Effect of a geriatric unit in the outcomes of hospitalized older Mexican adults with cancer: A case-control study
| dc.rights.license | open | en_US |
| dc.contributor.author | HENRIQUEZ-SANTOS, Gretell | |
| dc.contributor.author | DE LA O-MURILLO, Andrea | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | AVILA-FUNES, Jose Alberto | |
| dc.contributor.author | SOTO-PEREZ-DE-CELIS, Enrique | |
| dc.date.accessioned | 2022-12-15T10:56:55Z | |
| dc.date.available | 2022-12-15T10:56:55Z | |
| dc.date.issued | 2023-01 | |
| dc.identifier.issn | 1879-4076 (Electronic) 1879-4068 (Linking) | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/171538 | |
| dc.description.abstractEn | INTRODUCTION: Geriatric interventions may improve the care of hospitalized older adults with cancer, but information regarding their effect on geriatric-specific outcomes is lacking. We studied the effect of a specialized geriatrician-led inpatient geriatric management unit compared with a conventional internal medicine ward on the outcomes of hospitalized older adults with cancer in Mexico. MATERIALS AND METHODS: Case-control study including persons aged ≥65 years with solid malignancies who had a cancer-related hospitalization at a university-affiliated hospital in Mexico City. Patients hospitalized in a geriatric unit (cases) were paired 1:2 with those in internal medicine wards (controls). Matching criteria included: age (+/- five years), tumor type (according to International Classification of Diseases [ICD]-10 code), and admission date (+/- three months). The association between being hospitalized in the geriatric unit on various outcomes was determined using conditional logistic regression models. RESULTS: One hundred cases and 200 controls were included. Mean age was 75.3 years (standard deviation 6.4 years) and 53% had gastrointestinal tumors. No difference in median length-of-stay was found between cases and controls (9.0 days, vs. 9.5 days, p = 0.34). Hospitalization in the geriatric unit was associated with a reduced risk of delirium (odds ratio [OR] 0.18, 95% confidence interval [CI] 0.04-0.80). Being hospitalized in the geriatric unit was not associated with an effect on hospital-acquired complications (OR 0.83, 95% CI 0.47-1.45) or in-hospital mortality (OR 1.82, 95% CI 0.32-10.18). DISCUSSION: Among older Mexican adults hospitalized for a cancer-related diagnosis, receiving care in a geriatric management unit was associated to a decreased risk of delirium, without influencing other outcomes. | |
| dc.language.iso | EN | en_US |
| dc.subject.en | Cancer | |
| dc.subject.en | Complications | |
| dc.subject.en | Delirium | |
| dc.subject.en | Hospital units | |
| dc.subject.en | Hospitalization | |
| dc.subject.en | Length of stay | |
| dc.title.en | Effect of a geriatric unit in the outcomes of hospitalized older Mexican adults with cancer: A case-control study | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.jgo.2022.11.004 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 36411212 | en_US |
| bordeaux.journal | Journal of Geriatric Oncology | en_US |
| bordeaux.volume | 14 | |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 1 | |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | ACTIVE_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-03900678 | |
| hal.version | 1 | |
| hal.date.transferred | 2022-12-15T10:56:57Z | |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal%20of%20Geriatric%20Oncology&rft.date=2023-01&rft.volume=14&rft.issue=1&rft.eissn=1879-4076%20(Electronic)%201879-4068%20(Linking)&rft.issn=1879-4076%20(Electronic)%201879-4068%20(Linking)&rft.au=HENRIQUEZ-SANTOS,%20Gretell&DE%20LA%20O-MURILLO,%20Andrea&AVILA-FUNES,%20Jose%20Alberto&SOTO-PEREZ-DE-CELIS,%20Enrique&rft.genre=article |
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