TY - JOUR
T1 - A scoping review of ageism towards older adults in cancer care
AU - Haase, Kristen R.
AU - Sattar, Schroder
AU - Pilleron, Sophie
AU - Lambrechts, Yentl
AU - Hannan, Michelle
AU - Navarrete, Erna
AU - Kantilal, Kavita
AU - Newton, Lorelei
AU - Kantilal, Kumud
AU - Jin, Rana
AU - van der Wal-Huisman, Hanneke
AU - Strohschein, Fay J.
AU - Pergolotti, M.
AU - Read, Kevin B.
AU - Kenis, Cindy
AU - Puts, Martine
AU - the International Society of Geriatric Oncology (SIOG) Nursing and Allied Health Interest Group
N1 - Funding Information:
The authors wish to thank the International Society of Geriatric Oncology for their support in completing this work. Preliminary findings of this review were presentenced at the Multinational Association for Supportive Cancer Care and the SIOG 2021 conference.
Publisher Copyright:
© 2022
PY - 2023/1
Y1 - 2023/1
N2 - Introduction: Ageism towards older adults with cancer may impact treatment decisions, healthcare interactions, and shape health/psychosocial outcomes. The purpose of this review is twofold: (1) To synthesize the literature on ageism towards older adults with cancer in oncology and (2) To identify interventions that address ageism in the healthcare context applicable to oncology. Materials and methods: We conducted a scoping review following Arksey and O'Malley and Levac methods and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We conducted an exhaustive multi-database search, screening 30,926 titles/abstracts. Following data abstraction, we conducted tabular, narrative, and textual synthesis. Results: We extracted data on 133 papers. Most (n = 44) were expert opinions, reviews, and letters to editors highlighting the negative impacts of ageism, expressing the need for approaches addressing heterogeneity of older adults, and calling for increased clinical trial inclusion for older adults. Qualitative studies (n = 3) described healthcare professionals' perceived influence of age on treatment recommendations, whereas quantitative studies (n = 32) were inconclusive as to whether age-related bias impacted treatment recommendations/outcomes or survival. Intervention studies (n = 54) targeted ageism in pre/post-licensure healthcare professionals and reported participants' improvement in knowledge and/or attitudes towards older adults. No interventions were found that had been implemented in oncology. Discussion: Concerns relating to ageism in cancer care are consistently described in the literature. Interventions exist to address ageism; however, none have been developed or tested in oncology settings. Addressing ageism in oncology will require integration of geriatric knowledge/interventions to address conscious and unconscious ageist attitudes impacting care and outcomes. Interventions hold promise if tailored for cancer care settings. 249/250.
AB - Introduction: Ageism towards older adults with cancer may impact treatment decisions, healthcare interactions, and shape health/psychosocial outcomes. The purpose of this review is twofold: (1) To synthesize the literature on ageism towards older adults with cancer in oncology and (2) To identify interventions that address ageism in the healthcare context applicable to oncology. Materials and methods: We conducted a scoping review following Arksey and O'Malley and Levac methods and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We conducted an exhaustive multi-database search, screening 30,926 titles/abstracts. Following data abstraction, we conducted tabular, narrative, and textual synthesis. Results: We extracted data on 133 papers. Most (n = 44) were expert opinions, reviews, and letters to editors highlighting the negative impacts of ageism, expressing the need for approaches addressing heterogeneity of older adults, and calling for increased clinical trial inclusion for older adults. Qualitative studies (n = 3) described healthcare professionals' perceived influence of age on treatment recommendations, whereas quantitative studies (n = 32) were inconclusive as to whether age-related bias impacted treatment recommendations/outcomes or survival. Intervention studies (n = 54) targeted ageism in pre/post-licensure healthcare professionals and reported participants' improvement in knowledge and/or attitudes towards older adults. No interventions were found that had been implemented in oncology. Discussion: Concerns relating to ageism in cancer care are consistently described in the literature. Interventions exist to address ageism; however, none have been developed or tested in oncology settings. Addressing ageism in oncology will require integration of geriatric knowledge/interventions to address conscious and unconscious ageist attitudes impacting care and outcomes. Interventions hold promise if tailored for cancer care settings. 249/250.
KW - Age-related bias
KW - Ageism
KW - Geriatric oncology
KW - Gerontology
KW - cancer care
UR - http://www.scopus.com/inward/record.url?scp=85139849635&partnerID=8YFLogxK
UR - https://pubmed.ncbi.nlm.nih.gov/36244925
U2 - 10.1016/j.jgo.2022.09.014
DO - 10.1016/j.jgo.2022.09.014
M3 - Review article
C2 - 36244925
AN - SCOPUS:85139849635
SN - 1879-4068
VL - 14
JO - Journal of Geriatric Oncology
JF - Journal of Geriatric Oncology
IS - 1
M1 - 101385
ER -