• Semin Radiat Oncol · Oct 2012

    Review

    Integrating a geriatric evaluation in the clinical setting.

    • Martine Extermann.
    • Moffitt Cancer Center, Tampa, FL 33612, USA. Electronic address: martine.extermann@moffitt.org
    • Semin Radiat Oncol. 2012 Oct 1;22(4):272-6.

    AbstractOlder cancer patients-which make the majority of cancer patients-present with a highly heterogeneous health status. Therefore, a careful assessment of the individual's condition is important in the planning of their oncologic care. In this article, a two-step approach is recommended: a short screening test of every patient presenting for treatment, and a multidisciplinary evaluation for patients screening at risk. Several screening tools that have been tested are described, and their relative performance is reviewed: the abbreviated Comprehensive Geriatric Assessment, the G8, the Senior Adult Oncology Program 2 questionnaire, the Triage Risk Screening Tool, the Vulnerable Elders Survey 13 tool, the Groeningen Frailty Index, and the Onco-Geriatric Screening Tool. Indeed, regular multidisciplinary meetings are key to optimal management of elderly patients, as they modify treatment plans in ¼ to ½ of patients. A practical way of implementing a multidisciplinary consultation is reviewed, and future directions are discussed.Copyright © 2012 Elsevier Inc. All rights reserved.

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