Onco-geriatric approach for the management of older patients with cancer
| Autor: | Giovanni Scambia, E. Foti, Alessandro Ferrini, Matteo Cesari, Antonia Carla Testa, Francesco Cerullo, Giuseppe Colloca, Michele Ciaburri, Roberto Bernabei, Giovanni Gambassi |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Population Psychological intervention Gerontological nursing Medical Oncology Older patients Geriatric Nursing Intervention (counseling) Oncology Service Hospital medicine Humans education Intensive care medicine Geriatric Assessment General Nursing Aged Geriatrics education.field_of_study business.industry Health Policy Settore MED/09 - MEDICINA INTERNA Cancer General Medicine medicine.disease Patient Care Management Life expectancy Interdisciplinary Communication Female Geriatrics and Gerontology business Switzerland |
| Popis: | Introduction and Rationale The number of older cancer patients is increasing with global aging of the population. A close interaction between oncologists and geriatricians becomes necessary to (1) better evaluate the elders’ health status, (2) determine their residual clinical/biological reserves, and (3) optimize the provided medical care. In fact, aggressive antineoplastic managements are often denied to older patients, possibly because of the common misconception suggesting older age and/or clinical complexity as absolute contraindications to advanced treatments. Methods The primary aim of the presented project is to assess whether assigning a geriatrician to provide daily medical care to older cancer patients (aged 65 years and older) admitted to an oncology ward increases the number of patients eligible for a chemotherapeutic and/or surgical intervention. The project is articulated in 2 phases: (1) a retrospective phase based on analysis of data collected over the 2 years before the beginning of the study, and (2) a prospective 2-year intervention. Additional information about clinical conditions, biological parameters, adverse drug reactions, body composition, physical function, and 1-year health-related events will also be recorded. Outcomes The combination of expertise from oncologists and geriatricians is likely to result in (1) an improved selection of candidates for interventions aimed at increasing disability-free life expectancy and/or overall survival, and (2) a more rational exclusion of patients at higher risk of toxicity or with poor prognosis. In this article, the development of an onco-geriatric unit aimed at the evaluation, management, and treatment of older women with gynecological cancer is also described. |
| Databáze: | OpenAIRE |
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