| Literature DB >> 31451439 |
Clark DuMontier1, Mina S Sedrak2, Wee Kheng Soo3, Cindy Kenis4, Grant R Williams5, Kristen Haase6, Magnus Harneshaug7, Hira Mian8, Kah Poh Loh9, Siri Rostoft10, William Dale2, Harvey Jay Cohen11.
Abstract
Until recently, the progress in the diagnosis and management of cancer has not been matched by similar progress in the assessment of the increasing numbers of older and more complex patients with cancer. Dr. Arti Hurria identified this gap at the outset of her career, which she dedicated toward studying the geriatric assessment (GA) as an improvement over traditional methods used in oncology to assess vulnerability in older patients with cancer. This review documents the progress of the GA and its integration into oncology. First, we detail the GA's origins in the field of geriatrics. Next, we chronicle the early rise of geriatric oncology, highlighting the calls of early thought-leaders to meet the demands of the rapidly aging cancer population. We describe Dr. Hurria's early efforts toward meeting these calls though the implementation of the GA in oncology research. We then summarize some of the seminal studies constituting the evidence base supporting GA's implementation. Finally, we lay out the evolution of cancer-focused guidelines recommending the GA, concluding with future needs to advance the next steps toward more widespread implementation in routine cancer care. Throughout, we describe Dr. Hurria's vision and its execution in driving progress of the GA in oncology, from her fellowship training to her co-authored guidelines recommending GA for all older adults with cancer-published in the year of her untimely death.Entities:
Keywords: Arti Hurria; Geriatric assessment; Geriatric oncology; Risk stratification; Supportive care; Vulnerability
Mesh:
Year: 2019 PMID: 31451439 PMCID: PMC7036024 DOI: 10.1016/j.jgo.2019.08.005
Source DB: PubMed Journal: J Geriatr Oncol ISSN: 1879-4068 Impact factor: 3.599