Prevalence and health outcomes in community-dwelling older adults with comorbid cancer and dementia: a longitudinal analysis

Objectives: To examine health outcomes in community-dwelling older adults with: dementia only, cancer only, and comorbid cancer and dementia. Methods: Longitudinal analysis was conducted using data from 2010 to 2016 waves of the Health and Retirement Study. Health outcomes included mortality, limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL), nursing home utilization, hospital stay, homecare use, self-rated health, and out-of-pocket medical expenditure. Panel regression was used for statistical analysis. Results: The prevalence of comorbid cancer and dementia ranged from 2.56% to 2.97%. Individuals with comorbid cancer and dementia demonstrated a higher likelihood of nursing home utilization and poorer self-rated health but a lower likelihood of hospital stay, homecare use, and out-of-pocket expenditures, compared to the cancer only or dementia only groups. The differences in mortality and ADL and IADL limitations were not statistically significant. Conclusion: Comorbid cancer and dementia predicted longer nursing home utilization and poorer self-rated health. The results help guide care planning for individuals with comorbid cancer and dementia.

Files

Metadata

Work Title Prevalence and health outcomes in community-dwelling older adults with comorbid cancer and dementia: a longitudinal analysis
Access
Open Access
Creators
  1. Jyotsana Parajuli
  2. Diane Berish
  3. Ying Ling Jao
  4. Yo Jen Liao
  5. Lee Ann Johnson
  6. Amanda Walsh
Keyword
  1. Cancer
  2. Dementia
  3. Health outcomes
  4. Comorbid cancer-dementia
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Aging and Mental Health
Publication Date November 12, 2021
Publisher Identifier (DOI)
  1. https://doi.org/10.1080/13607863.2021.2003298
Deposited July 25, 2022

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
published

  • Created
  • Added Prevalence_and_health_outcomes_in_community_dwelling_older_adults_with_comorbid_cancer_and_dementia_a_longitudinal_analysis.pdf
  • Added Creator Jyotsana Parajuli
  • Added Creator Diane Berish
  • Added Creator Ying Ling Jao
  • Added Creator Yo Jen Liao
  • Added Creator Lee Ann Johnson
  • Added Creator Amanda Walsh
  • Published
  • Updated Keyword, Publication Date Show Changes
    Keyword
    • Cancer, Dementia, Health outcomes, Comorbid cancer-dementia
    Publication Date
    • 2021-11-01
    • 2021-11-12
  • Updated