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Do the elderly raise different issues when using the P atient C oncerns I nventory in routine head and neck cancer follow‐up clinics?
Author(s) -
Rogers S.N.,
Audisio R.A.,
Lowe D.
Publication year - 2015
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.12289
Subject(s) - medicine , mood , quality of life (healthcare) , conventional pci , anxiety , head and neck cancer , intervention (counseling) , affect (linguistics) , family medicine , cancer , physical therapy , psychiatry , nursing , linguistics , philosophy , myocardial infarction
H ead and N eck ( H & N ) cancer treatment can have a major detrimental impact on patient lives, and these issues can go unrecognised and be inadequately addressed. The aim of this paper is to compare the P atient C oncerns I nventory ( PCI ) responses across age groups attending routine H & N cancer follow‐up clinics with particular focus on the elderly (75 years or older). The PCI ‐ HN data were obtained from patients attending follow‐up clinics between A ugust 2007 and J anuary 2013. The groups for comparison were: <55 ( n = 105), 55–64 ( n = 170), 65–69 ( n = 64), 70–74 ( n = 68), and ≥75 ( n = 76), the median in this last group of 79.1 years. Regarding quality of life ( QoL ) on first completing the PCI the elderly reported better anxiety and mood, higher social‐emotional subscale scores and better overall QoL . On the PCI , being elderly did not seem to affect the total numbers of items selected, though fewer items were selected from the psychological, emotional and spiritual well‐being domain, and in particular the item about fear of recurrence. Dentist and surgeon were the two health professionals most often selected that patients wished to see or be referred on to. It is possible to recognise concerns in routine clinical care, thus allowing the opportunity for intervention and support to improve the outcome for the elderly.