Abstract
Cancer is one of the most prevalent and disabling health-care conditions affecting people. In the last years, both the overall incidence of tumors and the overall survival of cancer patients have increased and so, most patients having a cancer diagnosis are elderly. Hence, the goals of cancer treatment in older cancer patients must include, along with prolongation of life expectancy, the prevention of functional dependence. Supportive care along with rehabilitation measures represents important and essential steps in the management of these patients. Rehabilitation for older cancer patients may be needed in two major settings, namely that of curable malignancies and a palliative setting in which incurable malignancies have an indolent clinical course.
Moreover, most elderly patients with nervous system tumors have multiple impairments, and rehabilitation treatment should be mandatory during cancer treatment. Indeed, all of these neurological impairments may significantly impact the individual’s physical, cognitive, and emotional capabilities, which significantly compromise quality of life. Various studies showed that rehabilitation therapy results in better outcomes and improvement in the quality of life.
In conclusion, it is of utmost importance to adopt all supportive measures in order to successfully treat vulnerable and unfit elderly patients with cancer and to reduce the risk of functional impairment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Silver JK, Baima J, Mayer RS (2013) Impairment-driven cancer rehabilitation: an essential component of quality care and survivorship. CA Cancer J Clin 63(5):295–317
Hayat MJ, Howlader N, Reichman ME, Edwards BK (2007) Cancer statistics, trends, and multiple primary cancer analyses from the Surveillance, Epidemiology, and End Results (SEER) Program. Oncologist 12(1):20–37
Hoffe S, Balducci L (2012) Cancer and age: general considerations. Clin Geriatr Med 28:1–18
Balducci L, Dolan D, Hoffe SA (2015) Palliative care in older patients with cancer. Cancer Control 22(4):480–488
Yang Y (2008) Long and happy living. Trends and patterns of happy life expectancy in the US, 1970–2000. Soc Sci Res 37:1235–1252
Mitnitski AB, Song X, Rockwood K (2004) The estimation of relative fitness and frailty in community dwelling older adults using self-report data. J Gerontol Med Sci 59:M627–M632
Yourman LC, Lee SJ, Schonberg MA, Widera EW, Smith AK (2012) Prognostic indices for older adults: a systematic review. JAMA 307:182–192
Balducci L, Extermann M (2000) Management of cancer in the older person: a practical approach. Oncologist 5(3):224–237
Heins MJ, Korevaar JC, Rijken PM, Schellevis FG (2013) For which health problems do cancer survivors visit their General Practitioner? Eur J Cancer 49(1):211–218
Alcock M, Chilvers CR (2012) Emergency surgery in the elderly: a retrospective observational study. Anaesth Intensive Care 40:90–94
Gillis A, Mac Donald B (2005) Deconditioning in hospitalized elderly patients. Can Nurse 101:16–20
Luciani A, Jacobsen PB, Extermann M, Foa P, Marussi D, Overcash JA (2008) Fatigue and functional dependence in older cancer patients. Am J Clin Oncol 31:424–430
Hardy SE, Studenski SA (2008a) Fatigue predicts mortality in older adults. J Am Geriatr Soc 56:1910–1914
Hardy SE, Studenski SA (2008b) Fatigue and function over three years among older adults. J Gerontol A Biol Sci Med Sci 63:1389–1392
Balducci L, Fossa SD (2013) Rehabilitation of older cancer patients. Acta Oncol 52(2):233–238
Hardy SE, Studenski SA (2010) Qualities of fatigue and associated chronic conditions among older adults. J Pain Symptom Manag 39:1033–1042
Baxter NN, Durham SB, Phillips KA, Habermann EB, Virnig BA (2009) Risk of dementia in older breast cancer survivors: a population based cohort study of the association with adjuvant chemotherapy. J Am Geriatr Soc 57:403–411
Heck JE, Albert SM, Franco R, Gorin SS (2008) Patterns of dementia diagnosis in the surveillance, epidemiology and end result breast cancer survivors who use chemotherapy. J Am Geriatr Soc 56:1687–1692
Ahles TA, Saykin AJ (2007) Candidate mechanisms for chemotherapy induced cognitive changes. Nat Rev Cancer 7:192–201
Argyriou AA, Assimakopoulos K, Iconomou G, Giannakopoulou F, Kalofonos HP (2011) Either called “chemobrain” or “chemofog” the long-term chemotherapy induced cognitive decline in cancer survivors is real. J Pain Symptom Manag 41:126–139
Courtney MD, Edwards HE, Chang AM, Parker AW, Finlayson K, Hamilton K (2011) A randomized controlled trial to prevent hospital readmission and loss of functional ability in high risk older adults. BMC Health Serv Res 11:22
Fairhall N, Aggar C, Kurrie S, Sherrington C, Lord S, Lockwood K (2008) Frailty Intervention Trial (FIT). BMC Geriatr 8:27
Pinder MC, Duan Z, Goodwin JS, Hortobagyi GN, Giordano SH (2007) Congestive heart failure in older women treated with adjuvant anthracycline chemotherapy for breast cancer. J Clin Oncol 25(25):3808–3815 and peripheral neuropathy
Brunello A, Loaldi E, Balducci L (2009) Dose adjustment and supportive care before and during treatment. Cancer Treat Rev 35(6):493–498
Dolecek TA, Propp JM, Stroup NE et al (2012) CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the united states in 2005–2009. Neuro-Oncology 14(Suppl 5):v1–49
Kannarkat G, Lasher EE, Schiff D (2007) Neurologic complications of chemotherapy agents. Curr Opin Neurol 20:719–725
Khan F, Amatya B, Drummond K et al (2014) Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an australian community cohort: a controlled clinical trial. J Rehabil Med 46:754–760
Khan F, Amatya B (2013) Factors associated with long-term functional outcomes, psychological sequelae and quality of life in persons after primary brain tumour. J Neuro-Oncol 111:355–366
Zucchella C, Capone A, Codella V et al (2013) Cognitive rehabilitation for early post-surgery inpatients affected by primary brain tumor: a randomized, controlled trial. J Neuro-Oncol 114:93–100
Cicerone KD, Langenbahn DM, Braden C et al (2011) Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil 92:519–530
Pompili A, Telera S, Villani V et al (2014) Home palliative care and end of life issues in glioblastoma multiforme: results and comments from a homogeneous cohort of patients. Neurosurg Focus 37:E5
Eriks IE, Angenot EL, Lankhorst GJ (2004) Epidural metastatic spinal cord compression: functional outcome and survival after inpatient rehabilitation. Spinal Cord 42:235–239
Cormie P, Nowak AK, Chambers SK et al (2015) The potential role of exercise in neuro-oncology. Front Oncol 5:85
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Brunello, A., Lombardi, G., Zagonel, V. (2018). Rehabilitation Treatment in Older Cancer Patients. In: Masiero, S., Carraro, U. (eds) Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-57406-6_51
Download citation
DOI: https://doi.org/10.1007/978-3-319-57406-6_51
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-57405-9
Online ISBN: 978-3-319-57406-6
eBook Packages: MedicineMedicine (R0)