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[Role of Comprehensive Geriatric Assessment(CGA)in Elderly Cancer Treatment]
1Dept. of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine.
Abstract:
In the treatment of diverse elderly cancer patients, not only cancer progression and general condition but also social factors, comorbidities, and cognitive function have a great influence. Therefore chronological age and performance status(PS) alone, there is a possibility that under treatment that inappropriately lowers the treatment intensity and over treatment that performs the same treatment as young people without considering the risk of chemotherapy may be performed. Comprehensive geriatric assessment(CGA)evaluates individual health conditions such as physical function, comorbidities, cognitive function, psychological status, social support system, and nutritional status of the elderly from various aspects, and selects treatment. The goal is to be useful for treatment support. CGA results should be shared with other members of the medical team to intervene on issues. And it's important to do it over and over again. CGA may help optimize elderly cancer treatments and improve the quality of life of the limited elderly, not just prolonging their lives.
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