Related Experiment Video
Updated: Jul 1, 2025
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
12.7K
Geriatric screening and comprehensive geriatric assessment during initial oncology appointments
Tânia Madureira1, Joana Magalhães2, Pedro Vilas3
1Medical Oncology, Local Health Unit of Algarve, Faro, Portugal taniasofiamm@hotmail.com.
BMJ Supportive & Palliative Care
|March 1, 2024
Summary
Geriatric screening (G8 score) and comprehensive geriatric assessment (CGA) identify frailty in older cancer patients, even those with good performance status. These tools offer valuable insights beyond standard ECOG evaluation for guiding treatment.
Area of Science:
- Geriatric Oncology
- Clinical Geriatrics
- Cancer Care
Background:
- Assessing functional age is crucial in geriatric oncology for guiding treatment decisions.
- Evaluating patient functionality and adapting therapies can mitigate treatment-related deterioration.
Purpose of the Study:
- To characterize older patients using geriatric screening (G8 score) and comprehensive geriatric assessment (CGA) at initial oncology appointments.
- To assess the feasibility of G8 and CGA in this population.
- To compare geriatric assessment findings with ECOG performance status and treatment deviations.
Main Methods:
- Prospective study involving geriatric screening (G8 score) and comprehensive geriatric assessment (CGA).
- Evaluation of initial Eastern Cooperative Oncology Group (ECOG) performance status.
- Comparison of frailty identified by CGA against ECOG status.
Main Results:
- Most patients had a G8 score ≤14 and underwent CGA.
- CGA provided systematic characterization of elderly patients, informing therapeutic decisions.
- Numerous fragilities were identified by G8 and CGA, even in patients with ECOG 0-1.
- G8 and CGA offered insights beyond ECOG, supporting therapeutic adaptations.
Conclusions:
- Geriatric screening and assessment tools provide valuable data for older cancer patients.
- These tools enhance the understanding of patient vulnerabilities beyond standard performance status.
- Further research is needed to refine and implement geriatric-focused interventions in oncology.
More Related Videos
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.6K
06:19Author Spotlight: Exploring the Role of Ion Channels in Cancer: Characterization and Potential Treatment Approaches
Published on: June 16, 2023
3.1K
Related Concept Videos
01:29Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K
01:27Nursing Ethical Principles II
965
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
965
02:49Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K