Wounds Related to Malignancy in Postacute and Long-term Care: A Case Series

Jeffrey M. Levine, Rikitha Menezes, Santhini Namagiri

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


OBJECTIVE To study the epidemiology and characteristics of wounds related to malignancy in a large, academically affiliated postacute/long-term care (PALTC) facility. DESIGN Retrospective case series of 1 year of wound care consultations. Inclusion criteria included a cancer diagnosis with wounds related to malignancy or complications from cancer-related debility and/or treatment. SETTING Academically affiliated 514-bed PALTC facility. PARTICIPANTS Of 190 consults, 27 residents (14.2%) met the inclusion criteria. Of these, 20 (74.1%) were female, and 7 (25.9%) were male. The average age of residents with a cancer diagnosis and wounds was 69.5 years (range, 48.1-86.7 years), and 25 (92.6%) were on the postacute service. RESULTS The most common reasons for consultation included pressure injuries (44.4%), surgical wounds (21.4%), and malignant wounds (14.8%). Seventy-six percent of pressure injuries were present on admission. Breast (29.6%), gastrointestinal (25.9%), and gynecologic (11.1%) malignancies were most common. Of the studied residents, 14 (51.9%) had metastases, and 13 (92.9%) had pressure injuries. CONCLUSIONS These findings begin to fill a gap in understanding the spectrum of wounds in PALTC residents with cancer and reinforce the importance of the wound care skill set, including pressure injury prevention. Quality cancer care for older adults must anticipate severe skin complications not only from the tumor and its treatment, but also from the sequelae of immobility, immune compromise, malnutrition, and skin failure. The close association of metastatic disease with pressure injury raises issues of unavoidability and casts new doubt upon the use of pressure injuries for quality measurement.

Original languageEnglish
Pages (from-to)99-102
Number of pages4
JournalAdvances in Skin and Wound Care
Issue number2
StatePublished - 1 Feb 2020


  • cancer
  • long-term care
  • malignancy
  • older adult
  • postacute
  • pressure injury


Dive into the research topics of 'Wounds Related to Malignancy in Postacute and Long-term Care: A Case Series'. Together they form a unique fingerprint.

Cite this