TY - JOUR
T1 - Comprehensive geriatric assessment in older adults with cancer: Recommendations by the Italian Society of Geriatrics and Gerontology (SIGG)
AU - the Oncogeriatrics Group of the Italian Society of Gerontology, Geriatrics
AU - Fusco, Domenico
AU - Ferrini, Alessandro
AU - Pasqualetti, Giuseppe
AU - Giannotti, Chiara
AU - Cesari, Matteo
AU - Laudisio, Alice
AU - Ballestrero, Alberto
AU - Scabini, Stefano
AU - Odetti, Patrizio R.
AU - Colloca, Giuseppe F.
AU - Monzani, Fabio
AU - Nencioni, Alessio
AU - Antonelli Incalzi, Raffaele
AU - Monacelli, Fiammetta
N1 - Funding Information:
This work was supported in part by the Associazione Italiana per la Ricerca sul Cancro (AIRC, #17736 and #22098, to A. N.), by the Italian Ministry of Health (PE‐2016‐02363073; to FM) and by the University of Genoa.
Publisher Copyright:
© 2020 Stichting European Society for Clinical Investigation Journal Foundation
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Introduction: Optimizing the approach to older adults with cancer is now a priority given the increasing frequency of new cancer diagnoses that are made in the older population. The comprehensive geriatric assessment (CGA) represents the gold-standard for (1) defining prognosis and ability to withstand cancer treatments, (2) exploring the multiple aspects that define the complexity of frail older persons, and (3) designing person-tailored interventions. Materials and methods: In this document, based on a comprehensive revision of the literature, the Italian Society for Geriatrics and Gerontology proposes a CGA model (ONCOGER CGA) to be adopted by oncology centers for their routine approach to older patients with cancer. Results and discussion: A widespread use of this standardized CGA format will facilitate comparisons across institutions, promote studies based on a multidimensional patient assessment, and foster the inclusion of geriatric endpoints in oncological clinical trials. Furthermore, we predict that the use of a standardized CGA approach will increase the integration of geriatricians into oncology care teams with the final result of improving therapeutic choices and clinical outcomes.
AB - Introduction: Optimizing the approach to older adults with cancer is now a priority given the increasing frequency of new cancer diagnoses that are made in the older population. The comprehensive geriatric assessment (CGA) represents the gold-standard for (1) defining prognosis and ability to withstand cancer treatments, (2) exploring the multiple aspects that define the complexity of frail older persons, and (3) designing person-tailored interventions. Materials and methods: In this document, based on a comprehensive revision of the literature, the Italian Society for Geriatrics and Gerontology proposes a CGA model (ONCOGER CGA) to be adopted by oncology centers for their routine approach to older patients with cancer. Results and discussion: A widespread use of this standardized CGA format will facilitate comparisons across institutions, promote studies based on a multidimensional patient assessment, and foster the inclusion of geriatric endpoints in oncological clinical trials. Furthermore, we predict that the use of a standardized CGA approach will increase the integration of geriatricians into oncology care teams with the final result of improving therapeutic choices and clinical outcomes.
KW - comphrehensive geriatric assessment
KW - older adult with cancer
KW - reccomendations of the Italian Geriatric Society
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U2 - 10.1111/eci.13347
DO - 10.1111/eci.13347
M3 - Review article
C2 - 32648990
AN - SCOPUS:85096676749
JO - European Journal of Clinical Investigation
JF - European Journal of Clinical Investigation
SN - 0014-2972
ER -