Abstract
Gastroenterology Medicine & Research Comparison of Geriatric Assessment Tools in Patients with Solid Malignancies Nancy N Hajjar1, Maroun H Eid2, Antoine Abi Abboud³* and Evelyne G Helou4 1Department of Dermatology, Lebanon 2Department of Ophthalmology, Lebanon 3Department of Gastroenterology, Lebanon 4Department of Hematology-Oncology, Lebanon *Corresponding author: Antoine Abi Abboud, Professor of Gastroenterology, Department of Gastroenterology, Faculty of Medical Sciences, Beirut, Lebanon Submission: September 16, 2019;Published: October 03, 2019 DOI: 10.31031/GMR.2019.03.000570 ISSN 2637-7632Volume3 Issue4
Highlights
Aging affects significantly the incidence of cancer and its mortality rate [1]
Forty three per cent of patients had a good performance status according to ECOG Eastern Cooperative Oncology Group Performance Status (PS) and Karnofsky Performance Status (KPS) despite a fragile Comprehensive Geriatric Assessment score (CGA)
KPS and Eastern Cooperative Oncology Group Performance Status (ECOG PS) may not be reliable for treatment decision making in the older oncology patient
Summary
Aging affects significantly the incidence of cancer and its mortality rate [1]. oncologists spend significant time and effort caring for elderly patients (defined as aged 65 years and older) in their everyday practice [2]. Evidence suggests that chemotherapy toxicities are influenced by the patient’s comorbidities, cognitive impairment and limited social support [3] This is due to the age-related physiologic changes seen at the cellular level that are responsible for the vulnerability of elderly patients [3]. The aim of these scores is to detect if the patients are “fit” to receive chemotherapeutic agents [2]. The commonly used performance status scores (KPS or ECOG PS scales) take into consideration few criteria in the assessment of the elderly cancer patient and may miss areas of vulnerability that are more frequently found in this older category of patients [5,6]. Identification of the most beneficial score of patient assessment is important
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