What Every Oncologist Should Know About Geriatric Assessment for Older Patients With Cancer: Young International Society of Geriatric Oncology Position Paper

被引:126
作者
Loh, Kah Poh
Soto-Perez-de-Celis, Enrique
Hsu, Tina
de Glas, Nienke A.
Battisti, Nicolo Matteo Luca
Baldini, Capucine
Rodrigues, Manuel
Lichtman, Stuart M.
Wildiers, Hans
机构
[1] Univ Rochester, Sch Med & Dent, Rochester, NY USA
[2] City Hope Natl Med Ctr, 1500 E Duarte Rd, Duarte, CA 91010 USA
[3] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Mexico City, DF, Mexico
[4] Univ Ottawa, Ottawa Hosp, Ctr Canc, Ottawa, ON, Canada
[5] Leiden Univ, Med Ctr, Leiden, Netherlands
[6] Royal Marsden NHS Fdn Trust, London, England
[7] Gustave Roussy, Villejuif, France
[8] PSL Res Univ, Inst Curie, Paris, France
[9] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA
[10] Univ Hosp Leuven, Leuven, Belgium
关键词
MINI-MENTAL-STATE; VULNERABLE ELDERS SURVEY; ALL-CAUSE MORTALITY; CHEMOTHERAPY TOXICITY; SCREENING TOOLS; INSTRUMENTAL ACTIVITIES; TREATMENT DECISIONS; FUNCTIONAL DECLINE; ASSESSMENT ACGA; ADULTS;
D O I
10.1200/JOP.2017.026435
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aging is a heterogeneous process. Most newly diagnosed cancers occur in older adults, and it is important to understand a patient's underlying health status when making treatment decisions. A geriatric assessment provides a detailed evaluation of medical, psychosocial, and functional problems in older patients with cancer. Specifically, it can identify areas of vulnerability, predict survival and toxicity, assist in clinical treatment decisions, and guide interventions in routine oncology practice; however, the uptake is hampered by limitations in both time and resources, as well as by a lack of expert interpretation. In this review, we describe the utility of geriatric assessment by using an illustrative case and provide a practical approach to geriatric assessment in oncology.
引用
收藏
页码:85 / +
页数:16
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