Geriatric principles for patients with cancer
- 1 January 2021
- journal article
- Published by Sociedade Brasileira de Geriatria e Gerontologia in Geriatrics Gerontology Aging
Abstract
Cancer is primarily a disease of older persons. Given the heterogeneity of aging, physiological age, rather than chronological age, better expresses the cumulative effect of environmental, medical, and psychosocial stressors, which modifies life expectancy. Comprehensive geriatric assessment, a tool that helps ascertain the physiological age of older individuals, is the gold standard for assessing older adults with cancer. Several international organizations recommend using the geriatric assessment domains to identify unrecognized health problems that can interfere with treatment and predict adverse health-related outcomes, aiding complex treatment decision making. More recently, it has been shown that geriatric assessment-guided interventions improve quality of life and mitigate treatment toxicity without compromising survival. In this review, we discuss the role of comprehensive geriatric assessment in cancer care for older adults and provide the reader with useful information to assess potential treatment risks and benefits, anticipate complications, and plan interventions to better care for older people with cancer.Keywords
This publication has 100 references indexed in Scilit:
- Impact of geriatric risk factors on pegylated liposomal doxorubicin tolerance and efficacy in elderly metastatic breast cancer patients: Final results of the DOGMES multicentre GINECO trialEuropean Journal of Cancer, 2013
- Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adultsThe American Journal of Surgery, 2011
- Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older PersonsJournal of the American Geriatrics Society, 2011
- Preferences for involvement in treatment decision making of patients with cancer: A review of the literatureEuropean Journal of Oncology Nursing, 2008
- Cognitive function in breast cancer patients prior to adjuvant treatmentBreast Cancer Research and Treatment, 2007
- Pre-operative assessment of cancer in the elderly (PACE): A comprehensive assessment of underlying characteristics of elderly cancer patients prior to elective surgerySurgical Oncology, 2006
- The PHQ-9Journal of General Internal Medicine, 2001
- Risk Factors for Falls among Elderly Persons Living in the CommunityThe New England Journal of Medicine, 1988
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983