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Review
. 2021 Jan;51(1):e13347.
doi: 10.1111/eci.13347. Epub 2020 Nov 9.

Comprehensive geriatric assessment in older adults with cancer: Recommendations by the Italian Society of Geriatrics and Gerontology (SIGG)

Domenico Fusco  1 , Alessandro Ferrini  2 , Giuseppe Pasqualetti  3 , Chiara Giannotti  4   5 , Matteo Cesari  6   7 , Alice Laudisio  2 , Alberto Ballestrero  4   5 , Stefano Scabini  5 , Patrizio R Odetti  4   5 , Giuseppe F Colloca  1 , Fabio Monzani  3 , Alessio Nencioni  4   5 , Raffaele Antonelli Incalzi  2 , Fiammetta Monacelli  4   5 ; Oncogeriatrics Group of the Italian Society of Gerontology, Geriatrics
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Free article
Review

Comprehensive geriatric assessment in older adults with cancer: Recommendations by the Italian Society of Geriatrics and Gerontology (SIGG)

Domenico Fusco et al. Eur J Clin Invest. 2021 Jan.
Free article

Abstract

Introduction: Optimizing the approach to older adults with cancer is now a priority given the increasing frequency of new cancer diagnoses that are made in the older population. The comprehensive geriatric assessment (CGA) represents the gold-standard for (1) defining prognosis and ability to withstand cancer treatments, (2) exploring the multiple aspects that define the complexity of frail older persons, and (3) designing person-tailored interventions.

Materials and methods: In this document, based on a comprehensive revision of the literature, the Italian Society for Geriatrics and Gerontology proposes a CGA model (ONCOGER CGA) to be adopted by oncology centers for their routine approach to older patients with cancer.

Results and discussion: A widespread use of this standardized CGA format will facilitate comparisons across institutions, promote studies based on a multidimensional patient assessment, and foster the inclusion of geriatric endpoints in oncological clinical trials. Furthermore, we predict that the use of a standardized CGA approach will increase the integration of geriatricians into oncology care teams with the final result of improving therapeutic choices and clinical outcomes.

Keywords: comphrehensive geriatric assessment; older adult with cancer; reccomendations of the Italian Geriatric Society.

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References

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