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Cancer Investigation Volume 37, 2019 - Issue 7
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Articles

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

Rebecca M. SchwartzNorthwell Health, Occupational Medicine, Epidemiology and Prevention, Great Neck, NY, USA; ;Institute for Translational Epidemiology, Department of Population Health Science and Policy, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; ;Tisch Cancer Institute, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0002-4858-4733View further author information
ORCID Icon,
Katherine A. OrnsteinInstitute for Translational Epidemiology, Department of Population Health Science and Policy, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; ;Brookdale Department of Geriatrics and Palliative Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY, USAView further author information
,
Bian LiuInstitute for Translational Epidemiology, Department of Population Health Science and Policy, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; View further author information
,
Naomi AlpertBrookdale Department of Geriatrics and Palliative Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY, USAView further author information
,
Kristin G. BevilacquaNorthwell Health, Occupational Medicine, Epidemiology and Prevention, Great Neck, NY, USA; ORCID Iconhttp://orcid.org/0000-0002-3260-3733View further author information
ORCID Icon &
Emanuela TaioliInstitute for Translational Epidemiology, Department of Population Health Science and Policy, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; View further author information
Pages 299-310 | Received 04 Mar 2019, Accepted 15 Jul 2019, Published online: 05 Aug 2019
 
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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.

Disclosure statement

The authors have no conflicts to disclose.

Additional information

Funding

NHATS is sponsored by NIA Grant U01AG032947 through a cooperative agreement with the Johns Hopkins Bloomberg School of Public Health.

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