How we care for an older patient with cancer Journal Article
| Authors: | Shahrokni, A.; Kim, S. J.; Bosl, G. J.; Korc-Grodzicki, B. |
| Article Title: | How we care for an older patient with cancer |
| Abstract: | As the number of older patients with cancer is increasing, oncology disciplines are faced with the challenge of managing patients with multiple chronic conditions who have difficulty maintaining independence, who may have cognitive impairment, and who also may be more vulnerable to adverse outcomes. National and international societies have recommended that all older patients with cancer undergo geriatric assessment (GA) to detect unaddressed problems and introduce interventions to augment functional status to possibly improve patient survival. Several predictive models have been developed, and evidence has shown correlation between information obtained through GA and treatment-related complications. Comprehensive geriatric evaluations and effective interventions on the basis ofGAmay prove to be challenging for the oncologist because of the lack of the necessary skills, time constraints, and/or limited available resources. In this article,wedescribehowthe Geriatrics Service at Memorial Sloan Kettering Cancer Center approaches an older patient with colon cancer from presentation to the end of life, show the importance of GA at the various stages of cancer treatment, and how predictive models are used to tailor the treatment.Thepatient's needs andpreferences are at the core of the decision-making process. Development of a plan of care should always include the patient's preferences, but it is particularly important in the older patient with cancer because a disease-centered approach may neglect noncancer considerations. We will elaborate on the added value of co-management between the oncologist and a geriatric nurse practitioner and on the feasibility of adapting elements of this model into busy oncology practices. Copyright © 2017 American Society of Clinical Oncology. All rights reserved. |
| Journal Title: | Journal of Oncology Practice |
| Volume: | 13 |
| Issue: | 2 |
| ISSN: | 1554-7477 |
| Publisher: | American Society of Clinical Oncology |
| Date Published: | 2017-02-01 |
| Start Page: | 95 |
| End Page: | 102 |
| Language: | English |
| DOI: | 10.1200/jop.2016.017608 |
| PROVIDER: | scopus |
| PMCID: | PMC5455158 |
| PUBMED: | 28972834 |
| DOI/URL: | |
| Notes: | Review -- Export Date: 2 May 2017 -- Source: Scopus |
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133Shahrokni -
29Kim
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