Cognitive impairment in older adults with cancer.

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Mari Lloyd-Williams, Caroline Mogan, Karen Harrison Dening

Author Information

Mari Lloyd-Williams: Academic Palliative and Supportive Care Studies Group (APSCSG), IPHS, University of Liverpool, Liverpool, UK.

PMID: 33427763 DOI: 10.1097/SPC.0000000000000534

PURPOSE OF REVIEW: Cognitive impairment is increasing in an ageing population and as people live longer, they are more likely to develop cancer therefore cognitive impairment and cancer are frequently co-occurring. We reviewed articles published since 2018 on cognitive impairment and cancer.
RECENT FINDINGS: The current review has focused on diagnosis, treatment and palliative and end of life care. A comprehensive systematic review reported joint cancer and cognitive impairment prevalence from 0.2 to 45.6%. The review reported there was reduced likelihood of patients with co-occurring cognitive and cancer receiving information regarding cancer stage, reduced cancer treatment with curative intent and limited pain and symptom management. Further studies emphasized the role of family carers in supporting patients with cognitive impairment through cancer treatment.
SUMMARY: Disappointingly in an area where the numbers of patients with cognitive impairment and cancer are increasing, there appears to be little recently published research in this area. We conclude that further research is required to determine how best to support patients with cognitive impairment and cancer and families during diagnosis of cancer, treatment and continuing care and most importantly the findings of all studies are implemented within clinical practice.

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Aged

Caregivers

Cognitive Dysfunction

Humans

Neoplasms

Palliative Care

Terminal Care

Journal Article Review

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