Wildes Tanya M, Depp Brittany, Colditz Graham, Stark Susan
Division of Medical Oncology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8056, St. Louis, MO, 63110, USA.
Siteman Cancer Center, Washington University School of Medicine, St Louis, MO, USA.
Support Care Cancer. 2016 Sep;24(9):3681-4. doi: 10.1007/s00520-016-3312-1. Epub 2016 Jun 24.
Falls in older adults with cancer are more common than in noncancer controls, yet no fall-risk screening tool has been validated in this population. We undertook a cross-sectional pilot study of the Falls Risk Questionnaire (FRQ) in 21 adults aged ≥65 receiving systemic cancer therapy. Participants completed the FRQ, geriatric assessment measures, and a measure of fear-of-falling. The recruitment rate was 87.5 %, with 95.2 % completion of the FRQ and additional geriatric assessment and quality of life measures. The FRQ correlated significantly with the Timed Up and Go test (Pearson r 0.479, p = 0.028). In addition, the FRQ score correlated directly with fear-of-falling and inversely with QOL, particularly physical health and neurotoxicity subscales. In conclusion, the FRQ was feasible in older adults receiving cancer therapy and correlates with measures of physical performance, functional status, and fear-of-falling. The FRQ may prove to be a valuable fall-risk screening tool to implement fall-prevention interventions in this vulnerable population of older adults with cancer.
患癌老年人跌倒的情况比无癌症的对照人群更为常见，但尚无跌倒风险筛查工具在该人群中得到验证。我们对21名年龄≥65岁且正在接受全身癌症治疗的成年人进行了一项关于跌倒风险问卷（FRQ）的横断面试点研究。参与者完成了FRQ、老年评估措施以及一项跌倒恐惧测量。招募率为87.5%，95.2%的参与者完成了FRQ以及额外的老年评估和生活质量测量。FRQ与定时起立行走测试显著相关（Pearson相关系数r为0.479，p = 0.028）。此外，FRQ得分与跌倒恐惧呈正相关，与生活质量呈负相关，尤其是身体健康和神经毒性分量表。总之，FRQ在接受癌症治疗的老年人中是可行的，并且与身体表现、功能状态和跌倒恐惧的测量相关。FRQ可能被证明是一种有价值的跌倒风险筛查工具，可用于在这一脆弱的老年癌症人群中实施预防跌倒干预措施。
