Do symptoms matter when considering patients for phase i clinical trials? a pilot study of older adults with advanced cancer

Jennifer M. Healy, Taral Patel, Shuko Lee, Sandra Sanchez-Reilly

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Older adults (OA) with advanced cancer (AC) undergoing phase I clinical trials (PICT) have poor prognosis. There are no studies which describe symptoms experienced by OA. Methods: Retrospective chart review of PICT participants >60 years. OA were compared by age (>65 vs 60-65) and by number of symptoms (>3 vs ≤3). Results: N = 56. Mean age = 67.09; 48.21% female. Median life-expectancy = 5 months (interquartile range = 2-9 months); 80.36% had pain; of those 64% without pain scale. Most did not have interdisciplinary professionals or hospice referrals. Older adults with >3 symptoms had more admissions (37.5% vs 14.29%; P =.0335), complications (46.43% vs 16.07%; P =.0026), and greater decline in functional status (24 participants >3 symptoms vs 8; P =.0173). There were no significant differences comparing OA by age. Conclusions: Older adults enrolled in PICT with more symptoms may sacrifice QOL for experimental treatment.

Original languageEnglish (US)
Pages (from-to)463-466
Number of pages4
JournalAmerican Journal of Hospice and Palliative Medicine
Volume28
Issue number7
DOIs
StatePublished - Nov 1 2011

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Keywords

  • older adults
  • palliative care
  • phase 1
  • quality of life
  • symptoms

ASJC Scopus subject areas

  • Medicine(all)

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