Martine Extermann1. 1. Senior Adult Oncology Program, H. Lee Moffitt Cancer Center Research Institute, Tampa, FL 33612, USA. extermann@moffitt.usf.edu
Abstract
BACKGROUND: The comprehensive geriatric assessment (CGA) has been developed to individually assess the health status of older patients. METHODS: This article reviews the findings regarding the impact of a comprehensive geriatric assessment (CGA) on treatment and outcomes in patients with cancer. RESULTS: Several geriatric variables have been linked with the prognosis of older cancer patients, thus challenging the role of ECOG performance status in this population. A CGA may detect multiple untreated or undertreated problems in cancer patients. Although results are preliminary, some studies suggest that CGA may influence cancer treatment decisions and have a prognostic impact on patients with this disease. CONCLUSIONS: More work is needed to simplify such assessments to make them more feasible and to determine when they should be used during a patient's clinical course.
BACKGROUND: The comprehensive geriatric assessment (CGA) has been developed to individually assess the health status of older patients. METHODS: This article reviews the findings regarding the impact of a comprehensive geriatric assessment (CGA) on treatment and outcomes in patients with cancer. RESULTS: Several geriatric variables have been linked with the prognosis of older cancerpatients, thus challenging the role of ECOG performance status in this population. A CGA may detect multiple untreated or undertreated problems in cancerpatients. Although results are preliminary, some studies suggest that CGA may influence cancer treatment decisions and have a prognostic impact on patients with this disease. CONCLUSIONS: More work is needed to simplify such assessments to make them more feasible and to determine when they should be used during a patient's clinical course.
Authors: Trevor A Jolly; Allison M Deal; Kirsten A Nyrop; Grant R Williams; Mackenzi Pergolotti; William A Wood; Shani M Alston; Brittaney-Belle E Gordon; Samara A Dixon; Susan G Moore; W Chris Taylor; Michael Messino; Hyman B Muss Journal: Oncologist Date: 2015-03-12
Authors: Marjorie G Zauderer; Camelia S Sima; Beatriz Korc-Grodzicki; Mark G Kris; Lee M Krug Journal: J Geriatr Oncol Date: 2013-01 Impact factor: 3.599
Authors: Trevor A Jolly; Grant R Williams; Sita Bushan; Mackenzi Pergolotti; Kirsten A Nyrop; Ellen L Jones; Hyman B Muss Journal: Womens Health (Lond) Date: 2016-01