Ahmad Bin Zayed Al Nahyan Center of Cancer Treatment, Department of Medical Oncology, Tangier, Morocco.
Mohamed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.
BMC Cancer. 2020 Oct 12;20(1):983. doi: 10.1186/s12885-020-07458-0.
Moroccan incidence of cancer is increasing with the lengthening of life expectancy. Data regarding elderly Moroccan cancer patients are lacking. In the context of our project aiming to develop an adapted version of the Comprehensive Geriatric Assessment CGA to the Moroccan population, we launched the first Moroccan multicenter transverse study to explore the characteristics of elderly Moroccan cancer patients.
The study was conducted in nine Moroccan medical oncology departments. Patients were enrolled over 4 months. Inclusion criteria were patients aged 65 years or over with verified solid cancer. The questionnaire included four sections: socio-demographic and economic data, clinical data, vulnerability and EORTC-QLQ C30. We explored the entire included population. Then, we compared the results according to age (65-70 years old and ≥ 71 years old) and sex. We also explored the correlation between G8 scores and the ability to practice religion as an indicator of fitness level.
In total, 164 patients were enrolled. The mean age was 73.18 ± 6.01 years. The majority of patients were married, lived with their children and received their financial income from them. Fifteen percent of families asked to hide the diagnosis from the patient. Breast (23%), colorectal (15.9%) and lung (14%) cancers were the most frequent, and 83.5% had an abnormal G8. The majority of the patients were independent for basic daily activities. Female patients had poorer social and economic conditions. Abnormal G8 was correlated with religious practice and quality of life scores.
This is the first multicenter prospective study designed to collect data on the lifestyle and clinical profiles of elderly Moroccan cancer patients as an Arab and Muslim population. Our study shows that it is a well-cared-for population with strong social ties. However, there is deep economic vulnerability, especially among women, requiring urgent care. Religious practice is an important daily activity for our elderly patients and should be included in the Moroccan CGA.
随着预期寿命的延长，摩洛哥的癌症发病率正在上升。关于摩洛哥老年癌症患者的数据尚不清楚。在我们旨在为摩洛哥人口开发综合老年评估（CGA）适应版本的项目背景下，我们开展了第一项摩洛哥多中心横断面研究，以探讨摩洛哥老年癌症患者的特征。
该研究在摩洛哥的 9 个医学肿瘤学部门进行。在 4 个月的时间内纳入患者。纳入标准为年龄在 65 岁或以上且经证实患有实体癌的患者。问卷包括四个部分：社会人口经济学数据、临床数据、脆弱性和 EORTC-QLQ C30。我们对整个纳入人群进行了研究。然后，我们根据年龄（65-70 岁和≥71 岁）和性别对结果进行了比较。我们还探讨了 G8 评分与作为适应水平指标的宗教实践能力之间的相关性。
共纳入 164 例患者，平均年龄为 73.18±6.01 岁。大多数患者已婚，与子女同住，经济收入来自子女。15%的家庭要求向患者隐瞒诊断。最常见的癌症为乳腺癌（23%）、结直肠癌（15.9%）和肺癌（14%），83.5%的患者 G8 异常。大多数患者基本日常生活活动能力独立。女性患者的社会经济状况较差。G8 异常与宗教实践和生活质量评分相关。
这是第一项旨在收集有关老年摩洛哥癌症患者生活方式和临床特征的多中心前瞻性研究，这些患者是阿拉伯和穆斯林人口。我们的研究表明，这是一个得到很好照顾的人群，社会联系紧密。然而，经济脆弱性很深，尤其是女性，需要紧急关注。宗教实践是我们老年患者的一项重要日常活动，应该纳入摩洛哥的 CGA。
