Preferences of adults with cancer for systemic cancer treatment: do preferences differ based on age?

Prajwal Dhakal, Christopher S. Wichman, Bunny Pozehl, Meaghann Weaver, Alfred L. Fisher, Julie Vose, R. Gregory Bociek, Vijaya R. Bhatt

    Research output: Contribution to journalArticlepeer-review

    6 Scopus citations

    Abstract

    Background: We used the Therapy Preference Scale, a 30-item questionnaire, to determine cancer treatment preferences of adults with cancer. Methods: We used Wilcoxon's rank sum test and Fisher's exact test to compare the preferences of younger (<60 years) versus older adults (≥60 years). Results: While 56% of patients would accept treatment offering increased life expectancy at an expense of short-term side effects, 75% preferred maintenance of cognition, functional ability and quality of life to quantity of days. Oral instead of intravenous treatment (p = 0.003), shorter hospital stay (p = 0.03), preservation of cognitive function (p = 0.01) and avoidance of pain (p = 0.02) were more important to older patients compared with younger patients. Conclusion: Many patients prioritized maintenance of cognition, functional ability and quality of life; older patients valued oral treatment, shorter hospital stay, preservation of cognitive function and avoidance of pain.

    Original languageEnglish (US)
    Pages (from-to)311-321
    Number of pages11
    JournalFuture Oncology
    Volume18
    Issue number3
    DOIs
    StatePublished - Jan 2022

    Keywords

    • cancer
    • cognition
    • life expectancy
    • patients
    • preferences
    • quality of life
    • questionnaire
    • therapy
    • treatment

    ASJC Scopus subject areas

    • Oncology
    • Cancer Research

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