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A comprehensive geriatric intervention detects multiple problems in older breast cancer patients
Martine Extermann1, Julie Meyer, Margaret McGinnis
1Senior Adult Oncology, H. Lee Moffitt Cancer Center, University of South Florida, 12902 Magnolia Drive, Tampa, FL 33612, USA. extermann@moffitt.usf.edu
Critical Reviews in Oncology/Hematology
|January 22, 2004
Summary
Comprehensive geriatric assessment (CGA) with follow-up shows promise for older breast cancer patients. This pilot study in oncology demonstrated feasibility and improved patient outcomes.
Area of Science:
- Geriatric Oncology
- Breast Cancer Management
- Multidisciplinary Care
Background:
- Comprehensive Geriatric Assessment (CGA) effectiveness relies on follow-up, yet its application in oncology is understudied.
- Older adults with early breast cancer often present with significant comorbidities.
Purpose of the Study:
- To pilot a multidisciplinary CGA with structured follow-up for early breast cancer patients aged 70+.
- To assess feasibility and impact on patient care and outcomes in an academic oncology setting.
Main Methods:
- 15 early breast cancer patients (≥70 years) received quarterly CGA and risk-stratified follow-up by a specialized team.
- Intervention duration was 6 months, with assessments including Cumulative Index Rating Scale-Geriatric (CIRS-G) and Functional Assessment of Cancer Treatment-Breast (FACT-B).
Main Results:
- Patients had a median of 5 comorbidities; 87% of initial problems were addressed.
- Functional Assessment of Cancer Treatment-Breast (FACT-B) scores improved (110.5 to 116.3).
- Oncological treatment was influenced in 4 cases; care coordination improved in 7 cases.
Conclusions:
- A CGA with follow-up is feasible and beneficial for older breast cancer patients in an academic oncology setting.
- This approach has potential to improve treatment and prognosis for this vulnerable population.