Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review
Background: The increase in life expectancy worldwide has led to a larger population of older people, which in turn entails a rising prevalence of cancer. One of the main complications of cancer is delirium, especially in advanced stages. Objective: To determine which delirium screening instrument i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/10/2807 |
| _version_ | 1797600704560365568 |
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| author | Francisco Miguel Martínez-Arnau Andrea Puchades-García Pilar Pérez-Ros |
| author_facet | Francisco Miguel Martínez-Arnau Andrea Puchades-García Pilar Pérez-Ros |
| author_sort | Francisco Miguel Martínez-Arnau |
| collection | DOAJ |
| description | Background: The increase in life expectancy worldwide has led to a larger population of older people, which in turn entails a rising prevalence of cancer. One of the main complications of cancer is delirium, especially in advanced stages. Objective: To determine which delirium screening instrument is the most accurate in older people with cancer. Methods: A systematic review was designed. A literature search was performed in MEDLINE, EBSCO and SCOPUS; additional records were identified by handsearching. Selection criteria were studies involving people with cancer and a mean sample age of 60 years or older, assessing delirium, and reporting the metric properties of the assessment instrument. Studies with post-surgical patients and substance abuse delirium were excluded. Results: From 2001 to 2021, 14 eligible studies evaluated 13 different assessment tools, reporting an incidence of delirium ranging from 14.3% to 68.3%. The Delirium Observation Screening Scale (DOSS) showed the best metric properties, followed by the Nursing Delirium Screening Scale (NuDESC), Confusion Assessment Method (CAM) and Memorial Delirium Assessment Scale (MDAS). Only two studies were considered to be at low risk of bias using the QUADAS-2 Tool. No study exclusively examined this population group. Conclusions: Screening tools for delirium are heterogeneous for older people with cancer, and there is a need to analyze metric properties exclusively in the older population. Registered on PROSPERO ID: CRD42022303530. |
| first_indexed | 2024-03-11T03:51:39Z |
| format | Article |
| id | doaj.art-5cd91a3eaa594dca9f58b9015be6cea5 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T03:51:39Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-5cd91a3eaa594dca9f58b9015be6cea52023-11-18T00:49:15ZengMDPI AGCancers2072-66942023-05-011510280710.3390/cancers15102807Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic ReviewFrancisco Miguel Martínez-Arnau0Andrea Puchades-García1Pilar Pérez-Ros2Department of Physiotherapy, Universitat de València, Gascó Oliag 5, 46010 Valencia, SpainDepartment of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Menendez Pelayo s/n, 46010 Valencia, SpainFrailty and Cognitive Impairment Research Group (FROG), Universitat de València, Menendez Pelayo s/n, 46010 Valencia, SpainBackground: The increase in life expectancy worldwide has led to a larger population of older people, which in turn entails a rising prevalence of cancer. One of the main complications of cancer is delirium, especially in advanced stages. Objective: To determine which delirium screening instrument is the most accurate in older people with cancer. Methods: A systematic review was designed. A literature search was performed in MEDLINE, EBSCO and SCOPUS; additional records were identified by handsearching. Selection criteria were studies involving people with cancer and a mean sample age of 60 years or older, assessing delirium, and reporting the metric properties of the assessment instrument. Studies with post-surgical patients and substance abuse delirium were excluded. Results: From 2001 to 2021, 14 eligible studies evaluated 13 different assessment tools, reporting an incidence of delirium ranging from 14.3% to 68.3%. The Delirium Observation Screening Scale (DOSS) showed the best metric properties, followed by the Nursing Delirium Screening Scale (NuDESC), Confusion Assessment Method (CAM) and Memorial Delirium Assessment Scale (MDAS). Only two studies were considered to be at low risk of bias using the QUADAS-2 Tool. No study exclusively examined this population group. Conclusions: Screening tools for delirium are heterogeneous for older people with cancer, and there is a need to analyze metric properties exclusively in the older population. Registered on PROSPERO ID: CRD42022303530.https://www.mdpi.com/2072-6694/15/10/2807cancerageddeliriumassessmentaccuracypsychometric properties |
| spellingShingle | Francisco Miguel Martínez-Arnau Andrea Puchades-García Pilar Pérez-Ros Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review Cancers cancer aged delirium assessment accuracy psychometric properties |
| title | Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review |
| title_full | Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review |
| title_fullStr | Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review |
| title_full_unstemmed | Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review |
| title_short | Accuracy of Delirium Screening Tools in Older People with Cancer—A Systematic Review |
| title_sort | accuracy of delirium screening tools in older people with cancer a systematic review |
| topic | cancer aged delirium assessment accuracy psychometric properties |
| url | https://www.mdpi.com/2072-6694/15/10/2807 |
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