Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jul 1;39(19):2150-2163.
doi: 10.1200/JCO.21.00195. Epub 2021 May 27.

Understanding Treatment Tolerability in Older Adults With Cancer

Affiliations
Review

Understanding Treatment Tolerability in Older Adults With Cancer

Marie A Flannery et al. J Clin Oncol. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Luke PepponeConsulting or Advisory Role: Charlotte's Web Supriya G. MohileConsulting or Advisory Role: Seattle GeneticsResearch Funding: CareviveNo other potential conflicts of interest were reported.

Figures

FIG 1.
FIG 1.
Severity of PRO-CTCAE symptoms reported by older adults with advanced cancer starting a new treatment regimen. On the basis of data from a geriatric assessment intervention trial for patients age 70 years and older receiving chemotherapy or similar agents for advanced cancer: Reducing Toxicity in Older Adults Study (n = 718). Symptoms were captured using the National Cancer Institute PRO-CTCAEs. PRO-CTCAE, Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events.
FIG 2.
FIG 2.
Distribution of the number of co-occurring PRO-CTCAE symptoms reported by older adults with advanced cancer starting a new treatment regimen. On the basis of data from a geriatric assessment intervention trial for patients age 70 years and older receiving chemotherapy or similar agents for advanced cancer: Reducing Toxicity in Older Adults Study (n = 718). Symptoms were captured using the National Cancer Institute PRO-CTCAEs. PRO-CTCAE, Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events.
FIG 3.
FIG 3.
Proposed model of treatment tolerability in older adults with cancer. ADL, activities of daily living; CTCAE, Common Terminology Criteria for Adverse Events; IADL, instrumental activities of daily living; PRO-CTCAE, Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events.

References

    1. Mohile SG, Epstein RM, Hurria A, et al. Communication with older patients with cancer using geriatric assessment: A cluster-randomized clinical trial from the National Cancer Institute Community Oncology Research Program JAMA Oncol 61–92019 - PMC - PubMed
    1. ICH E9 Expert Working Group ICH harmonised tripartite guideline: Statistical principles for clinical trials Stat Med 181905–19421999 - PubMed
    1. Basch E, Campbell A, Hudgens S, et al. A Friends of Cancer Research White Paper: Broadening the Definition of Tolerability in Cancer Clinical Trials to Better Measure the Patient Experience. Friends of Cancer Research; 2017. https://www.focr.org/sites/default/files/Comparative%20Tolerability%20Wh...
    1. Sedrak MS, Freedman RA, Cohen HJ, et al. Older adult participation in cancer clinical trials: A systematic review of barriers and interventions CA Cancer J Clin 7178–922021 - PMC - PubMed
    1. Smith BD, Smith GL, Hurria A, et al. Future of cancer incidence in the United States: Burdens upon an aging, changing nation J Clin Oncol 272758–27652009 - PubMed

Publication types

Substances