Poster 149 Predictors of Physical Therapy Consultation Among Older Patients During Acute Hospitalization

2011 ◽  
Vol 92 (10) ◽  
pp. 1734
Author(s):  
Rod Welsh ◽  
Amit Kumar ◽  
Allison Ottenbacher ◽  
Steve Fisher
Keyword(s):  
Physical Therapy ◽  
Older Patients ◽  
Acute Hospitalization

Effectiveness of preoperative physical therapy for older patients with hip fracture

2018 ◽  
Vol 18 (7) ◽  
pp. 1003-1008 ◽  
Author(s):  
Akira Sawaguchi ◽  
Ryo Momosaki ◽  
Kiyotaka Hasebe ◽  
Masayuki Chono ◽  
Seiji Kasuga ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Physical Therapy ◽  
Older Patients

scholarly journals Responsiveness and Minimal Important Change of the IKDC of Middle-Aged and Older Patients With a Meniscal Tear

2019 ◽  
Vol 47 (2) ◽  
pp. 364-371 ◽  
Author(s):  
Julia C.A. Noorduyn ◽  
Victor A. van de Graaf ◽  
Lidwine B. Mokkink ◽  
Nienke W. Willigenburg ◽  
Rudolf W. Poolman ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Older Patients ◽  
Meniscal Tear ◽  
Important Change ◽  
Minimal Important Change ◽  
Meniscal Tears ◽  
Arthroscopic Partial Meniscectomy ◽  
Patient Reported ◽  
Ikdc Score

Background: Responsiveness and the minimal important change (MIC) are important measurement properties to evaluate treatment effects and to interpret clinical trial results. The International Knee Documentation Committee (IKDC) Subjective Knee Form is a reliable and valid instrument for measuring patient-reported knee-specific symptoms, functioning, and sports activities in a population with meniscal tears. However, evidence on responsiveness is of limited methodological quality, and the MIC has not yet been established for patients with symptomatic meniscal tears. Purpose: To evaluate the responsiveness and determine the MIC of the IKDC for patients with meniscal tears. Study Design: Cohort study (design); Level of evidence 2. Methods: This study was part of the ESCAPE trial: a noninferiority multicenter randomized controlled trial comparing arthroscopic partial meniscectomy with physical therapy. Patients aged 45 to 70 years who were treated for a meniscal tear by arthroscopic partial meniscectomy or physical therapy completed the IKDC and 3 other questionnaires (RAND 36-Item Health Survey, EuroQol-5D-5L, and visual analog scales for pain) at baseline and 6-month follow-up. Responsiveness was evaluated by testing predefined hypotheses about the relation of the change in IKDC with regard to the change in the other self-reported outcomes. An external anchor question was used to distinguish patients reporting improvement versus no change in daily functioning. The MIC was determined by the optimal cutoff point in the receiver operating characteristic curve, which quantifies the IKDC score that best discriminated between patients with and without improvement in daily function. Results: Data from all 298 patients who completed baseline and 6-month follow-up questionnaires were analyzed. Responsiveness of the IKDC was confirmed in 7 of 10 predefined hypotheses about the change in IKDC score with regard to other patient-reported outcome measures. One hypothesis differed in the expected direction, while 2 hypotheses failed to meet the expected magnitude by 0.02 and 0.01 points. An MIC of 10.9 points was calculated for the IKDC of middle-aged and older patients with meniscal tears. Conclusion: This study showed that the IKDC is responsive to change among patients aged 45 to 70 years with meniscal tears, with an MIC of 10.9 points. This strengthens the value of the IKDC in quantifying treatment effects in this population.

Supportive care needs among older Mexican adults with metastatic cancer.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 198-198
Author(s):  
Ana Cristina Torres ◽  
Sofia Sánchez-Román ◽  
Alfredo Covarrubias-Gómez ◽  
Paulina Quiroz ◽  
Natasha Alcocer ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Therapy ◽  
Supportive Care ◽  
Solid Tumors ◽  
Caregiver Burden ◽  
Geriatric Assessment ◽  
Older Patients ◽  
Nutritional Assessment ◽  
Metastatic Cancer ◽  
Management Interventions

198 Background: Supportive care (SC) in oncology includes the prevention and management of cancer- and treatment-related symptoms and adverse effects. Previous studies have shown that SC needs may differ depending on clinical stage, patients’ gender, comorbidities, and chronological age. The goal of this study was to describe the SC needs of older adults with metastatic cancer enrolled in a SC patient navigation program at Instituto Nacional Ciencias Medicas Salvador Zubiran, an academic, public hospital in Mexico City, and to compare them with those of their younger counterparts. Methods: This was a secondary analysis of a prospective study which included adult patients with newly diagnosed metastatic solid tumors. The patients’ SC needs and symptoms were assessed by a patient navigator using validated questionnaires, and then a multidisciplinary team created a personalized SC plan to address those needs. Potential SC interventions included pain management, physical therapy, geriatric assessment/intervention, mitigation of caregiver burden, depression/anxiety management, and nutritional assessment/intervention. Patients were divided into two age groups (≥65 and < 65 years), and differences in SC needs between groups were compared using Chi square, Student’s T and Mann-Whitney tests. Results: Out of 337 patients with metastatic solid tumors included between April 2018 and October 2020 (median age 64 years, range 19-94 years), 164 (48%) were aged ≥65 years. Among older patients (≥65 years), 130 (79%) had an abnormal geriatric screening and were referred for a comprehensive geriatric assessment. Older adults were more likely than younger patients to report malnutrition needing nutritional assessment/intervention (81 vs. 65%, p < 0.01) and to experience fatigue needing a referral to physical therapy (77 vs. 66%, p = 0.03). We found no differences in moderate/severe pain (45 vs 47%, p = 0.79), depression/anxiety (69 vs 77%, p = 0.09), caregiver burden (42 vs 34%, p = 0.12) or sleep disturbances (54 vs 64%, p = 0.07) between groups. However, the total number of SC needs was significantly higher for older adults than for their younger counterparts (4.9 vs. 3.9, p < 0.01). Conclusions: The results of this study show that older adults with metastatic solid tumors have more SC needs and require more symptom management interventions than their younger counterparts. The need for nutritional interventions and physical therapy was significantly higher among older patients, thus, these components should be considered an essential part of geriatric oncology multidisciplinary programs. Oncologists treating older adults with advanced cancer should screen for SC needs among older patients in order to provide targeted interventions.

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