Ten years of a geriatric oncology service at a public university cancer centre in Brazil.

Autor:	Karnakis T; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil.; Laboratory of Medical Investigation in Aging (LIM 66) of São Paulo Medical School, Sao Paulo, Brazil., Kanaji AL; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil.; Laboratory of Medical Investigation in Aging (LIM 66) of São Paulo Medical School, Sao Paulo, Brazil., Gattás-Vernaglia IF; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil.; Laboratory of Medical Investigation in Aging (LIM 66) of São Paulo Medical School, Sao Paulo, Brazil., Adriazola IO; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil., Ramos PT; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil., Lima MEPLS; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil., Almeida OLS; Clinical Board of the Clinics Hospital of the University of São Paulo Medical School, Sao Paulo, Brazil., Jacob-Filho W; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil.; Laboratory of Medical Investigation in Aging (LIM 66) of São Paulo Medical School, Sao Paulo, Brazil., Ferriolli E; Department of Internal Medicine, Division of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.; Department of Internal Medicine, Division of Geriatrics, Sao Paulo Cancer Institute, University of Sao Paulo Medical School, São Paulo, Brazil.; Laboratory of Medical Investigation in Aging (LIM 66) of São Paulo Medical School, Sao Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Ecancermedicalscience [Ecancermedicalscience] 2023 Aug 31; Vol. 17, pp. 1596. Date of Electronic Publication: 2023 Aug 31 (Print Publication: 2023).
DOI:	10.3332/ecancer.2023.1596
Abstrakt:	The implementation of a geriatric oncology service is challenging in both high-income and low-and-middle-income countries. The Octavio Frias de Oliveira Institute of Cancer of Sao Paulo (ICESP) is a tertiary healthcare complex of the Clinics Hospital of the University of Sao Paulo Medical School and is considered a model of excellence in oncology in Latin America. The objective of this manuscript is to describe 10 years of the geriatric oncology service at ICESP and the challenges for its implementation. We performed a narrative description of the ICESP's geriatric oncology service and a general retrospective descriptive analysis of data collected from routine structured medical records of patients referred to the service from 2011 to 2021. This article highlights the different settings in which the service operates (outpatient, pre-operative and hospital follow-up). In this period, 1,700 patients were assessed for preoperative evaluation (median age 83.9, SD 4.95), 468 patients were evaluated for therapeutic decision (median age 79.4, SD 7.38), 968 in general geriatric oncology care outpatient clinics from 2012 to 2021 (median age 78.7, SD 7.91) and 1,391 inpatient evaluations. In the past 10 years, our geriatric oncology team has grown exponentially and changed its characteristics in order to adjust them to the hospital demands, raising awareness among the oncology teams about the benefit of using geriatric assessment and promoting multidisciplinary discussions. Competing Interests: The authors declare that there is no potential conflict of interest to disclose. (© the authors; licensee ecancermedicalscience.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF