Abstract
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.
Original language | English |
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Article number | e13347 |
Journal | European Journal of Clinical Investigation |
Volume | 51 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2021 |
Keywords
- comphrehensive geriatric assessment
- older adult with cancer
- reccomendations of the Italian Geriatric Society
- aged
- cancer model
- clinical outcome
- controlled study
- geriatric assessment
- geriatrician
- geriatrics
- gerontology
- human
- outcome assessment
- review
- cancer diagnosis
- cancer registry
- demography
- high income country