Comprehensive geriatric assessment and decision-making in older men with incurable but manageable (chronic) cancer.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Catherine HandforthDiana M Greenfield

Abstract

In older cancer patients, treatment decision-making is often complex. A comprehensive geriatric assessment (CGA) is an established tool used in geriatric medicine to identify unmet need requiring intervention. This study aimed to assess whether using a CGA in older male cancer patients with incurable but manageable disease provides information that would alter a cancer clinician's intended management plan. Acceptability and feasibility were secondary aims. Elderly men with incurable but manageable malignancies (advanced prostate cancer and multiple myeloma) who had previously received at least one line of treatment were recruited from hospital outpatient clinics. A CGA was undertaken. Additional parameters measuring pain, fatigue and disease-specific concerns were also recorded, at the recommendation of patient involvement groups. Results were made available to clinicians. Patient and clinician acceptability and changes in subsequent management were recorded. Forty-eight patients completed the study. The median ages were 70.8 years and 74 years for myeloma and prostate respectively. Most identified concerns are related to disease-specific concerns (93%), pain (91%), frailty (57%) and nutrition (52%). Results altered the clinici...Continue Reading

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Citations

Nov 27, 2019·Cancer·Brandon BernardSrikala S Sridhar
Jul 19, 2020·Journal of Geriatric Oncology·Gordon A G McKenzieMark Pearson

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