TY  - JOUR
AU  - Grov, E. K.
AU  - Fossa, S. D.
AU  - Dahl, A. A.
PY  - 2017
DA  - 2017//
TI  - A controlled study of the influence of comorbidity on activities of daily living in elderly cancer survivors (the HUNT-3 survey)
T2  - J Geriatr Oncol
JO  - Journal of Geriatric Oncology
SP  - 328
EP  - 335
VL  - 8
IS  - 5
KW  - Adl
KW  - Activities of daily living
KW  - Cancer survivors
KW  - Comorbidity
KW  - Elderly
KW  - Home dwelling
AB  - OBJECTIVES: To examine the influence of somatic comorbidity on Activity of Daily Living (ADL) problems in cancer survivors >/=70years (ECSs) based on data from The Health Study of Nord-Trondelag County (HUNT-3) 2006-08. MATERIAL AND METHODS: Among participants of the HUNT-3 survey, 599 ECSs had a diagnosis of one invasive cancer according to both The Cancer Registry of Norway and self-report. Three controls without cancer aged >/=70years for each ECS were drawn from the HUNT-3 sample. We compared personal-ADL (P-ADL) and instrumental-ADL (I-ADL) problems for ECSs and differences between ADL problems for ECSs with and without comorbidity and controls with and without comorbidity. RESULTS: The prevalence of P-ADL problems was 3.5% among ECSs and 2.9% among controls (p=0.97) and for I-ADL 28.5% versus 21.4% (p=0.01), respectively. In bivariate analyses where ECSs versus controls was the dependent variable, presence of I-ADL problems, higher age, being female, paired relationship, poor self-rated health, hospitalization last year, and low level of neuroticism were associated being ECSs. In multivariate analyses, these variables, except I-ADL-problems and paired relationship, remained significantly associated being ECSs. No significant differences were shown for P-ADL problems when comparing ECSs and controls with comorbidity, and ECSs with and without comorbidity. ECSs with comorbidity reported significantly more I-ADL-problems than controls with comorbidity, and ECSs with comorbidity had significantly more I-ADL-problems than ECSs without comorbidity. CONCLUSION: Our results reflect common factors found in ADL studies in the elderly population. Health personnel have to be particularly observant on I-ADL problems among female ECSs, and those reporting poor self-rated health or comorbidity.
SN  - 1879-4068
UR  - http://www.ncbi.nlm.nih.gov/pubmed/28629695
UR  - https://doi.org/10.1016/j.jgo.2017.05.007
DO  - 10.1016/j.jgo.2017.05.007
LA  - English
N1  - PMID:28629695
ID  - Grov_etal2017
ER  -