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Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?

Background: The incidence and prevalence of aging-related diseases such as dementia and cancer are increasing, as are cancer survival rates. Cancer and its treatments have been associated with cognitive effects for those who later develop dementia. Guidelines have suggested that cancer patients retu...

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Autores principales: Fowler, Mackenzie, Triebel, Kristen, Rocque, Gabrielle, Irvin, Ryan, Kennedy, Richard, Wright, Nicole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968337/
http://dx.doi.org/10.1093/geroni/igab046.2329
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author Fowler, Mackenzie
Triebel, Kristen
Rocque, Gabrielle
Irvin, Ryan
Kennedy, Richard
Wright, Nicole
author_facet Fowler, Mackenzie
Triebel, Kristen
Rocque, Gabrielle
Irvin, Ryan
Kennedy, Richard
Wright, Nicole
author_sort Fowler, Mackenzie
collection PubMed
description Background: The incidence and prevalence of aging-related diseases such as dementia and cancer are increasing, as are cancer survival rates. Cancer and its treatments have been associated with cognitive effects for those who later develop dementia. Guidelines have suggested that cancer patients return to follow-up in primary care following remission and be referred to specialists for cognitive complications, but it is unclear how well these guidelines are followed. Methods: Electronic health record data at the University of Alabama at Birmingham were extracted from July 2003 May 2020. Rates of specialty care utilization on or after dementia diagnosis were compared by cancer history status in adults 50 years old or older at dementia diagnosis. Predictors of specialty care utilization were examined using logistic regression. Results: Rate of specialty care utilization was lower for those with cancer history compared to those without on the date of dementia diagnosis (11.3% vs. 17.1%) and after diagnosis (13.5% vs. 19.2%). Older age at dementia diagnosis, non-Hispanic Black race, anticholinergic burden, socioeconomic status, and vascular risk factors were associated with lower odds of specialty care utilization. Dementia medication use was associated with higher odds of specialty care utilization on and after dementia diagnosis. Conclusions: Cancer survivors with a dementia diagnosis are less likely to utilize specialty care than those with no history of cancer. Several factors predicted specialty care utilization. Additional studies should assess potential barriers in referring cancer survivors to specialty care for cognitive impairment.
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spelling pubmed-89683372022-03-31 Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia? Fowler, Mackenzie Triebel, Kristen Rocque, Gabrielle Irvin, Ryan Kennedy, Richard Wright, Nicole Innov Aging Abstracts Background: The incidence and prevalence of aging-related diseases such as dementia and cancer are increasing, as are cancer survival rates. Cancer and its treatments have been associated with cognitive effects for those who later develop dementia. Guidelines have suggested that cancer patients return to follow-up in primary care following remission and be referred to specialists for cognitive complications, but it is unclear how well these guidelines are followed. Methods: Electronic health record data at the University of Alabama at Birmingham were extracted from July 2003 May 2020. Rates of specialty care utilization on or after dementia diagnosis were compared by cancer history status in adults 50 years old or older at dementia diagnosis. Predictors of specialty care utilization were examined using logistic regression. Results: Rate of specialty care utilization was lower for those with cancer history compared to those without on the date of dementia diagnosis (11.3% vs. 17.1%) and after diagnosis (13.5% vs. 19.2%). Older age at dementia diagnosis, non-Hispanic Black race, anticholinergic burden, socioeconomic status, and vascular risk factors were associated with lower odds of specialty care utilization. Dementia medication use was associated with higher odds of specialty care utilization on and after dementia diagnosis. Conclusions: Cancer survivors with a dementia diagnosis are less likely to utilize specialty care than those with no history of cancer. Several factors predicted specialty care utilization. Additional studies should assess potential barriers in referring cancer survivors to specialty care for cognitive impairment. Oxford University Press 2021-12-17 /pmc/articles/PMC8968337/ http://dx.doi.org/10.1093/geroni/igab046.2329 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Fowler, Mackenzie
Triebel, Kristen
Rocque, Gabrielle
Irvin, Ryan
Kennedy, Richard
Wright, Nicole
Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title_full Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title_fullStr Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title_full_unstemmed Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title_short Is Cancer History Related to Neurologic Specialty Care in Patients with Dementia?
title_sort is cancer history related to neurologic specialty care in patients with dementia?
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968337/
http://dx.doi.org/10.1093/geroni/igab046.2329
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