Persistent URL of this record https://hdl.handle.net/1887/81991
Documents
-
- Download
- Title Pages_Contents
- open access
-
- Download
- Chapter 2
- open access
- Full text at publishers site
-
- Download
- Chapter 3
- open access
- Full text at publishers site
-
- Download
- Chapter 4
- open access
- Full text at publishers site
-
- Download
- Chapter 5
- open access
- Full text at publishers site
-
- Download
- Chapter 6
- open access
- Full text at publishers site
-
- Download
- Chapter 7
- open access
- Full text at publishers site
-
- Download
- Summary in English
- open access
-
- Download
- Summary in Dutch
- open access
-
- Download
- Propositions
- open access
In Collections
This item can be found in the following collections:
Phenotyping older patients needing intensive treatment
conditions. A geriatric assessment (GA) is used to explore the domains of somatic status, mental,
physical and social functioning. Only few studies have assessed the association of a GA with
outcomes in older patients with severe diseases. We show that the majority of the studies in
patients with head and neck cancer and esophageal cancer, reported a significant association of
impairment in functional and cognitive performance, mood or social environment with a higher risk
of adverse outcomes. Third, we investigated older patients reaching end-stage renal disease and
reported that high age, low education, low functional status, frailty, higher burden of WMH and a
history of vascular disease were associated with impaired cognitive function. Finally, we studied a
patient reported outcome measurement (self-rated health; SRH) in older...Show moreHigher age is accompanied with multimorbidity and is also associated with the presence of geriatric
conditions. A geriatric assessment (GA) is used to explore the domains of somatic status, mental,
physical and social functioning. Only few studies have assessed the association of a GA with
outcomes in older patients with severe diseases. We show that the majority of the studies in
patients with head and neck cancer and esophageal cancer, reported a significant association of
impairment in functional and cognitive performance, mood or social environment with a higher risk
of adverse outcomes. Third, we investigated older patients reaching end-stage renal disease and
reported that high age, low education, low functional status, frailty, higher burden of WMH and a
history of vascular disease were associated with impaired cognitive function. Finally, we studied a
patient reported outcome measurement (self-rated health; SRH) in older patients visiting the
emergency department and show that it is at least partly dependent on factors of functional capacity
and functional decline. In conclusion, we report that aspects of the GA are associated with adverse
health outcomes. This endorses the importance of taking geriatric characteristics into account in
patients who possibly need intensive treatment, however more research is needed.
Show less
- All authors
- Deudekom, F.J.A. van
- Supervisor
- Blauw, G.J.
- Co-supervisor
- Mooijaart, S.P.
- Committee
- Bos, W.J.W.; Emmelot-Vonk, M.H.; Munster, B.C. van
- Qualification
- Doctor (dr.)
- Awarding Institution
- Faculty of Medicine, Leiden University Medical Center (LUMC) , Leiden University
- Date
- 2019-12-19
- ISBN (print)
- 9789463238977