Diagnostic testing and treatment are determined based on ability to improve disease process or quality of life/goals of care.
Elderly patient with oncologic disease considering treatment intervention.
Determine appropriateness of oncologic intervention in the geriatric oncology patient through assessment of their overall physical health, cognition, function and social situation.
• List geriatric assessment tools to help identify patients who may benefit from oncologic intervention.
• Identify factors that may increase morbidity and mortality in older adults with oncologic disease.
• Formulate an appropriate prognosis of life expectancy.
- Howlader N, Noone AM, Krapcho M, et al (eds.) SEER cancer statistics review, 1975- 2010, National Cancer Institute. Bethesda, MD. Based on November 2012 SEER data submission, posted to the SEER web site 2013.
- Bowie MW, Slattum PW. Pharmacodynamics in older adults: a review. Am J Geriatr Pharmacother. 2007; 5(3):263-303.
- Walter LC, Lewis CL, Barton MB. Screening for colorectal, breast, and cervical cancer in the elderly: a review of the evidence. Am J Med. 2005; 118(10):1078-86.
- Hurria A, Togawa K, Mohile SG, et al. Predicting chemotherapy toxicity in older adults with cancer: a prospective multicenter study. J Clin Oncol. 2011; 29:3457-3465.
- Karnofsky performance status scale definitions rating (5) criteria.http://www.hospicepatients.org/karnofsky.html
- ePrognosis: Estimating prognosis for elders. http://eprognosis.org
- Barthel index of activities of daily living. http://www.healthcare.uiowa.edu/igec/tools/function/barthelADLs.pdf
- The Lawton instrumental activities of daily living (IADL) scale. http://consultgerirn.org/uploads/File/trythis/try_this_23.pdf
- Eastern Cooperative Oncology Group. http://ecog.dfci.harvard.edu/general/perf_stat.html
- Montreal Cognitive Assessment. http://mocatest.org
- The Mini-Cog test. http://geriatrics.uthscsa.edu/tools/MINICog.pdf
Users are free to download and distribute Geriatric Fast Facts for Informational, educational, and research purposes only. Citation: Gabriel Manzi MD, Nicholas Dreger, Kathryn Denson MD, Patrick Foy MD, Thomas Giever MD, Fast Facts and Concepts #36 Should your patient have that oncology intervention?
Disclaimer: Geriatric Fast Facts are for informational, educational and research purposes only. Geriatric Fast Facts are not, nor are they intended to be, medical advice. Health care providers should exercise their own independent clinical judgment when diagnosing and treating patients. Some Geriatric Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.