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Geriatric assessment in oncology

D B Reuben1

  • 1Multicampus Program in Geriatric Medicine and Gerontology, University of California-Los Angeles School of Medicine, 90095-1687, USA.

Cancer
|October 8, 1997
PubMed
Summary

Oncologists must adapt cancer care for aging patients by incorporating geriatric assessments. This approach addresses medical, functional, and social needs, improving care for older adults with cancer.

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Area of Science:

  • Geriatric Medicine
  • Oncology
  • Public Health

Background:

  • Cancer prevalence is rising among the elderly population.
  • Oncologists will increasingly manage older cancer patients.
  • The heterogeneity of older adults necessitates tailored care.

Purpose of the Study:

  • To review and synthesize literature on geriatric assessment for older cancer patients.
  • To guide oncologists in adapting their assessment strategies.
  • To improve cancer care outcomes for the aging population.

Main Methods:

  • Literature review of geriatric assessment domains.
  • Analysis of key areas: medical, cognitive, affective, functional, economic, environmental status, social support, and advance directives.
  • Evaluation of assessment instruments and their limitations.

Main Results:

  • Standard medical assessment should be supplemented with geriatric screening for older adults.
  • Brief screening is sufficient for healthier seniors; comprehensive assessment is needed for frail patients.
  • Multidisciplinary teams can provide in-depth geriatric assessment for high-risk individuals.

Conclusions:

  • Oncologists require expanded assessment skills beyond traditional training.
  • Tailored geriatric assessments are crucial for optimizing care in older cancer patients.
  • Integrating geriatric principles enhances the quality of oncology care for seniors.

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