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Frailty, advanced age tied to less time at home after cancer resection

Journal
JAMA Surgery
Reuters Health - 21/10/2020 - Elderly, frail and low-income adults may have less time at home after cancer resection than patients who are younger and more affluent, a Canadian study suggests. Researchers examined data on 82,037 adults aged 70 years and older in Ontario, Canada, who had a new cancer diagnosis from 2007 to 2017 and underwent resection within 90 to 180 days. Overall, the median number of days at home per days alive was 0.98 in postoperative year 1 and 0.99 in postoperative year 5. Across the entire study population, the probability of high time at home, defined as 14 days or less in an institutional setting annually, was 70.3% in postoperative year 1 and 53.2% by postoperative year 5, according to the results in JAMA Surgery. Several factors, however, were associated with low time at home, defined as more than 14 institutional days per year. These included age of at least 85 years (hazard ratio 2.11); preoperative frailty (HR 1.74); highest lev...


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