How to identify older patients with cancer who should benefit from comprehensive geriatric assessment?
How to identify older patients with cancer who should benefit from comprehensive geriatric assessment?
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DOI：
10.1016/j.jgo.2012.06.003
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发表时间：
2012-10-01
影响因子：
3
通讯作者：
Pepersack, T.
中科院分区：
文献类型：
--
作者：
Luce, S.;De Breucker, S.;Pepersack, T.
简介：虽然许多研究描述了老年患者的综合评估的好处，缺乏老年病医生结合老年患者的数量增加，揭示了需要筛查工具，以检测癌症患者提出老年conditions.Objectives：（一）评估筛查工具的有效性，以检测老年患者提出的条件。(ii)要分析这些工具的相对贡献，以检测一些特点的老年人的档案和阶段的tumors.Materials和方法：211个连续的老年患者进行了筛选，老年条件的存在下，使用识别的高级风险评分（TSAR）和G8评分。对功能、认知、情绪和营养状况、自我感觉疲劳和合并症进行综合老年评估。肿瘤学评估包括Kamofsky体能状态（KPS）和肿瘤staging.Results：这两个分数检测到平均80%的体弱患者。检测至少一种老年疾病的评分的PPV和NPV对于ISAR评分>= 2分别为47%和22%，对于G8评分= 2分别为76%和10%，与合并症和福尔斯相关，而G8评分
Introduction: Although many studies describe benefits from the comprehensive assessment of older patients, the lack of geriatricians combined with the increased number of elderly patients revealed the need for screening tools in order to detect cancer patients presenting with geriatric conditions.Objectives: (i) To assess the validity of screening tools to detect patients presenting with geriatric conditions. (ii) To analyze the relative contribution of those tools to detect some characteristics of the geriatric profile and the stage of the tumors.Materials and Methods: Two hundred eleven consecutive elderly patients were screened for the presence of geriatric conditions using the Identification of Senior At Risk score (TSAR) and the G8 score. Comprehensive geriatric assessment for functional, cognitive, mood, and nutritional status, self-perceived fatigue and comorbidities was performed. Oncological assessment included the Kamofsky performance status (KPS) and tumor staging.Results: Both scores detected an average of 80% of frail patients. The PPV and NPV of the scores to detect at least one geriatric condition were respectively 47% and 22% for an ISAR score >= 2 and 76% and 10% for a G8 = 2 was associated with comorbidity and falls whereas a G8 score