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Cancer in Moroccan elderly: The first multicenter transverse study exploring the sociodemographic characteristics, clinical profile and quality of life of elderly Moroccan cancer patients
Mounia Amzerin
Universite Mohammed V de Rabat
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4334-149X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Cancer.
Background: Moroccan 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.
Methods: The 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.
Results: In 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.
Conclusion: This 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.
Keywords
Geriatric oncology, elderly, cancer, multicenter study, Morocco, G8, religious practice
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CURRENT STATUS: Published
Version 3
Posted 28 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 11 Sep, 2020
Review #2 received
Received 08 Sep, 2020
Review #1 received
Received 03 Sep, 2020
Reviewer #2 agreed
On 20 Aug, 2020
Reviewer #1 agreed
On 04 Aug, 2020
Reviewers invited
Invitations sent on 01 Aug, 2020
Editor assigned
On 30 Jul, 2020
Submission checks complete
On 29 Jul, 2020
Editor invited
On 29 Jul, 2020
No comments provided
Review #1 received
Received 09 Jul, 2020
Editorial decision: Minor revision
On 09 Jul, 2020
Review #2 received
Received 08 Jul, 2020
Reviewer #2 agreed
On 17 Jun, 2020
Reviewer #1 agreed
On 11 Jun, 2020
Reviewers invited
Invitations sent on 18 May, 2020
First submitted
On 06 May, 2020
Editor assigned
On 06 May, 2020
Submission checks complete
On 05 May, 2020
Editor invited
On 05 May, 2020
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This preprint is under consideration at BMC Cancer. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Cancer in Moroccan elderly: The first multicenter transverse study exploring the sociodemographic characteristics, clinical profile and quality of life of elderly Moroccan cancer patients
Mounia Amzerin
Universite Mohammed V de Rabat
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4334-149X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 28 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 11 Sep, 2020
Review #2 received
Received 08 Sep, 2020
Review #1 received
Received 03 Sep, 2020
Reviewer #2 agreed
On 20 Aug, 2020
Reviewer #1 agreed
On 04 Aug, 2020
Reviewers invited
Invitations sent on 01 Aug, 2020
Editor assigned
On 30 Jul, 2020
Submission checks complete
On 29 Jul, 2020
Editor invited
On 29 Jul, 2020
No comments provided
Review #1 received
Received 09 Jul, 2020
Editorial decision: Minor revision
On 09 Jul, 2020
Review #2 received
Received 08 Jul, 2020
Reviewer #2 agreed
On 17 Jun, 2020
Reviewer #1 agreed
On 11 Jun, 2020
Reviewers invited
Invitations sent on 18 May, 2020
First submitted
On 06 May, 2020
Editor assigned
On 06 May, 2020
Submission checks complete
On 05 May, 2020
Editor invited
On 05 May, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Cancer.
Background: Moroccan 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.
Methods: The 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.
Results: In 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.
Conclusion: This 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.
Figure 1