Session type	Abstract Submission
Topic	Geriatrics
Presentation preference	Proffered Paper (oral) Presentation
Abstract title	PATIENT-REPORTED OUTCOME (PRO) COMPLETION IN OLDER ADULTS WITH ADVANCED CANCER; A UNIVERSITY OF ROCHESTER NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH (UR-NCORP) PROGRAM TRIAL
Co-authors	M. Flannery1, E. Culakova2, J.N. Dionne-Odom3, C. Kamen2, V. Targia4, V. Vinciguerra5, J. Hopkins6, J.J. Liu7, K.L. Poh8, S. Mohile8.
1University of Rochester Medical Center, School of Nursing, Rochester, USA.
2University of Rochester Medical Center, Surgery, Rochester, USA.
3University of Alabama - Birmingham, School of Nursing, Birmingham, USA.
4University of Rochester Medical Center, Scoreboard, Rochester, USA.
5NCORP, Northwell Health, Lake Success, USA.
6NCORP, Southeast Clinical Oncology Research Consortium, Kernersville, USA.
7Illnois Cancer Care, Cancer Center, Peoria, USA.
8University of Rochester Medical Center, Medicine, Rochester, USA.
Abstract text	Introduction:
National organizations advocate older adult enrollment in clinical trials and PRO inclusion, with the goal of improving quality of life for this growing, understudied population.  Despite these recommendations, concerns persist regarding the ability of older adults with advanced cancer to complete PRO. The aim was to determine the percentage of older patients needing assistance in completing PRO, and identify associated factors. 
Methods:
This was a secondary analysis of a cluster randomized trial (URCC 13070; PI: Mohile) of patients aged 70+ with advanced solid tumors or lymphoma and at least one impaired geriatric domain.  The dependent variable was whether the participant required assistance with PRO completion (Yes/No).  Demographic, clinical, and geriatric assessment (GA) domain impairments were examined for association with needing PRO assistance using logistic regression.
Results:
From 2014-2017, 541 individuals with advanced cancer were enrolled from 31 practices (mean age 77 years, range70-96,  49% female, 48% high school or less).  At baseline, 72% completed PROs independently and 28% needed assistance; most received help from a caregiver (44%) or research assistant (37%).  Help included reading the questions (69%) and writing responses (48%). Variables associated with needing assistance were increasing age (p=.017) and less education (p<.001). GA domain impairments significantly associated with needing assistance included cognition, polypharmacy, comorbidity, function, psychological status, and vision and hearing difficulties (all p’s<.05).  At 4-6 weeks, 52% needing assistance at baseline continued to require assistance.
Conclusions:
While the majority of older adults with advanced cancer were able to independently complete PROs, assistance was required for almost 30% of patients.

PATIENT-REPORTED OUTCOME (PRO) COMPLETION IN OLDER ADULTS WITH ADVANCED CANCER; A UNIVERSITY OF ROCHESTER NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH (UR-NCORP) PROGRAM TRIAL