Abstract
Nearly 60% of new cancer cases are diagnosed in people aged 65 and older [ [1] Hurria A. Mohile S.G. Dale W. Research priorities in geriatric oncology: addressing the needs of an aging population. J Nat Comprehens Cancer Netw. 2012; 10: 286-288https://doi.org/10.6004/jnccn.2012.0025 Google Scholar ]. With population aging worldwide, discussions on how to best manage cancer in older adults have become increasingly relevant in oncology practice [ [2] Karnakis T. Gattas-Vernaglia I.F. Saraiva M.D. Gil-Junior L.A. Kanaji A.L. Jacob-Filho W. The geriatrician’s perspective on practical aspects of the multidisciplinary care of older adults with cancer. J Geriatr Oncol. 2016; 7: 341-345https://doi.org/10.1016/j.jgo.2016.07.001 Google Scholar ]. Current guidelines recommend performing comprehensive geriatric assessment (CGA) to identify age-related impairments (e.g., functional disability, malnutrition, sensory and cognitive deficits) and tailor the cancer treatment in older patients [ [1] Hurria A. Mohile S.G. Dale W. Research priorities in geriatric oncology: addressing the needs of an aging population. J Nat Comprehens Cancer Netw. 2012; 10: 286-288https://doi.org/10.6004/jnccn.2012.0025 Google Scholar , [3] Wildiers H. Heeren P. Puts M. Topinkova E. Janssen-Heijnen M.L. Extermann M. et al. International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol Off J Am Soc Clin Oncol. 2014; 32: 2595-2603https://doi.org/10.1200/JCO.2013.54.8347 Google Scholar ]. However, CGA demands time, specialized human resources and is often poorly repaid, hindering the use of this assessment in many health care systems [ [4] Dale W. Williams G.R. RM A. Soto-Perez-de-Celis E. Maggiore R.J. Merrill J.K. et al. How is geriatric assessment used in clinical practice for older adults with cancer? A survey of cancer providers by the American Society of Clinical Oncology. JCO Oncol Pract. 2020; OP2000442https://doi.org/10.1200/OP.20.00442 Google Scholar ].
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