The fall rate of older community-dwelling cancer patients
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Little is known about the incidence of falls in cancer patients receiving cancer treatment. The aims were to explore the number of falls older adults report in the 6 months after cancer diagnosis, and if those with a fall were more frail than those who did not fall.
Secondary data analysis of a prospective pilot study that recruited patients aged 65 and older with a new cancer diagnosis. At each interview (baseline, 3- and 6-month follow-up), participants were asked if they had a fall in the previous 3 months. The frailty markers and functional status were obtained at baseline, 3- and 6-month follow-up. Chi-square and t tests were used to compare those who had a fall to those who had no fall. Univariate logistic regression analysis was conducted to explore the association between sociodemographic and health characteristics and reporting a fall.
Seventeen participants (18.7 %) reported one or more falls in the first 6 months after cancer diagnosis. Fifteen participants reported one or more falls in the 3 months prior to the cancer diagnosis. Those who had a fall and those with no fall were not different in terms of health and functioning. None of the sociodemographic and health characteristics including the frailty markers were associated with a fall.
A fall is common in cancer patients. More research is needed to examine the risk factors for a fall in older adults receiving cancer treatment.
KeywordsFalls Frail elderly Geriatric oncology Cancer Cancer treatment
We thank all of the participants who gave their time during a very difficult period of their life to participate in our study. In addition, we very much appreciate the support of staff and volunteers of the cancer center.
This work was supported by a post PhD research fellowship of the Canadian Cancer Society/National Cancer Institute of Canada to Dr. M. Puts. The study was supported by the Solidage McGill University/Université de Montreal Research Group on Frailty and Aging and the McGill Dr. Joseph Kaufman Chair in Geriatric Medicine. The funding sources had no involvement in the study.
There was no conflict of interest.
- 1.World Health Organization. WHO global report on falls prevention in older age. WHO Press, GenevaGoogle Scholar
- 2.Division of Aging and Seniors, Public Health Agency of Canada (2005) Report on seniors’ falls in Canada. Ottawa: Minister of Public Works and Government Services CanadaGoogle Scholar
- 17.Ensrud KE, Ewing SK, Cawthon PM, Fink HA, Taylor BC, Cauley JA, Dam TT, Marshall LM, Orwoll ES, Cummings SR, Osteoporotic Fractures in Men Research Group (2009) A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc 57(3):492–498PubMedCrossRefGoogle Scholar
- 18.Ensrud KE, Ewing SK, Taylor BC, Fink HA, Cawthon PM, Stone KL, Hillier TA, Cauley JA, Hochberg MC, Rodondi N, Tracy JK, Cummings SR (2008) Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med 168(4):382–389PubMedCrossRefGoogle Scholar
- 19.Ensrud KE, Ewing SK, Taylor BC, Fink HA, Stone KL, Cauley JA, Tracy JK, Hochberg MC, Rodondi N, Cawthon PM, for the Study of Osteoporotic Fractures Research Group (2007) Frailty and risk of falls, fracture, and mortality in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci 62(7):744–751PubMedCrossRefGoogle Scholar
- 22.Bergman H, Béland F, Karunananthan S, Hummel S, Hogan D, Wolfson C (2004) Développement d’un cadre de travail pour comprendre et étudier la fragilité. Gerontol Soc 109:15–29Google Scholar
- 24.Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49(2):M85–M94PubMedCrossRefGoogle Scholar
- 28.Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JC (1993) The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365–376PubMedCrossRefGoogle Scholar
- 34.Collaborative Staging Task Force of the American Joint Committee on Cancer (2004) Collaborative staging manual and coding instructions, version 01.04.00. Chicago, IL: Jointly published by the American Joint Committee on Cancer (Chicago, IL) and U.S. Department of Health and Human Services (Bethesda, MD); NIH Publication Number 04–5496Google Scholar
- 38.Puts MT, Monette J, Girre V, Pepe C, Monette M, Assouline S, Panasci L, Basik M, Miller WH Jr, Batist G, Wolfson C, Bergman H (2011) Are frailty markers useful for predicting treatment toxicity and mortality in older newly diagnosed cancer patients? Results from a prospective pilot study. Crit Rev Oncol Hematol 78(2):138–149PubMedCrossRefGoogle Scholar
- 39.Common terminology criteria for adverse events (CTCAE) version 3.0. 2006.Google Scholar
- 40.(2009) Reducing injuries from medication-related falls by generating targeted computerized alerts for high risk patients within an electronic prescribing system. Montreal: Canadian Patient Safety InstituteGoogle Scholar
- 43.Sourial N, Bergman H, Karunananthan S, Wolfson C, Guralnik J, Payette H, Gutierrez-Robledo L, Deeg DJ, Fletcher JD, Puts MT, Zhu B, Beland F. Contribution of frailty markers in explaining differences among individuals in five samples of older persons. J Gerontol A Biol Sci Med Sci. 2012 Mar 28 (in press)Google Scholar
- 44.Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. (Summary of the updated American geriatrics Society/British geriatrics society clinical practice guideline for prevention of falls in older persons) J Am Geriatr Soc 2011;59(1):148–57Google Scholar