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Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States
BACKGROUND: Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. METHODS: We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics, time...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6853832/ https://www.ncbi.nlm.nih.gov/pubmed/31568695 http://dx.doi.org/10.1002/cam4.2568 |
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author | Halilova, Karina I. Pisu, Maria Azuero, Andres Williams, Courtney P. Kenzik, Kelly M. Williams, Grant R. Rocque, Gabrielle B. Martin, Michelle Y. Kvale, Elizabeth A. Demark‐Wahnefried, Wendy |
author_facet | Halilova, Karina I. Pisu, Maria Azuero, Andres Williams, Courtney P. Kenzik, Kelly M. Williams, Grant R. Rocque, Gabrielle B. Martin, Michelle Y. Kvale, Elizabeth A. Demark‐Wahnefried, Wendy |
author_sort | Halilova, Karina I. |
collection | PubMed |
description | BACKGROUND: Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. METHODS: We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics, time since diagnosis, weight, height, and healthy behaviors were collected. Respondents were asked if providers (oncologists, other physicians, and/or nurses) discussed exercise, healthy diet, weight management, and/or smoking cessation during clinical encounters. Descriptive statistics and bivariate associations between HLS topics and survivor characteristics were calculated. RESULTS: Among 1460 cancer survivors, mean age was 74 years (SD 6), most were white (81%), and >1 year postdiagnosis (84%). The majority (71%) reported discussing at least one of three HLS topics (exercise 49%, healthy diet 53%, vegetable consumption 28%); 17% received counseling on all three. Weight loss was recommended to 33% of overweight/obese survivors and smoking cessation to 85% of current smokers. Oncologists and nurses discussed HLS less frequently compared to other physicians. Younger survivors (65‐74 years) received recommendations for exercise, weight loss, and tobacco cessation more often than older survivors (≥75 years). Compared to white respondents, minorities reported discussions on all topics more often except for tobacco cessation. Excluding tobacco cessation, survivors with recent cancer diagnoses (<1 year) reported HLS discussions more often than survivors >1 year postdiagnosis. CONCLUSION: Despite the American Cancer Society's recommendations, older survivors reported a low prevalence of HLS discussions with their providers, with some variation by demographic groups. Strategies are needed to promote these important discussions in this population. |
format | Online Article Text |
id | pubmed-6853832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68538322019-12-16 Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States Halilova, Karina I. Pisu, Maria Azuero, Andres Williams, Courtney P. Kenzik, Kelly M. Williams, Grant R. Rocque, Gabrielle B. Martin, Michelle Y. Kvale, Elizabeth A. Demark‐Wahnefried, Wendy Cancer Med Cancer Prevention BACKGROUND: Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. METHODS: We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics, time since diagnosis, weight, height, and healthy behaviors were collected. Respondents were asked if providers (oncologists, other physicians, and/or nurses) discussed exercise, healthy diet, weight management, and/or smoking cessation during clinical encounters. Descriptive statistics and bivariate associations between HLS topics and survivor characteristics were calculated. RESULTS: Among 1460 cancer survivors, mean age was 74 years (SD 6), most were white (81%), and >1 year postdiagnosis (84%). The majority (71%) reported discussing at least one of three HLS topics (exercise 49%, healthy diet 53%, vegetable consumption 28%); 17% received counseling on all three. Weight loss was recommended to 33% of overweight/obese survivors and smoking cessation to 85% of current smokers. Oncologists and nurses discussed HLS less frequently compared to other physicians. Younger survivors (65‐74 years) received recommendations for exercise, weight loss, and tobacco cessation more often than older survivors (≥75 years). Compared to white respondents, minorities reported discussions on all topics more often except for tobacco cessation. Excluding tobacco cessation, survivors with recent cancer diagnoses (<1 year) reported HLS discussions more often than survivors >1 year postdiagnosis. CONCLUSION: Despite the American Cancer Society's recommendations, older survivors reported a low prevalence of HLS discussions with their providers, with some variation by demographic groups. Strategies are needed to promote these important discussions in this population. John Wiley and Sons Inc. 2019-09-30 /pmc/articles/PMC6853832/ /pubmed/31568695 http://dx.doi.org/10.1002/cam4.2568 Text en © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Cancer Prevention Halilova, Karina I. Pisu, Maria Azuero, Andres Williams, Courtney P. Kenzik, Kelly M. Williams, Grant R. Rocque, Gabrielle B. Martin, Michelle Y. Kvale, Elizabeth A. Demark‐Wahnefried, Wendy Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title_full | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title_fullStr | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title_full_unstemmed | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title_short | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
title_sort | healthy lifestyle discussions between healthcare providers and older cancer survivors: data from 12 cancer centers in the southeastern united states |
topic | Cancer Prevention |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6853832/ https://www.ncbi.nlm.nih.gov/pubmed/31568695 http://dx.doi.org/10.1002/cam4.2568 |
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