Does frailty predict hospitalization, emergency department visits, and visits to the general practitioner in older newly-diagnosed cancer patients? Results of a prospective pilot study

Crit Rev Oncol Hematol. 2010 Nov;76(2):142-51. doi: 10.1016/j.critrevonc.2009.10.006. Epub 2009 Nov 24.

Abstract

Research on the use of health care by older newly-diagnosed cancer patients is sparse. We investigated whether frailty predicts hospitalization, emergency department (ED) and general practitioner (GP) visits in older cancer patients in a prospective pilot study. Newly-diagnosed cancer patients aged 65 years and over were recruited in the Segal Cancer Centre, Jewish General Hospital, Montreal, Canada. One hundred ten patients participated, mean age 74.1, 70% women. During 1 year follow-up, 52 patients (47.3%) had cancer-related hospitalizations, 23 patients (20.9%) had ED visit and 17 patients (15.5%) had GP visit. No frailty marker predicted hospitalization or visits to the GP. Cognitive impairment suspicion was the only frailty marker that predicted ED visits (odds ratio 4.97; 95%CI 1.14-21.69). Although health care use was considerable in this sample, most frailty markers were not associated with health care use in this pilot study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Canada
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Frail Elderly / psychology
  • Frail Elderly / statistics & numerical data*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Male
  • Neoplasms*
  • Office Visits / statistics & numerical data*
  • Pilot Projects
  • Prospective Studies
  • Utilization Review