2023 World Conference on Lung Cancer (Posters)-P2.25. Functional Independence of Older Adults after Lung Cancer Surgery: Final Analysis of a Prospective Observational Study

P2.25. Functional Independence of Older Adults after Lung Cancer Surgery: Final Analysis of a Prospective Observational Study - PDF(Abstract)

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This study analyzed the functional independence of older adults after lung cancer surgery, specifically looking at their instrumental activities of daily living (IADL). A total of 876 patients aged 75 years or older who underwent curative surgery for non-small cell lung cancer (NSCLC) were examined. The primary endpoint was the proportion of patients with non-deterioration of IADL at 6 months after surgery. The secondary endpoints included IADL scores at 12 and 24 months, overall survival (OS), and relapse-free survival (RFS). The study found that although 15% of older patients experienced a decline in IADL at 6 months after surgery, further deterioration was not observed thereafter. The majority of patients were able to maintain their independence in daily activities. The study also identified factors such as smoking history, pneumonitis, and polypharmacy that were associated with IADL decline. Wedge resection was found to be associated with less IADL decline at 6 and 12 months compared to segmentectomy or lobectomy. Overall, the findings suggest that most older adults can maintain their functional independence after lung cancer surgery. The study provides important insights into postoperative care and support for older patients with NSCLC.

Asset Subtitle

Tomonori Mizutani

Meta Tag

Speaker Tomonori Mizutani

Topic Multidisciplinary Care: Supportive Care

Keywords

functional independence

older adults

lung cancer surgery

IADL

non-small cell lung cancer

overall survival

relapse-free survival

smoking history

postoperative care

NSCLC