International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer

Author:

Wildiers Hans1,Heeren Pieter1,Puts Martine1,Topinkova Eva1,Janssen-Heijnen Maryska L.G.1,Extermann Martine1,Falandry Claire1,Artz Andrew1,Brain Etienne1,Colloca Giuseppe1,Flamaing Johan1,Karnakis Theodora1,Kenis Cindy1,Audisio Riccardo A.1,Mohile Supriya1,Repetto Lazzaro1,Van Leeuwen Barbara1,Milisen Koen1,Hurria Arti1

Affiliation:

1. Hans Wildiers, Pieter Heeren, Johan Flamaing, Cindy Kenis, and Koen Milisen, University Hospitals Leuven, KU Leuven, Leuven, Leuven, Belgium; Martine Puts, University of Toronto, Toronto, Ontario, Canada; Eva Topinkova, Charles University, Prague, Czech Republic; Maryska L.G. Janssen-Heijnen, VieCuri Medical Centre, Venlo, and Maastricht University Medical Center, Maastricht; Barbara Van Leeuwen, Groningen University, Groningen, the Netherlands; Martine Extermann, University of South Florida, Tampa, FL;...

Abstract

Purpose To update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on geriatric assessment (GA) in older patients with cancer. Methods SIOG composed a panel with expertise in geriatric oncology to develop consensus statements after literature review of key evidence on the following topics: rationale for performing GA; findings from a GA performed in geriatric oncology patients; ability of GA to predict oncology treatment–related complications; association between GA findings and overall survival (OS); impact of GA findings on oncology treatment decisions; composition of a GA, including domains and tools; and methods for implementing GA in clinical care. Results GA can be valuable in oncology practice for following reasons: detection of impairment not identified in routine history or physical examination, ability to predict severe treatment-related toxicity, ability to predict OS in a variety of tumors and treatment settings, and ability to influence treatment choice and intensity. The panel recommended that the following domains be evaluated in a GA: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes. Although several combinations of tools and various models are available for implementation of GA in oncology practice, the expert panel could not endorse one over another. Conclusion There is mounting data regarding the utility of GA in oncology practice; however, additional research is needed to continue to strengthen the evidence base.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Cancer Research,Oncology

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