Understanding Caregiver Quality of Life in Caregivers of Hospitalized Older Adults with Cancer
Abstract
Background/objectives Caregivers of older adults with cancer assist both with cancer care and other health issues, which may make them vulnerable to consequences of caregiving. Hospitalization may represent a time when a caregiver's ability to provide care at home is exceeded. We sought to characterize caregivers of hospitalized older adults with cancer, determine their quality of life (QOL), and identify factors associated with caregiver QOL. Methods Patients (n = 100), aged 65 years and older, with an unplanned hospitalization and their caregivers were included. Caregivers completed a questionnaire about their health, social support, caregiving relationship, QOL (Caregiver Quality of Life Index-Cancer [CQOLC] tool), and patient function. Patient medical history was obtained via chart review. The association between patient, caregiving, and caregiver factors and CQOLC was determined using multivariate linear regression. Results Most patients (73%) had metastatic/advanced disease, and 71% received treatment for their cancer within 30 days of hospitalization. Median Karnofsky Performance Status (KPS) was 60%, and 89% required help with instrumental activities of daily living, as reported by caregivers. Median caregiver age was 65 years (range = 29-84 years). The majority (60%) had no major comorbidities and rated their health as excellent/good (79%), though 22% reported worsening health due to caregiving. Caregivers had a median Mental Health Inventory-18 score of 70 (range =…
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10 studies described how the patients' disease process has affected the social interaction of caregivers, who manifest great difficulty in reconciling their role as caregivers and the development of other daily activities, highlighting deterioration of working conditions.
“With regard to social aspects, 10 studies [24,25,27,31,32,41,49,53,54,55] described how the patients’ disease process has affected the social interaction of caregivers, who manifest a great difficulty in reconciling their role as caregivers and the development of other daily activities, highlighting the deterioration of working conditions.”
From Quality of Life in Caregivers of Cancer Patients: A Literature Review (2023) · cites this paper as [49]
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“All cancer treatments received Surgery 37 Radiation 32 Chemotherapy 85 Targeted therapy 31 Charlson Comorbidity Index, median (range) 1 (0-7) 0 47 1 24 ≥2 29 Patient physical health (as reported by caregivers), median (range) MOS-physical health 20 (0-100) KPS 60 (30-100) OARS-IADL 8 (1-14) Completely independent (OAR…”
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Quality of Life in Caregivers of Cancer Patients: A Literature Review
Guerra-Martín, M. D., Casado-Espinosa, M. D. R., Gavira-López, Y., Holgado-Castro, C., López-Latorre, I., & Borrallo-Riego, Á. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021570 · Cited by 80 · see citing works
“, 2019 [49] (1) Characterize non-professional caregivers of hospitalized older adults with cancer, (2) determine the caregiver’s quality of life, and (3) identify the factors associated with a worse quality of life of the caregiver.”
Background
- Authors
- Hsu, T., Nathwani, N., Loscalzo, M., Chung, V., Chao, J., Karanes, C., Koczywas, M., Forman, S., Lim, D., Siddiqi, T., Stein, A., Twardowski, P., Nademanee, A., Pal, S., Siccion, E., Hein, M., Akiba, C., Goldstein, L., Smith, D., Ma, H., Feng, T., & Hurria, A.
- Affiliations
- Ottawa Hospital (CA)
- City Of Hope National Medical Center (US)
- Corresponding author
- Hsu, Tina
- ORCID
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2019-03-22
- Volume
- 67
- Issue
- 5
- Pages
- 978-986
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2943507593
- Cited by
- 60
- References
- 7
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 16 · 2022: 11 · 2021: 9 · 2020: 5 · 2019: 4
- FWCI
- 13.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (K24 AG055693)
- Health Research
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- caregiver quality of life, elderly cancer patients, hospitalized patients, caregiver mental health, social support, Karnofsky performance status, caregiver burden, instrumental activities of daily living, advanced cancer, metastatic cancer, emergency admissions, social activity, family caregivers, performance status
- MeSH terms
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Female, Humans, Inpatients, Male, Mental Health, Middle Aged, Neoplasms, Quality of Life, Surveys and Questionnaires, Retrospective Studies, Caregivers
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