Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review

Sean N Halpin; Gabriel Alain; Aaron Seaman; Erin E Stevens; Hui Zhao; Mackenzie E Fowler; Qiuyang Zhang; Tamara Cadet; Minzhi Ye; Jessica L Krok-Schoen

doi:10.1177/07334648241233375

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Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review

Journal article

Peer reviewed

Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review

Sean N Halpin, Gabriel Alain, Aaron Seaman, Erin E Stevens, Hui Zhao, Mackenzie E Fowler, Qiuyang Zhang, Tamara Cadet, Minzhi Ye and Jessica L Krok-Schoen

Journal of applied gerontology, Vol.43(8), pp.1132-1143

08/2024

DOI: 10.1177/07334648241233375

PMCID: PMC12288712

PMID: 38347680

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Abstract

Comorbid dementia complicates cancer therapy decision-making in older adults. We aimed to synthesize the recent literature (<5 years) on the challenges associated with cancer therapy decision-making among older people living with dementia (PLWD) and their caregivers. Of the 20,763 references, 8767 had their title and abstract screened, and eight met the inclusion criteria. Six studies were qualitative, one study employed mixed methods, and one study was quasi-experimental. Most studies were conducted in the UK (89%) and reported homogeneity in race and geography. Breast (56%) and prostate (45%) were the most frequent reported cancers. Five studies (56%) reported multiple types of dementia, with two (22%) indicating stages. The studies indicated that communication between patients, caregivers, and clinical teams might alleviate stress caused by worsening health prospects and potential ethical concerns. Information from this review can lead to better-informed, patient-centered treatment decision processes among older PLWD and cancer, their caregivers, and clinicians.

Dementia

cancer

decision-making

health communication

scoping review

Details

Title: Subtitle: Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review
Creators: Sean N Halpin - RTI International
Gabriel Alain - The Ohio State University
Aaron Seaman - University of Iowa
Erin E Stevens - The Ohio State University
Hui Zhao - James Madison University
Mackenzie E Fowler - University of Alabama at Birmingham
Qiuyang Zhang - Tulane University
Tamara Cadet - University of Pennsylvania
Minzhi Ye - Kent State University
Jessica L Krok-Schoen - The Ohio State University
Resource Type: Journal article
Publication Details: Journal of applied gerontology, Vol.43(8), pp.1132-1143
DOI: 10.1177/07334648241233375
PMID: 38347680
PMCID: PMC12288712
NLM abbreviation: J Appl Gerontol
eISSN: 1552-4523
Language: English
Electronic publication date: 02/12/2024
Date published: 08/2024
Academic Unit: Center for Social Science Innovation; General Internal Medicine; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984559876602771

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