Postoperative delirium in older patients with cancer: the role of psychological distress and social support.

O'Hanlon, S; Baxter, M; Hosie, A

Postoperative delirium in older patients with cancer: the role of psychological distress and social support.

O'Hanlon, S Baxter, M Hosie, A

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Publisher:: Ovid Technologies (Wolters Kluwer Health)
Publication Type:: Journal Article
Citation:: Curr Opin Support Palliat Care, 2021, Publish Ahead of Print
Issue Date:: 2021-12-22

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Field	Value	Language
dc.contributor.author	O'Hanlon, S
dc.contributor.author	Baxter, M
dc.contributor.author	Hosie, A https://orcid.org/0000-0003-1674-2124
dc.date.accessioned	2022-01-25T04:48:52Z
dc.date.available	2022-01-25T04:48:52Z
dc.date.issued	2021-12-22
dc.identifier.citation	Curr Opin Support Palliat Care, 2021, Publish Ahead of Print
dc.identifier.issn	1751-4258
dc.identifier.issn	1751-4266
dc.identifier.uri	http://hdl.handle.net/10453/153564
dc.description.abstract	PURPOSE OF REVIEW: Delirium is a common and important adverse event in the perioperative period. Older people with cancer are at significant risk, and outcomes are poor. There is increasing awareness of the effect of psychological distress and social support on pathogenesis and outcomes of delirium in this setting. This review aimed to describe recent research in this evolving area. RECENT FINDINGS: Across six recent studies of postoperative delirium in older people with cancer, delirium incidence ranged from 8 to 19.8%. Poor social support and high levels of distress are implicated in the development of postoperative delirium. Distress can be related to negative emotional reaction to diagnosis, preconception of cancer diagnosis and interactions with the healthcare system. Prevention of delirium is key, and multicomponent interventions show evidence of effectiveness. 'Emotional distress' has been included in a new core outcome set for studies of interventions to prevent and/or treat delirium. SUMMARY: Postoperative delirium in older adults with cancer is common and is associated with increased morbidity and mortality. Psychological distress and social support play an important role, but there are many unmet research needs in this area.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Ovid Technologies (Wolters Kluwer Health)
dc.relation.ispartof	Curr Opin Support Palliat Care
dc.relation.isbasedon	10.1097/SPC.0000000000000588
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Oncology & Carcinogenesis
dc.title	Postoperative delirium in older patients with cancer: the role of psychological distress and social support.
dc.type	Journal Article
utslib.citation.volume	Publish Ahead of Print
utslib.location.activity	United States
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
utslib.copyright.embargo	2023-01-01T00:00:00+1000Z
dc.date.updated	2022-01-25T04:48:50Z
pubs.publication-status	Published online
pubs.volume	Publish Ahead of Print

Abstract:

PURPOSE OF REVIEW: Delirium is a common and important adverse event in the perioperative period. Older people with cancer are at significant risk, and outcomes are poor. There is increasing awareness of the effect of psychological distress and social support on pathogenesis and outcomes of delirium in this setting. This review aimed to describe recent research in this evolving area. RECENT FINDINGS: Across six recent studies of postoperative delirium in older people with cancer, delirium incidence ranged from 8 to 19.8%. Poor social support and high levels of distress are implicated in the development of postoperative delirium. Distress can be related to negative emotional reaction to diagnosis, preconception of cancer diagnosis and interactions with the healthcare system. Prevention of delirium is key, and multicomponent interventions show evidence of effectiveness. 'Emotional distress' has been included in a new core outcome set for studies of interventions to prevent and/or treat delirium. SUMMARY: Postoperative delirium in older adults with cancer is common and is associated with increased morbidity and mortality. Psychological distress and social support play an important role, but there are many unmet research needs in this area.

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http://hdl.handle.net/10453/153564