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Anales de la Facultad de Medicina
On-line version ISSN 2301-1254
Abstract
RICHTER, Lucia et al. Geriatric evaluation guided by G8 in the decision to treat older adults with cancer. A pilot study. Anfamed [online]. 2020, vol.7, n.2, e201. Epub Dec 01, 2020. ISSN 2301-1254. https://doi.org/10.25184/anfamed2020v7n2a1.
Introduction:
Cancer is a disease associated with aging and has a high prevalence in older adults. Comprehensive geriatric assessment (CGA) improves the care of older adults (OA)with cancer. In healthcare settings with limited resources, not all OA may be evaluated by a geriatrician. A 2-step model, including the G8 test, in the usual oncologist consultation, allows selecting those patients who will benefit from CGA. This can contribute to decision-making regarding specific cancer treatment.
Objective:
To evaluate the benefit of the incorporation of the G8 test and CGA in the ≥ 70 years with cancer candidates for chemotherapy.
Material and Methods:
Observational, descriptive, cross-sectional study of a non-probability sample of patients ≥ 70 years of age with a diagnosis of cancer and candidates for chemotherapy. The G8 was applied by the oncologist and the CGA was completed in those who presented alteration in some of the evaluated areas.
Results:
32 patients were analyzed. G8 was performed in all, in 21 of them the CGA was completed. In these, the treatment was discussed in a multidisciplinary meeting with an oncologist and a geriatrician. Oncological behavior was changed in 38% of patients after having a comprehensive geriatric evaluation.
Conclusion:
We believe that the incorporation of the G8 test in the clinical practice of the oncologist provides a useful screening tool to identify patients ≥70 years who benefit from CGA prior to the start of oncospecific treatment, thus optimizing resources.
Keywords : Oncology; Oncogeriatrics; Screening; G8; Comprehensive geriatric assessment; Uruguay.