S. Gov't | |||||
| ZDB-ID | 1429-1 | |||||
| ISSN | 1097-0142 ; 0008-543X ; 1934-662X | |||||
| ISSN (online) | 1097-0142 | |||||
| ISSN | 0008-543X ; 1934-662X | |||||
| DOI | 10.1002/cncr.34759 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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