Methods for frailty screening and geriatric assessment in older adults with cancer.
Journal
Current opinion in supportive and palliative care
ISSN: 1751-4266
Titre abrégé: Curr Opin Support Palliat Care
Pays: United States
ID NLM: 101297402
Informations de publication
Date de publication:
01 03 2021
01 03 2021
Historique:
entrez:
28
1
2021
pubmed:
29
1
2021
medline:
26
10
2021
Statut:
ppublish
Résumé
This review highlights the latest development in the use of geriatric assessment(GA) and frailty assessment for older adults with cancer. From 2019, there were six large randomized controlled trials (RCTs) completed of GA for older adults with cancer, as well as several studies of frailty screening tools. The findings in this review highlight the benefits of implementing GA, followed by interventions to address the identified issues (GA -guided interventions). Four of six RCTs that implemented GA for older adults with cancer showed positive impact on various outcomes, including treatment toxicity and quality of life. GA implementation varied significantly between studies, from oncologist acting on GA summary, geriatrician comanagement, to full GA by a multidisciplinary team. However, there were several barriers reported to implementing GA for all older adults with cancer, such as access to geriatrics and resource issues. Future research needs to elucidate how to best operationalize GA in various cancer settings. The authors also reviewed frailty screening tools and latest evidence on their use and impact.
Identifiants
pubmed: 33507036
doi: 10.1097/SPC.0000000000000533
pii: 01263393-202103000-00005
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
16-22Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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