C Kenis1, L Decoster2, J Flamaing3, P R Debruyne4, I De Groof5, C Focan6, F Cornélis7, V Verschaeve8, C Bachmann9, D Bron10, S Luce11, G Debugne12, H Van den Bulck13, J-C Goeminne14, D Schrijvers15, K Geboers16, B Petit17, C Langenaeken18, R Van Rijswijk19, P Specenier20, G Jerusalem21, J-P Praet22, K Vandenborre23, J-P Lobelle24, M Lycke4, K Milisen25, H Wildiers26. 1. Department of General Medical Oncology and Geriatric Medicine, University Hospitals Leuven, Leuven. 2. Department of Medical Oncology, Oncologisch Centrum, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels. 3. Department of Geriatric Medicine, University Hospitals Leuven, Leuven; Department of Chronic Diseases, Metabolism and Ageing - CHROMETA, KU Leuven, Leuven. 4. Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium; Positive Ageing Research Institute (PARI), Anglia Ruskin University, Chelmsford, UK. 5. Department of Geriatric Medicine, Iridium Cancer Network Antwerp, St. Augustinus, Wilrijk. 6. Department of Oncology, Clinique Saint-Joseph, CHC-Liège Hospital Group, Liège. 7. Department of Medical Oncology, Cliniques Universitaires Saint-Luc, UCL, Brussels. 8. Department of Medical Oncology, GHDC Grand Hôpital de Charleroi, Charleroi. 9. Department of Geriatric Medicine, AZ Sint-Lucas, Gent. 10. Department of Hematology, ULB Institut Jules Bordet, Brussels. 11. Department Medical Oncology, University Hospital Erasme, Université Libre de Bruxelles (ULB), Brussels. 12. Department of Geriatric Medicine, Centre Hospitalier de Mouscron, Mouscron. 13. Department of Medical Oncology, Imelda hospital, Bonheiden. 14. Department of Medical Oncology, CHU-UCL-Namur, site Sainte-Elisabeth, Namur. 15. Department of Medical Oncology, ZNA Middelheim, Antwerp. 16. Centre for Oncology and Hematology, AZ Turnhout, Turnhout. 17. Department of Medical Oncology, Centre Hospitalier Jolimont, La Louvière. 18. Department Medical Oncology, Iridium Cancer Network Antwerp AZ Klina, Brasschaat. 19. Department Medical Oncology, ZNA Stuivenberg, Antwerp. 20. Department of Medical Oncology, University Hospital Antwerp, Antwerp. 21. Department of Medical Oncology, Centre Hospitalier Universitaire Sart Tilman and Liège University, Liège. 22. Department of Geriatric Medicine, CHU St-Pierre, Free Universities Brussels, Brussels. 23. Department of Medical Oncology, AZ Vesalius, Tongeren. 24. Consultant in Statistics, Beernem. 25. Department of Geriatric Medicine, University Hospitals Leuven, Leuven; Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven. 26. Department of General Medical Oncology, University Hospitals Leuven, Leuven; Department of Oncology, KU Leuven, Leuven, Belgium. Electronic address: hans.wildiers@uzleuven.be.
Abstract
Background: In the general older population, geriatric assessment (GA)-guided treatment plans can improve overall survival, quality of life and functional status (FS). In GA-related research in geriatric oncology, studies mainly focused on geriatric screening and GA but not on geriatric recommendations, interventions and follow-up. The aim of this study was to investigate the adherence to geriatric recommendations and subsequent actions undertaken in older patients with cancer. Patient and methods: A prospective Belgian multicenter (N = 22) cohort study included patients ≥70 years with a malignant tumor upon oncologic treatment decision. Patients with an abnormal result on the geriatric screening (G8 ≤14/17) underwent GA. Geriatric recommendations were formulated based on GA results. At follow-up the adherence to geriatric recommendations was documented including a description of actions undertaken. Results: From November 2012 till February 2015, G8 screening was carried out in 8451 patients, of which 5838 patients had an abnormal result. Geriatric recommendations data were available for 5631 patients. Geriatric recommendations were made for 4459 patients. Geriatric interventions data were available for 4167 patients. A total of 12 384 geriatric recommendations were made. At least one different geriatric recommendation was implemented in 2874 patients. A dietician, social worker and geriatrician intervened most frequently for problems detected on the nutritional, social and functional domain. A total of 7569 actions were undertaken for a total of 5725 geriatric interventions, most frequently nutritional support and supplements, extended home care and psychological support. Conclusions: This large-scale Belgian study focuses on the adherence to geriatric recommendations and subsequent actions undertaken and contributes to the optimal management of older patients with cancer. We identified the domains for which geriatric recommendations are most frequently made and adhered to, and which referrals to other health care workers and facilities are frequently applied in the multidisciplinary approach of older patients with cancer.
Background: In the general older population, geriatric assessment (GA)-guided treatment plans can improve overall survival, quality of life and functional status (FS). In GA-related research in geriatric oncology, studies mainly focused on geriatric screening and GA but not on geriatric recommendations, interventions and follow-up. The aim of this study was to investigate the adherence to geriatric recommendations and subsequent actions undertaken in older patients with cancer. Patient and methods: A prospective Belgian multicenter (N = 22) cohort study included patients ≥70 years with a malignant tumor upon oncologic treatment decision. Patients with an abnormal result on the geriatric screening (G8 ≤14/17) underwent GA. Geriatric recommendations were formulated based on GA results. At follow-up the adherence to geriatric recommendations was documented including a description of actions undertaken. Results: From November 2012 till February 2015, G8 screening was carried out in 8451 patients, of which 5838 patients had an abnormal result. Geriatric recommendations data were available for 5631 patients. Geriatric recommendations were made for 4459 patients. Geriatric interventions data were available for 4167 patients. A total of 12 384 geriatric recommendations were made. At least one different geriatric recommendation was implemented in 2874 patients. A dietician, social worker and geriatrician intervened most frequently for problems detected on the nutritional, social and functional domain. A total of 7569 actions were undertaken for a total of 5725 geriatric interventions, most frequently nutritional support and supplements, extended home care and psychological support. Conclusions: This large-scale Belgian study focuses on the adherence to geriatric recommendations and subsequent actions undertaken and contributes to the optimal management of older patients with cancer. We identified the domains for which geriatric recommendations are most frequently made and adhered to, and which referrals to other health care workers and facilities are frequently applied in the multidisciplinary approach of older patients with cancer.
Authors: Grant R Williams; Kathryn E Weaver; Glenn J Lesser; Emily Dressler; Karen M Winkfield; Heather B Neuman; Anne E Kazak; Ruth Carlos; Lucy J Gansauer; Charles S Kamen; Joseph M Unger; Supriya G Mohile; Heidi D Klepin Journal: Oncologist Date: 2020-08-31
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Authors: Kah Poh Loh; Erika Ramsdale; Eva Culakova; Jason H Mendler; Jane L Liesveld; Kristen M O'Dwyer; Colin McHugh; Maxence Gilles; Terri Lloyd; Molly Goodman; Heidi D Klepin; Karen M Mustian; Rebecca Schnall; Supriya G Mohile Journal: JMIR Cancer Date: 2018-10-29
Authors: Saila Haapasalmi; Reetta P Piili; Riina Metsänoja; Pirkko-Liisa I Kellokumpu-Lehtinen; Juho T Lehto Journal: BMC Palliat Care Date: 2021-07-26 Impact factor: 3.234