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International Societyof Geriatric OncologyConsensus onGeriatric Assessmentin Older PatientsWith Cancer Hans WildiersPieter HeerenMartine Puts2014 год

International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer
review

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Аннотация: To update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on geriatric assessment (GA) in older patients with cancer.SIOG composed a panel with expertise in geriatric oncology to develop consensus statements after literature review of key evidence on the following topics: rationale for performing GA; findings from a GA performed in geriatric oncology patients; ability of GA to predict oncology treatment–related complications; association between GA findings and overall survival (OS); impact of GA findings on oncology treatment decisions; composition of a GA, including domains and tools; and methods for implementing GA in clinical care.GA can be valuable in oncology practice for following reasons: detection of impairment not identified in routine history or physical examination, ability to predict severe treatment-related toxicity, ability to predict OS in a variety of tumors and treatment settings, and ability to influence treatment choice and intensity. The panel recommended that the following domains be evaluated in a GA: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes. Although several combinations of tools and various models are available for implementation of GA in oncology practice, the expert panel could not endorse one over another.There is mounting data regarding the utility of GA in oncology practice; however, additional research is needed to continue to strengthen the evidence base.
Год издания: 2014
Авторы: Hans Wildiers, Pieter Heeren, Martine Puts, Eva Topinková, Maryska L.G. Janssen‐Heijnen, Martine Extermann, Claire Falandry, Andrew Artz, Étienne Brain, Giuseppe Colloca, Johan Flamaing, Theodora Karnakis, Cindy Kenis, Riccardo A. Audisio, Supriya G. Mohile, Lazzaro Repetto, Barbara L. van Leeuwen, Koen Milisen, Arti Hurria
Издательство: Lippincott Williams & Wilkins
Источник: Journal of Clinical Oncology
Ключевые слова: Frailty in Older Adults, Nutrition and Health in Aging, Cancer survivorship and care
Другие ссылки: Journal of Clinical Oncology (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)