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Cited by 211Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeFrailty in Older Adults

Physical and Mental Health Status of Older Long‐Term Cancer Survivors

Keating, Nancy L., Nørredam, Marie, Landrum, Mary Beth, Huskamp, Haiden A., Meara, Ellen·2005·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.2005.00507.x
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Abstract

Objectives: To assess the physical and mental health status of older long‐term cancer survivors. Design: Cohort study using propensity score methods to control for baseline differences between cancer survivors and controls. Setting: General community population in the United States. Participants: Nine hundred sixty‐four cancer patients who had survived for more than 4 years and 14,333 control patients who had never had cancer from a population‐based sample of Americans aged 55 and older responding to the 2002 Health and Retirement Study. Measurements: Medical conditions, symptoms, health behaviors, health status, mobility, activities of daily living, mental health diagnoses, self‐rated memory, depressive symptoms, cognitive function, and self‐reported life expectancy. Results: Cancer survivors reported higher rates of lung disease (13.9% vs 9.6%; P =.001), heart condition (29.3% vs 22.9%; P <.001), arthritis (69.4% vs 59.4%; P <.001), incontinence (26.6% vs 19.7%; P =.001), frequent pain (36.4% vs 29.4%; P =.005), and obesity (27.0% vs 24.2%; P =.001) than individuals without cancer but lower rates of smoking (12.0% vs 14.8%; P =.03). Cancer survivors were less likely than persons without cancer to report excellent or very good health status (37.2% vs 44.6%; P <.001) and had more mobility ( P <.001) and activity of daily living ( P =.01) limitations. Cancer survivors did not differ from persons without cancer in rates of depression or cognitive function (both P >.2) but were less optimistic about their life expectancy ( P =.004). Conclusion: The physical health status of older long‐term cancer survivors is somewhat worse than that of comparable persons who have never had cancer, but they have surprisingly similar mental health status. Future research is needed to understand factors contributing to poorer health status and identify patients at highest risk of long‐term cancer‐related problems.

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  • Epidemiological data suggests that individuals with various chronic diseases such as cancer, diabetes, and HIV/AIDS are more likely to develop co-morbidities later in life.

    “Epidemiological data does suggest that individuals with various chronic diseases such as cancer, diabetes, and HIV/AIDS are more likely to develop co-morbidities later in life,72,73,74”

    From Asynchronous, contagious and digital aging (2021) · cites this paper as [72]

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Authors
Keating, N. L., Nørredam, M., Landrum, M. B., Huskamp, H. A., & Meara, E.
Affiliations
  • Brigham and Women's Hospital (US)
  • University of Copenhagen (DK)
Corresponding author
Keating, Nancy L.
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2005-10-18
Volume
53
Issue
12
Pages
2145-2152
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.2005.00507.x
OpenAlex
W1496715061
Cited by
211
References
22
Citations by year
2026: 1 · 2025: 6 · 2024: 4 · 2023: 12 · 2022: 11 · 2021: 12 · 2020: 6 · 2019: 11 · 2018: 6 · 2017: 9 · 2016: 13 · 2015: 4 · 2014: 17 · 2013: 18 · 2012: 17
FWCI
4.20
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (K01MH066109, K01MH66109)
  • National Cancer Institute (U01 CA93324, U01CA093324)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
long-term cancer survivors, older adults, physical health status, mental health, depressive symptoms, cognitive function, self-rated health, mobility (physical function), activities of daily living, life expectancy, lung disease, arthritis, incontinence, pain, obesity, smoking, cancer survivorship
MeSH terms
Aged, Aged, 80 and over, Chronic Disease, Female, Health Status, Humans, Male, Mental Health, Middle Aged, Neoplasms, United States, Cohort Studies, Health Behavior, Logistic Models, Case-Control Studies, Survivors

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