Article (Scientific journals)
Implementation of geriatric assessment-based recommendations in older patients with cancer: A multicentre prospective study
Baitar, Abdelbari; Kenis, Cindy; Moor, Ramona et al.
2015In Journal of Geriatric Oncology, 6 (5), p. 401-10
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Keywords :
Cancer; Geriatric assessment; Geriatric recommendations; Older persons
Abstract :
[en] PURPOSE: The main objective of this study was to describe geriatric recommendations based on a geriatric assessment (GA) and to evaluate the implementation of these recommendations. PATIENTS AND METHODS: A two-step approach of screening followed by a GA was implemented in nine hospitals in Belgium. Patients >/=70years were included at diagnosis or at disease progression/relapse. Concrete geriatric recommendations were systematically documented and reported to the treating physicians and consisted of referrals to professional health care workers. Patient charts were reviewed after one month to verify which geriatric recommendations have been performed. RESULTS: From August 2011 to July 2012, 1550 patients were included for analysis. The median age was 77 (range: 70-97) and 57.0% were female. A solid tumour was diagnosed in 91.4% and a haematological malignancy in 8.6%. Geriatric screening with the G8 identified 63.6% of the patients for GA (n=986). A median of two geriatric recommendations (range: 1-6) were given for 76.2% (95%CI: 73.4-78.8) of the evaluable patients (n=710). A median of one geriatric recommendation (range: 1-5) was performed in 52.1% (95%CI: 48.4-55.8) of the evaluable patients (n=689). In general, 460 or 35.3% (95%CI: 32.8-38.0) of all the geriatric recommendations were performed. Geriatric recommendations most frequently consisted of referrals to the dietician (60.4%), social worker (40.3%), and psychologist (28.9%). CONCLUSION: This implementation study provides insight into GA-based recommendations/interventions in daily oncology practice. Geriatric recommendations were given in about three-fourths of patients. About one-third of all geriatric recommendations were performed in approximately half of these patients.
Disciplines :
Oncology
Author, co-author :
Baitar, Abdelbari
Kenis, Cindy
Moor, Ramona
Decoster, Lore
Luce, Sylvie
Bron, Dominique
Van Rijswijk, Ruud
Rasschaert, Marika
Langenaeken, Christine
Jerusalem, Guy  ;  Université de Liège - ULiège
Lobelle, Jean-Pierre
Flamaing, Johan
Milisen, Koen
Wildiers, Hans
More authors (4 more) Less
Language :
English
Title :
Implementation of geriatric assessment-based recommendations in older patients with cancer: A multicentre prospective study
Publication date :
2015
Journal title :
Journal of Geriatric Oncology
ISSN :
1879-4068
eISSN :
1879-4076
Publisher :
Elsevier, Amsterdam, Netherlands
Volume :
6
Issue :
5
Pages :
401-10
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2015 Elsevier Inc. All rights reserved.
Available on ORBi :
since 10 December 2015

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