Geriatric Consults Remain Rare in Kidney Cancer Care

This article originally appeared here.
Share this content:
Geriatric Consults Remain Rare in Kidney Cancer Care
Geriatric Consults Remain Rare in Kidney Cancer Care

MONDAY, Aug. 21, 2017 (HealthDay News) -- Use of geriatric consultation remains sparse among older patients undergoing surgery for kidney cancer, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.

Hung-Jui Tan, M.D., from University of North Carolina at Chapel Hill, and colleagues used Surveillance, Epidemiology, and End Results cancer data linked with Medicare claims to identify 19,129 adults aged 65 and older with kidney cancer treated surgically from 2000 to 2009. The authors sought to evaluate provision of geriatric-related health care services by older adults undergoing surgery for kidney cancer.

The researchers found that geriatric consultation occurred rarely in the perioperative period (2.6 percent), although medical co-management (15.8 percent), inpatient physical or occupational therapy (PT/OT; 34.2 percent), and post-acute PT/OT (15.6 percent) occurred more frequently. Participant age and comorbidity burden appeared to be consistent determinants of use of services, although hospital-level variation was also noted (P < 0.001). In the latter years of the study, use of geriatric consultation increased modestly (P < 0.05), while medical co-management (183 percent), inpatient PT/OT (73 percent), and post-acute PT/OT (71 percent) increased substantially over the study period (P < 0.001).

"Efforts to reorganize cancer and surgery care should explore reasons for variation and the potential for these service elements to meet the health needs of an aging population," the authors write.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions

More in Home

Air Pollution May Damage Kidneys

Air Pollution May Damage Kidneys

Study finds link between particulate matter and renal function

Diabetes Treatment Failure May Actually Be Nonadherence

Diabetes Treatment Failure May Actually Be Nonadherence

Second-line treatment often initiated without evidence of recommended use of first-line treatment

Effect of Osteoporotic Fractures Similar to Diabetes Burden

Effect of Osteoporotic Fractures Similar to Diabetes Burden

Findings for quality of life with hip fractures, vertebral compression vs. vision loss, amputation

is free, fast, and customized just for you!

Already a member?

Sign In Now »