Skip to main content

Advertisement

SpringerLink
Log in

Priority of the basic and instrumental activities of daily living in older patients with cancer prescribed rehabilitation: a cross-sectional survey

  • Research
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Background

There is no information on whether vulnerable older patients with cancer consider basic activities of daily living (BADL) and instrumental activities of daily living (IADL) important outcomes. Our survey aimed to investigate the priority of BADL and IADL in outcomes among vulnerable older patients with cancer.

Methods

This was a single-center survey in a Japanese cancer center. Eligible patients were ≥ 65 years of age and were prescribed in-hospital rehabilitation while under cancer treatment. Using original self-administered ranking questionnaires, patients were asked to rank outcomes and subdomain of BADL and IADL. High-priority domains were defined as the highest, second-highest, and third-highest priority domains in individuals.

Results

A total of 169 patients were analyzed. The mean age was 74.0 years (standard deviation, 5.1 years) and the number of males was 107 (63%). The order of ranking of high-priority outcomes was BADL and IADL (n = 155), cognitive function (n = 91), mental function (n = 82), nutrition (n = 61), social function (n = 51), comorbidity (n = 39), and life span (n = 28). The top three high-priority independence subdomains of BADL and IADL were toilet use (n = 140), feeding (n = 134), and mobility (n = 69) among the BADL and shopping (n = 93), food preparation (n = 88), and ability to handle finances (n = 85) among the IADL.

Conclusions

BADL and IADL can be considered the most important health outcomes in clinical trials and in practice among older patients with cancer and physical vulnerabilities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data availability

Due to the nature of the retrospective study, participants of this study did not agree for their data to be shared publicly. Thus, data is not available publicly.

References

  1. Wildiers H, Heeren P, Puts M et al (2014) International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol 32(24):2595

    Article  PubMed  PubMed Central  Google Scholar 

  2. Mohile SG, Dale W, Somerfield MR et al (2018) Practical assessment and management of vulnerabilities in older patients receiving chemotherapy: ASCO guideline for geriatric oncology. J Clin Oncol 36(22):2326

    Article  PubMed  PubMed Central  Google Scholar 

  3. Couderc AL, Boulahssass R, Nouguerède E et al (2019) Functional status in a geriatric oncology setting: a review. J Geriatr Oncol 10(6):884–894

    Article  PubMed  Google Scholar 

  4. Extermann M, Brain E, Canin B et al (2021) Priorities for the global advancement of care for older adults with cancer: an update of the International Society of Geriatric Oncology Priorities Initiative. Lancet Oncol 22(1):e29–e36

    Article  PubMed  Google Scholar 

  5. Pallis AG, Fortpied C, Wedding U et al (2010) EORTC elderly task force position paper: approach to the older cancer patient. Eur J Cancer 46(9):1502–1513

    Article  CAS  PubMed  Google Scholar 

  6. Bertagnolli MM, Singh H (2021) Treatment of older adults with cancer—addressing gaps in evidence. N Engl J Med 385(12):1062–1065

    Article  PubMed  Google Scholar 

  7. McNeil JJ, Woods RL, Nelson MR et al (2018) Effect of aspirin on disability-free survival in the healthy elderly. N Engl J Med 379(16):1499–1508

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Miura S, Naito T, Mitsunaga S et al (2019) A randomized phase II study of nutritional and exercise treatment for elderly patients with advanced non-small cell lung or pancreatic cancer: the NEXTAC-TWO study protocol. BMC Cancer 19(1):1–10

    Article  CAS  Google Scholar 

  9. Sun LY, Tu JV, Lee DS et al (2018) Disability–free survival after coronary artery bypass grafting in women and men with heart failure. Open Heart 5(2):e000911

    Article  PubMed  PubMed Central  Google Scholar 

  10. Naito T, Okayama T, Aoyama T et al (2017) Unfavorable impact of cancer cachexia on activity of daily living and need for inpatient care in elderly patients with advanced non-small-cell lung cancer in Japan: a prospective longitudinal observational study. BMC Cancer 17(1):1–10

    Article  Google Scholar 

  11. Abizanda P, Romero L, Sánchez-Jurado PM, Martínez-Reig M, Gómez-Arnedo L, Alfonso SA (2013) Frailty and mortality, disability and mobility loss in a Spanish cohort of older adults: the FRADEA study. Maturitas 74(1):54–60

    Article  PubMed  Google Scholar 

  12. Artaud F, Singh-Manoux A, Dugravot A, Tzourio C, Elbaz A (2015) Decline in fast gait speed as a predictor of disability in older adults. J Am Geriatr Soc 63(6):1129–1136

    Article  PubMed  Google Scholar 

  13. Katz S, Ford AB, Moskowitz RW et al (1963) Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 185(12):914–919

    Article  CAS  PubMed  Google Scholar 

  14. Mahoney F (1965) Functional evaluation: the barthel index: a simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland State Med J 14:56–61

    Google Scholar 

  15. The Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research: Guide for use of the uniform data set for medical rehabilitation (Ver.3.1). State University of New York at Buffalo, New York, 1990

  16. Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9(3 Part 1):179–186

    Article  CAS  PubMed  Google Scholar 

  17. Koyano W, Shibata H, Nakazato K, Haga H, Suyama Y (1991) Measurement of competence: reliability and validity of the TMIG Index of Competence. Arch Gerontol Geriatr 13(2):103–116

    Article  CAS  PubMed  Google Scholar 

  18. Tomata Y, Hozawa A, Ohmori-Matsuda K et al (2011) Validation of the Kihon Checklist for predicting the risk of 1-year incident long-term care insurance certification: the Ohsaki Cohort 2006 Study. Jpn J Public Health 58(1):3–13

    Google Scholar 

  19. Fialka-Moser V, Crevenna R, Korpan M, Quittan M (2003) Cancer rehabilitation. J Rehabil Med 35(4):153–162

    Article  PubMed  Google Scholar 

  20. Pergolotti M, Williams GR, Campbell C, Munoz LA, Muss HB (2016) Occupational therapy for adults with cancer: why it matters. Oncologist 21(3):314–319

    Article  PubMed  PubMed Central  Google Scholar 

  21. Mittal BB, Pauloski BR, Haraf DJ et al (2003) Swallowing dysfunction—preventative and rehabilitation strategies in patients with head-and-neck cancers treated with surgery, radiotherapy, and chemotherapy: a critical review. Int J Radiat Oncol Biol Phys 57(5):1219–1230

    Article  PubMed  Google Scholar 

  22. Player L, Mackenzie L, Willis K, Loh SY (2014) Women’s experiences of cognitive changes or ‘chemobrain’following treatment for breast cancer: a role for occupational therapy? Aust Occup Ther J 61(4):230–240

    Article  PubMed  Google Scholar 

  23. Whittle AK, Kalsi T, Babic-Illman G et al (2017) A comprehensive geriatric assessment screening questionnaire (CGA-GOLD) for older people undergoing treatment for cancer. Eur J Cancer Care 26(5):e12509

    Article  Google Scholar 

  24. Valéro S, Migeot V, Bouche G et al (2011) Who needs a comprehensive geriatric assessment? A french Onco-Geriatric Screening tool (OGS). J Geriatr Oncol 2(2):130–136

    Article  Google Scholar 

  25. Silvestri GA, Knittig S, Zoller JS, Nietert PJ (2003) Importance of faith on medical decisions regarding cancer care. J Clin Oncol 21(7):1379–1382

    Article  PubMed  Google Scholar 

  26. Pignone MP, Brenner AT, Hawley S et al (2012) Conjoint analysis versus rating and ranking for values elicitation and clarification in colorectal cancer screening. J Gen Intern Med 27(1):45–50

    Article  PubMed  Google Scholar 

  27. Akishita M, Ishii S, Kojima T et al (2013) Priorities of health care outcomes for the elderly. J Am Med Dir Assoc 14(7):479–484

    Article  PubMed  Google Scholar 

  28. van Essen GA, Bakas A, Sewnaik A, Mattace-Raso FU, de Jong RJB, Polinder-Bos HA (2022) Health outcome priorities in older patients with head and neck cancer. J Geriatr Oncol 13(5):698–705

    Article  PubMed  Google Scholar 

  29. Hughes A (2007) Everyday struggling to survive: experience of the urban poor living with advanced cancer. Oncol Nurs Forum 34(6):1113–1118 (1969)

    Article  PubMed  Google Scholar 

  30. Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, McIntyre L, Tulsky JA (2000) Factors considered important at the end of life by patients, family, physicians, and other care providers. JAMA 284(19):2476–2482

    Article  CAS  PubMed  Google Scholar 

  31. Hunskaar S, Sandvik H (1993) One hundred and fifty men with urinary incontinence: III. Psychosocial consequences. Scand J Prim Health Care 11(3):193–196

    Article  CAS  PubMed  Google Scholar 

  32. Edgley J (2002) The psychosocial impact of incontinence on older people: a review. Nurs Older People 14(1):17

    Article  PubMed  Google Scholar 

  33. Reid J, McKenna H, Fitzsimons D, McCance T (2009) The experience of cancer cachexia: a qualitative study of advanced cancer patients and their family members. Int J Nurs Stud 46(5):606–616

    Article  PubMed  Google Scholar 

  34. Amano K, Maeda I, Morita T et al (2016) Need for nutritional support, eating-related distress and experience of terminally ill patients with cancer: a survey in an inpatient hospice. BMJ Support Palliat Care 6(3):373–376

    Article  PubMed  Google Scholar 

  35. Holden CM (1991) Anorexia in the terminally ill cancer patient: the emotional impact on the patient and the family. Hosp J 7(3):73–84

    Article  CAS  PubMed  Google Scholar 

  36. Chamberlain K (2004) Food and health: expanding the agenda for health psychology. J Health Psychol 9(4):467–481

    Article  PubMed  Google Scholar 

  37. Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS (1983) Active life expectancy. N Engl J Med 309(20):1218–1224

    Article  CAS  PubMed  Google Scholar 

  38. Neo J, Fettes L, Gao W, Higginson IJ, Maddocks M (2017) Disability in activities of daily living among adults with cancer: a systematic review and meta-analysis. Cancer Treat Rev 61:94–106

    Article  PubMed  Google Scholar 

  39. Millán-Calenti JC, Tubío J, Pita-Fernández S, González-Abraldes I, Lorenzo T, Fernández-Arruty T, Maseda A (2010) Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Arch Gerontol Geriatr 50(3):306–310

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors thank the members of the Department of Rehabilitation Medicine in National Cancer Center Hospital East for their support; this research would not have been possible without their cooperation. The authors also thank Anahid Pinchis from Edanz (https://jp.edanz.com/ac) for editing a draft of this manuscript.

Funding

This research was funded by the Japan Health Research Promotion Bureau under grant number 2023-younger-12.

Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

    Tsuyoshi Harada, Tetsuya Tsuji, Motoki Tanaka, Nobuko Konishi, Takumi Yanagisawa, Yu Koishihara, Junya Ueno, Nanako Hijikata, Aiko Ishikawa & Ryuichi Hayashi

  2. Department of Rehabilitation Medicine, Keio University Graduate School, Shinjuku, Tokyo, Japan

    Tsuyoshi Harada & Ryo Soeda

  3. Department of Rehabilitation Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan

    Tetsuya Tsuji & Aiko Ishikawa

  4. Department of Medical Oncology, Faculty of Medicine, Kyorin University, Mitaka, Tokyo, Japan

    Tomonori Mizutani

  5. Graduate School of Rehabilitation Science, Osaka Metropolitan University, Habikino, Osaka, Japan

    Nanako Nishiyama

  6. Department of Rehabilitation, Tsurumaki Onsen Hospital, Hadano, Kanagawa, Japan

    Ryo Soeda

Authors
  1. Tsuyoshi Harada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tetsuya Tsuji
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Motoki Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nobuko Konishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takumi Yanagisawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yu Koishihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Junya Ueno
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Tomonori Mizutani
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Nanako Nishiyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Ryo Soeda
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Nanako Hijikata
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Aiko Ishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Ryuichi Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors made substantial contributions to the conception and design of the work. The first draft of the manuscript was written by Harada T. and all authors commented on the manuscript. All authors read and approved the final manuscript.

Data acquisition: Harada T., Motoki T., Nobuko K., Takumi Y., Koishihara Y., Junya U., and Nanako H.

Quality control of data and algorithms: Harada T., Tsuji T., Motoki T., and Nanako H.

Data analysis and interpretation: Harada T., Tsuji T. Tanaka T., Konishi N., Yanagisawa T., Koishihara Y., Ueno J., Mizutani T., Nishiyama N., Soeda R., Hijikata N., Ishikawa A., and Hayashi R.

Statistical analysis: Harada T.

Manuscript preparation: Harada T., Tsuji T.

Manuscript editing: Harada T., Tsuji T., Mizutani T., Hijikata N., and Ishikawa A.

Manuscript review: Harada T., Tsuji T. Tanaka T., Konishi N., Yanagisawa T., Koishihara Y., Ueno J., Mizutani T., Nishiyama N., Soeda R., Hijikata N., Ishikawa A., and Hayashi R.

Corresponding author

Correspondence to Tsuyoshi Harada.

Ethics declarations

Ethics approval and consent to participate

This study was approved by the Research Ethics Committee of the National Cancer Center (2020–525) in accordance with the Declaration of Helsinki. All participants received verbal and written explanations regarding study procedures and signed an informed consent form upon agreement to participate.

Consent for publication

Harada T. and other authors read and approved the final manuscript before submission to the Supportive Care in Cancer.

Conflict of interest

All authors declare no potential conflicts of interest with regard to the research, authorship, or publication of this article.

Competing interest

The authors declare that they have no known competing financial interests or personal relationships that would affect the research reported in this paper.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 40 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Harada, T., Tsuji, T., Tanaka, M. et al. Priority of the basic and instrumental activities of daily living in older patients with cancer prescribed rehabilitation: a cross-sectional survey. Support Care Cancer 31, 503 (2023). https://doi.org/10.1007/s00520-023-07975-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00520-023-07975-1

Keywords

Search

Navigation