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Poster display session

3954 - Biopsychosocial factors underlying older patients treated for an incurable cancer in a two-tiered health care system in Brazil


10 Sep 2017


Poster display session


Cancers in Adolescents and Young Adults (AYA);  Psychosocial Aspects of Cancer;  Geriatric Oncology;  Supportive and Palliative Care


Cristiane Bergerot


Annals of Oncology (2017) 28 (suppl_5): v507-v510. 10.1093/annonc/mdx384


C.D. Bergerot1, K.T. Ashing2, E. Philip3, P.G. Bergerot1, N. Dizman1, S.K. Pal1, W. Dale4

Author affiliations

  • 1 Department Of Medical Oncology & Experimental Therapeutics, City of Hope, 91010 - Duarte/US
  • 2 Department Of Population Sciences, City of Hope, 91010 - Duarte/US
  • 3 The Notre Dame Laboratory For Psycho-oncology Research, University of Notre Dame, Notre Dame/US
  • 4 Department Of Supportive Care Medicine, City of Hope, 91010 - Duarte/US


Abstract 3954


Patients with advanced cancer experience symptoms that include pain, fatigue, and depression. We sought to describe prevalence and identify factors associated with biopsychosocial distress in older patients (65+) diagnosed with cancer stage IV.


Participants were recruited from two different types of health care facilities, public [PUB] and private [PRI] institutions, in Brazil. A cross-sectional analysis of common biopsychosocial symptoms (anxiety, depression, pain, and fatigue), and quality of life reported by older patients undergoing chemotherapy treatment was performed.


Older patients (n = 167) were enrolled (Mean age=73; SD = 5.6); 59.3% from PUB. Majority were female (56.3%; 38.9% PUB), white (68.9%; 35.7% PRI, p


Older patients with late-stage cancer in Brazil suffer substantial unrecognized morbidity which impacts their distress and QOL. Biopsychosocial screening for older patients should be included in quality cancer care. Moreover, patients treated within PUB show worse outcomes than PRI counterparts, and they are at higher risk for multiple physical, psychological, and financial morbidity. Earlier initiation of biopsychosocial screening with appropriate supportive care may improve their QOL.

Clinical trial identification

Legal entity responsible for the study

Cristiane Decat Bergerot




All authors have declared no conflicts of interest.

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