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Frailty Markers and Treatment Decisions in Patients Seen in ă Oncogeriatric Clinics: Results from the ASRO Pilot Study

Author

Listed:
  • Anais Farcet
  • Laure De Decker
  • Vanessa Pauly
  • Frédérique Rousseau

    (Service d'Oncologie Médicale)

  • Howard Bergman
  • Catherine Molines
  • Frédérique Retornaz

    (CGD 13 - Centre Gérontologique Départemental de Marseille)

Abstract

Background ă Comprehensive Geriatric Assessment (CGA) is the gold standard to help ă oncologists select the best cancer treatment for their older patients. ă Some authors have suggested that the concept of frailty could be a more ă useful approach in this population. We investigated whether frailty ă markers are associated with treatment recommendations in an ă oncogeriatric clinic. ă Methods ă This prospective study included 70 years and older patients with solid ă tumors and referred for an oncogeriatric assessment. The CGA included ă nine domains: autonomy, comorbidities, medication, cognition, nutrition, ă mood, neurosensory deficits, falls, and social status. Five frailty ă markers were assessed (nutrition, physical activity, energy, mobility, ă and strength). Patients were categorized as Frail (three or more frailty ă markers), pre-frail (one or two frailty markers), or not-frail (no ă frailty marker). Treatment recommendations were classified into two ă categories: standard treatment with and without any changes and ă supportive/palliative care. Multiple logistic regression models were ă used to analyze factors associated with treatment recommendations. ă Results ă 217 patients, mean age 83 years (+/- Standard deviation (SD) 5.3), were ă included. In the univariate analysis, number of frailty markers, grip ă strength, physical activity, mobility, nutrition, energy, autonomy, ă depression, Eastern Cooperative Oncology Group Scale of Performance ă Status (ECOG-PS), and falls were significantly associated with final ă treatment recommendations. In the multivariate analysis, the number of ă frailty markers and basic Activities of Daily Living (ADL) were ă significantly associated with final treatment recommendations (p

Suggested Citation

  • Anais Farcet & Laure De Decker & Vanessa Pauly & Frédérique Rousseau & Howard Bergman & Catherine Molines & Frédérique Retornaz, 2016. "Frailty Markers and Treatment Decisions in Patients Seen in ă Oncogeriatric Clinics: Results from the ASRO Pilot Study," Post-Print hal-01482501, HAL.
    • Handle: RePEc:hal:journl:hal-01482501
    DOI: 10.1371/journal.pone.0149732
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