Cancer in Moroccan elderly: the first multicenter transverse study exploring the sociodemographic characteristics, clinical profile and quality of life of elderly Moroccan cancer patients

BMC Cancer

Mounia Amzerin¹  Rachid Aassab²  Mouna Kairouani³  Said Afqir³  Zineb Benbrahim⁴  Samia Arifi⁴  Nawfal Mellas⁴  Noura Majid⁵  Rachid Razine⁶  Mohamed Reda Khmamouche⁷  Mohammed Ichou⁷  Mohamed Layachi⁸  Mohamed Fetohi⁹  Aziz Bazine⁹  Hassan Errihani^1,10  Saloua Ouaouch^1,11  Hanan Raiss^1,12 

[1] Ahmad Bin Zayed Al Nahyan Center of Cancer Treatment, Department of Medical Oncology, Tangier, Morocco;Mohamed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco;Hassan II Hospital, Department of Medical Oncology, Agadir, Morocco;Hassan II Oncology Center, Department of Medical Oncology, Mohammed VI University Hospital, Oujda, Morocco;Hassan II University Hospital, Department of Medical Oncology, Fez, Morocco;Ibn Rochd University Hospital, Oncology Center, Department of Medical Oncology, Casablanca, Morocco;Laboratory of Biostatistics, Epidemiology and Clinical Research, Mohammed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco;Department of Public Health, University of Mohamed V Rabat, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco;Mohamed V Military teaching Hospital, Department of Medical Oncology, Rabat, Morocco;Mohamed VI University Hospital, Department of Medical Oncology, Marrakech, Morocco;Moulay Ismail Military hospital, Department of Medical Oncology, Meknes, Morocco;National Institute Of Oncology, Department of Medical Oncology, Mohamed V University in Rabat, Rabat, Morocco;Proximity Center of Oncology, Beni Mellal, Morocco;Reginal Center of Oncology, Department of Medical Oncology, Al-Hoceima, Morocco;

关键词: Geriatric oncology;    Elderly;    Cancer;    Multicenter study;    Morocco;    G8;    Religious practice;   

DOI  :  10.1186/s12885-020-07458-0

来源: Springer

【 摘 要 】

BackgroundMoroccan incidence of cancer is increasing with the lengthening of life expectancy. Data regarding elderly Moroccan cancer patients are lacking. In the context of our project aiming to develop an adapted version of the Comprehensive Geriatric Assessment CGA to the Moroccan population, we launched the first Moroccan multicenter transverse study to explore the characteristics of elderly Moroccan cancer patients.MethodsThe study was conducted in nine Moroccan medical oncology departments. Patients were enrolled over 4 months. Inclusion criteria were patients aged 65 years or over with verified solid cancer. The questionnaire included four sections: socio-demographic and economic data, clinical data, vulnerability and EORTC-QLQ C30. We explored the entire included population. Then, we compared the results according to age (65–70 years old and ≥ 71 years old) and sex. We also explored the correlation between G8 scores and the ability to practice religion as an indicator of fitness level.ResultsIn total, 164 patients were enrolled. The mean age was 73.18 ± 6.01 years. The majority of patients were married, lived with their children and received their financial income from them. Fifteen percent of families asked to hide the diagnosis from the patient. Breast (23%), colorectal (15.9%) and lung (14%) cancers were the most frequent, and 83.5% had an abnormal G8. The majority of the patients were independent for basic daily activities. Female patients had poorer social and economic conditions. Abnormal G8 was correlated with religious practice and quality of life scores.ConclusionThis is the first multicenter prospective study designed to collect data on the lifestyle and clinical profiles of elderly Moroccan cancer patients as an Arab and Muslim population. Our study shows that it is a well-cared-for population with strong social ties. However, there is deep economic vulnerability, especially among women, requiring urgent care. Religious practice is an important daily activity for our elderly patients and should be included in the Moroccan CGA.

【 授权许可】

CC BY