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Treatment Patterns and Postoperative Activities of Daily Living in Patients with Non-small Cell Lung Cancer: A Retrospective Study Using Nationwide Health Services Utilization Data in Japan.
Okuyama, Ayako; Mizutani, Tomonori; Tachibana, Keisei; Higashi, Takahiro; Ogawa, Asao.
Afiliación
  • Okuyama A; Graduate School of Nursing, St. Luke's International University, Tokyo, Japan. okuyama.ayako.r3@slcn.ac.jp.
  • Mizutani T; National Cancer Center Institute for Cancer Control, Tokyo, Japan. okuyama.ayako.r3@slcn.ac.jp.
  • Tachibana K; Department of Medical Oncology, Kyorin University Faculty of Medicine, 6-20-2 Shinkawa, Mitakashi, Tokyo, Japan.
  • Higashi T; Department of Thoracic and Thyroid Surgery, Kyorin University Faculty of Medicine, 6-20-2 Shinkawa, Mitakashi, Tokyo, 181-8611, Japan.
  • Ogawa A; National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Ann Surg Oncol ; 31(5): 3409-3416, 2024 May.
Article en En | MEDLINE | ID: mdl-38127217
ABSTRACT

BACKGROUND:

The number of older patients with cancer has been increasing. This study aimed to determine the proportion of postoperative decline in activities of daily living (ADL), hospital mortality rate, home healthcare services use, and adjuvant chemotherapy treatment patterns of patients with early-stage non-small cell lung cancer (NSCLC) across age groups.

METHODS:

We analyzed health service utilization data of patients aged ≥ 40 years diagnosed with clinical stage I or II NSCLC in 2015 who underwent thoracoscopy or thoracotomy. The Barthel index was used to determine the proportions of patients aged 40-64, 65-74, ≥ 75 years who experienced a decline in the ADL of ≥ 10 points at postoperative discharge compared to the ADL at admission.

RESULTS:

Overall, 19,780 patients were analyzed. The proportion of patients with ADL decline slightly increased with increasing age 1.1%, 1.6%, and 3.5% after thoracoscopic surgery, and 1.4%, 2.8%, and 4.8% after thoracotomy among those aged 40-64, 65-74, and ≥ 75 years, respectively. The hospital mortality rate and proportion of home healthcare services use was fewer than 10 cases, or < 2%. The unexpected readmission rate was slightly higher among those aged ≥ 75 years (3.7% for thoracoscopic surgery, 4.7% for thoracotomy) than among those aged 40-64 years (1.8% for thoracoscopic surgery, 2.5% for thoracotomy).

CONCLUSION:

The difference in the proportion of patients with ADL decline between those aged 40-64 and ≥ 75 years was approximately 3%. This study provides practical information for clinicians involved in the care of older patients who undergo thoracic surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Pulmón de Células no Pequeñas / Neoplasias Pulmonares Límite: Aged / Humans País/Región como asunto: Asia Idioma: En Revista: Ann Surg Oncol Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Pulmón de Células no Pequeñas / Neoplasias Pulmonares Límite: Aged / Humans País/Región como asunto: Asia Idioma: En Revista: Ann Surg Oncol Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos