alexa A mini geriatric assessment helps treatment decision in elderly patients with digestive cancer. A pilot study.


Journal of Cancer Science & Therapy

Author(s): Aparicio T, Girard L, Bouarioua N, Patry C, Legrain S,

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Abstract Comprehensive geriatric assessment (CGA) is advocate to improved care of elderly with cancer but is not available in every hospital within a short delay. Therefore, a tool allowing gastroenterologist to detect rapidly specific abnormalities in elderly is needed. PATIENTS AND METHODS: the aim of our pilot study was to evaluate feasibility of a mini geriatric assessment (MGA) to adapt the anticancer treatments. MGA was done by a gastroenterologist and was taken into account during the cancer multidisciplinary team meeting for making decision. Then, CGA was realised and suggested adaptation of care. RESULTS: 21 patients over 75 years treated for different digestive cancers were enrolled. The treatments recommended by the cancer multidisciplinary team meeting after the GMA were: standard treatments in 9 (41\%); modified in 10 (47\%) and best supportive care in 2 (12\%) patients. CGA led to an adaptation of the non-oncological treatment in 15 (72\%) and of the social care in 8 (38\%) patients, but never modified the oncological strategy. CONCLUSIONS: MGA could help gastroenterologists for adaptation of anticancer treatment. The characteristics of the patients that should subsequently have a geriatric follow-up remain to be defined. 2010 Elsevier Ireland Ltd. All rights reserved. This article was published in Crit Rev Oncol Hematol and referenced in Journal of Cancer Science & Therapy

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