- 作者：V. Bouzereau ; F. Le Caer ; E. Guardiola ; C. Scavennec ; J.R. Barriere ; L. Chaix ; H. Le Caer
- 关键词：Elderly patients ; Geriatric assessment ; Multidisciplinary assessment ; Observational study ; Oncology ; Treatment schedules
- 刊名：Journal of Geriatric Oncology
- 出版年：2013
- 出版时间：October, 2013
- 年：2013
- 卷：4
- 期：4
- 页码：394-401
- 全文大小：396 K
Objectives
Our main aim was to describe and explore a multidisciplinary approach to the management of elderly patients with cancer, who constitute a heterogeneous population.Materials and Methods
This descriptive study was performed between October 2009 and September 2010. Patients with cancer ¡Ý 70 years of age were included. Some underwent a simplified multidimensional geriatric assessment with a Charlson score administered by an oncologist, and the evaluation was submitted to a geriatrician who decided whether or not a complete a comprehensive geriatric assessment (CGA) (n = 54) should be done. Another group of patients directly underwent a CGA (n = 49), and a few patients included in a specific trial underwent a geriatric assessment (n = 8). Each patient was classified as fit, vulnerable, or frail by a multidisciplinary team.
Results
111 patients were included (median age: 81 years [range: 65-96]; 60 males). The most frequent types of cancer were lung (n = 29), gastrointestinal (n = 20) and head and neck (n = 14). Median Charlson score was 2.1 [range: 0-9]. Standard therapy was given to 37/41 (90 % ) fit, 19/41 (42 % ) vulnerable, and 6/29 (21 % ) frail patients. Thirteen frail patients received best supportive care. A social worker was mobilized for 2/41 (5 % ) fit, 14/41 (34 % ) vulnerable, and 11/29 (38 % ) frail patients.
Conclusions
Our study outlines the possibilities of cooperation between geriatricians and oncologists in a general hospital. This collaboration could modify therapeutic schedules especially in frail and vulnerable patients.