Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendations

被引：565

作者：

Decoster, L. ^{[1
]}

Van Puyvelde, K. ^{[2
]}

Mohile, S. ^{[3
]}

Wedding, U. ^{[4
]}

Basso, U. ^{[5
]}

Colloca, G. ^{[6
]}

Rostoft, S. ^{[7
]}

Overcash, J. ^{[8
]}

Wildiers, H. ^{[9
]}

Steer, C. ^{[10
]}

Kimmick, G. ^{[11
]}

Kanesvaran, R. ^{[12
]}

Luciani, A. ^{[13
]}

Terret, C. ^{[14
]}

Hurria, A. ^{[15
]}

Kenis, C. ^{[16
]}

Audisio, R. ^{[17
]}

Extermann, M. ^{[18
]}

机构：

[1] Vrije Univ Brussel, UZ Brussel, Oncol Ctr, Dept Med Oncol, Brussels, Belgium

[2] Vrije Univ Brussel, UZ Brussel, Dept Geriatr Med, Brussels, Belgium

[3] Univ Rochester, Med Ctr, Dept Med, Rochester, NY 14627 USA

[4] Jena Univ Hosp, Dept Internal Med 2, Jena, Germany

[5] Ist Oncol Veneto IOV IRCCS, Dept Med Oncol Unit 1, Padua, Italy

[6] Univ Cattolica Sacro Cuore, Dept Geriatr Med, Rome, Italy

[7] Oslo Univ Hosp, Dept Geriatr Med, Oslo, Norway

[8] Ohio State Univ, Ctr Comprehens Canc, Coll Nursing, Columbus, OH 43210 USA

[9] Katholieke Univ Leuven, Univ Hosp Leuven, Dept Gen Med Oncol, Leuven, Belgium

[10] Border Med Oncol, Wodonga, Australia

[11] Duke Univ, Med Ctr, Dept Med, Div Med Oncol, Durham, NC 27706 USA

[12] Natl Canc Ctr Singapore, Dept Med Oncol, Singapore, Singapore

[13] S Paolo Hosp, Div Med Oncol, Milan, Italy

[14] Ctr Leon Berard, Dept Med Oncol, F-69373 Lyon, France

[15] City Hope Comprehens Canc Ctr, Dept Med Oncol, Duarte, CA USA

[16] Katholieke Univ Leuven, Univ Hosp Leuven, Dept Gen Med Oncol & Geriatr Med, Leuven, Belgium

[17] Univ Liverpool, Dept Surg, St Helens Teaching Hosp, Liverpool L69 3BX, Merseyside, England

[18] Univ S Florida, H Lee Moffitt Canc Ctr, Tampa, FL 33682 USA

来源：

ANNALS OF ONCOLOGY | 2015年 / 26卷 / 02期

关键词：

screening tools; older cancer patients; geriatric assessment; RISK-STRATIFICATION TOOL; VULNERABLE ELDERS SURVEY; EMERGENCY-DEPARTMENT; FUNCTIONAL DECLINE; FRAILTY INDEXES; ASSESSMENT ACGA; DISABILITY; PREDICTION; FRACTURES; CGA;

D O I：

10.1093/annonc/mdu210

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 [肿瘤学];

摘要：

Background: Screening tools are proposed to identify those older cancer patients in need of geriatric assessment (GA) and multidisciplinary approach. We aimed to update the International Society of Geriatric Oncology (SIOG) 2005 recommendations on the use of screening tools. Materials and methods: SIOG composed a task group to review, interpret and discuss evidence on the use of screening tools in older cancer patients. A systematic review was carried out and discussed by an expert panel, leading to a consensus statement on their use. Results: Forty-four studies reporting on the use of 17 different screening tools in older cancer patients were identified. The tools most studied in older cancer patients are G8, Flemish version of the Triage Risk Screening Tool (fTRST) and Vulnerable Elders Survey-13 (VES-13). Across all studies, the highest sensitivity was observed for: G8, fTRST, Oncogeriatric screen, Study of Osteoporotic Fractures, Eastern Cooperative Oncology Group-Performance Status, Senior Adult Oncology Program (SAOP) 2 screening and Gerhematolim. In 11 direct comparisons for detecting problems on a full GA, the G8 was more or equally sensitive than other instruments in all six comparisons, whereas results were mixed for the VES-13 in seven comparisons. In addition, different tools have demonstrated associations with outcome measures, including G8 and VES-13. Conclusions: Screening tools do not replace GA but are recommended in a busy practice in order to identify those patients in need of full GA. If abnormal, screening should be followed by GA and guided multidisciplinary interventions. Several tools are available with different performance for various parameters (including sensitivity for addressing the need for further GA). Further research should focus on the ability of screening tools to build clinical pathways and to predict different outcome parameters.

引用

页码：288 / 300

页数：14

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