Accidental Fall Rates in Community-Dwelling Adults Compared to Cancer Survivors During and Post-Treatment: A Systematic Review With Meta-Analysis.

Abstract:

PURPOSE/OBJECTIVES:To identify whether rates of accidental falls are greater for cancer survivors living in the community during or post-treatment than people with no history of cancer.
. DATA SOURCES:In a systematic literature review that was conducted in December 2013, MEDLINE®, EMBASE, PubMed, and Web of Science were searched for cancer or oncology and accidental falls in prospective and retrospective cohort and case-controlled studies. Studies were included if they were conducted in a community-dwelling adult population and excluded if they were conducted in acute hospitals and hospice.
. DATA SYNTHESIS:Of 484 articles initially identified, 10 were included in the review. Of these, three included a control or comparator group and had comparable outcome measures to include in a meta-analysis. The risk ratio for falls for the group with cancer was 1.11.
. CONCLUSIONS:Accidental fall rates in community-dwelling adults with a cancer diagnosis are greater than rates of falls in adults without cancer; this elevated rate remains after acute care is finished. Patients undergoing active treatment have greater rates of falls. Pain, fatigue, and deconditioning may affect fall rates in the longer term. 
. IMPLICATIONS FOR NURSING:Nurses have the capacity to reduce risk of falls in community-dwelling cancer survivors during or post-treatment through provision of information, advocacy, and support around pain and fatigue management and promotion of physical activity.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Bird ML,Cheney MJ,Williams AD

doi

10.1188/16.ONF.E64-E72

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

E64-72

issue

2

eissn

0190-535X

issn

1538-0688

journal_volume

43

pub_type

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