Change in Quality of Life after a Cancer Diagnosis among a Nationally Representative Cohort of Older Adults in the US

Cancer Invest. 2019;37(7):299-310. doi: 10.1080/07357907.2019.1645160. Epub 2019 Aug 5.

Abstract

Age-related decreases in Quality of Life (QoL) are often compounded by comorbidities, including cancer. This study aimed to examine QoL changes before and after a new cancer diagnosis using data from the National Health and Aging Trend Study (NHATS), linked to Medicare claims (N = 136). There was a significant increase in the relative odds of fair/poor self-reported health and needing help with Activities of Daily Living. There was also a marginal increase in depression, but no change in anxiety or pain scores. Results underscore importance of considering pre-cancer QoL when making treatment decisions for older adult cancer patients.

Keywords: Neoplasms; aging; mental health; quality of life.

MeSH terms

  • Activities of Daily Living / psychology*
  • Aged
  • Aged, 80 and over
  • Anxiety / epidemiology
  • Anxiety / etiology
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Neoplasms / diagnosis*
  • Neoplasms / psychology
  • Quality of Life / psychology*
  • Self Report
  • United States