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In fact, experts suggest that because geriatric assessment can identify patients at risk of increased treatment-related toxicity [ 22 ], it could be used as an intervention tool to screen patients in need of additional supportive care to minimize that risk [ 29 ].

Median age was 77 years range: The mean age of this cohort was 77 years SD 5. A single consent was used for each physician regardless of the number of their patients enrolled. Yon gonzalez naked. Nadine j password. Physician satisfaction with Cancer-Specific Geriatric Assessment. Consenting physicians were provided with the results of their patient's first CSGA ideally at the time of chemotherapy treatment initiation Fig. However, the full composite assessment as initially described can be time consuming and labor intensive, possibly precluding its usefulness in clinical care [ 17 ].

The objectives of this feasibility study were a to develop a computer-based CSGA that can be completed and scored via computer survey methodology, b to assess administration feasibility, and c to assess the added clinical utility for health care providers with the ultimate goal of informing intervention strategies to optimize the treatment outcomes of older adults.

Interestingly, although patient and physician KPS at baseline was high, seven patients died prior to the second time point for completion of the CSGA. The older cancer survivor. Patients reported that the presence of comorbid illnesses other than their cancer diagnosis interfered with usual activities at both time points. If there was no response after 1 week, a repeat e-mail was sent, followed by a phone call after an additional week. Subjects completed the CSGA in the clinic prior to their provider visit or during chemotherapy infusion.

Over half of the baseline cohort The questionnaire was amended during the study, with questions varying slightly between the two versions. Mallu sex nude videos. With the exception of one patient at baseline and follow-up, nearly all patients reported comprehension of the survey questions Table 5. Donna Berry b Phyllis F. The predictive validity of self-report and performance-based measures of function and health.

Prevalence of functional disability among elderly patients with cancer. Please review our privacy policy. Supportive care of the older cancer patient. Once potentially eligible patients were identified, the study team contacted the treating physician to request permission to contact the patient. While the CSGA added information to clinical assessment, results did not impact immediate clinical decision-making, possibly because of limited alternate treatment options in this subset of patients.

Rationale and future directions. Data were summarized using descriptive statistics, including means with standard deviations and medians with ranges. The CSGA has been shown to predict treatment-related toxicity in older adults with solid tumor malignancies [ 22 ].

Nutrition Mean body mass index BMI in this cohort was We did not record time to completion of the physician-rated KPS, which which was incorporated in the PUQ as previously noted.

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As such, the CSGA did not affect clinical decision-making, a fact which may be further explained by limited subsequent treatment options for some patients. Tomb raider tits. The average number of comorbid medical conditions in this cohort was 2. Surveillance Epidemiology and End Results. In contrast to the paper format, we did not include two of the three health care professional portions using the timed up-and-go test or cognitive screen with the Blessed Orientation-Memory-Concentration test.

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Comorbidity The average number of comorbid medical conditions in this cohort was 2. The interface of aging, comorbidity, and quality care. Hot mam tube. The CSGA has been shown to predict treatment-related toxicity in older adults with solid tumor malignancies [ 22 ]. It is comprised of seven domains using validated measures to assess functional status, comorbid medical conditions, psychological state, cognition, nutritional status, social support, and medications.

Physician satisfaction with Cancer-Specific Geriatric Assessment. Nadine j password. In comparison to participants enrolled in CALGB which evaluated the feasibility of the paper-and-pencil CSGA in patients enrolled in cooperative group studies and the Cancer and Aging Research Group study which used the CSGA to identify specific items which predicted the risk of chemotherapy toxicityour cohort had higher scores on the patient and physician KPS.

Comorbid conditions assessed include other cancers, arthritis or rheumatism, glaucoma, emphysema or chronic bronchitis, high blood pressure, heart disease, circulation trouble in arms or legs, diabetes, stomach or intestinal disorders, osteoporosis, chronic liver or kidney disease, stroke, and depression.

National Center for Biotechnology InformationU. The feasibility endpoints were met, although approximately half of the patients required assistance. American Cancer Society; Predicting chemotherapy toxicity in older adults with cancer: Aging, frailty, and chemotherapy.

A single consent was used for each physician regardless of the number of their patients enrolled. Prevalence of functional disability among elderly patients with cancer.

Few patients reported having fallen in the past 6 months. J Cancer Res Clin Oncol.

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The PUQ was amended midway through the study, with questions varying slightly between the two versions to capture additional details from responding providers Table 2. Foot massage servant. Domains and measures of the computer-based Cancer-Specific Geriatric Assessment. Patient satisfaction with Cancer-Specific Geriatric Assessment. Geriatric assessment for oncologists: Enrolled subjects were assigned a unique log-in code, ensuring secure and confidential collection of data.

Comprehensive geriatric assessment for older patients with cancer. Endpoints The feasibility endpoints were as follows: Mean physician-rated Karnofsky Performance Status was A second limitation may be the lack of a summary score for the entire CSGA.

Prospective value of self-report and performance-based tests of functional status for month outcomes in elderly patients. In contrast to the paper-and-pencil format of the CSGA, which includes a patient portion and a health care provider portion, the computer-based version is entirely self-administered. Version 1 of the PUQ included four questions and was completed by seven physicians, 21 times at baseline and 12 times at follow-up.

Three questions measure the level of distress the subject may experience attributable to completing the CSGA. The one person withdrawing consent did not complete the baseline CSGA. Samantha lucci nude. The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Subjects completed the CSGA in the clinic prior to their provider visit or during chemotherapy infusion.

The results of the paper format for the CSGA recently published from CALGB [ 28 ] noted the 85 evaluable patients had a median time to completion of 22 minutes range: The majority of patients reported satisfaction with the length of the survey. The computer-based CSGA feasibility endpoints were met, although approximately half of patients required assistance. Social Activity Patients reported that physical or emotional problems interfered with social activity to a moderate degree, similarly at baseline There are 7 questions on demographics and 27 questions covering the seven domains of the CSGA.

If there was no response after 1 week, a repeat e-mail was sent, followed by a phone call after an additional week. In fact, experts suggest that because geriatric assessment can identify patients at risk of increased treatment-related toxicity [ 22 ], it could be used as an intervention tool to screen patients in need of additional supportive care to minimize that risk [ 29 ]. Cardiac and pulmonary late effects.

This abbreviated tool is a written questionnaire that has been evaluated for feasibility in a pilot study of 43 patients with cancer mean age: We evaluated the feasibility of a computer-based CSGA in an older population of patients diagnosed with gastrointestinal cancer, beginning or changing cytotoxic chemotherapy at the Dana-Farber Cancer Institute.

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During that period, 38 patients were enrolled Fig. Derivation of the Cancer-Specific Geriatric Assessment cohort. Interestingly, up to half of the physicians noted that they would discuss the assessment results with their patients. Scat bbw tube. This article has been cited by other articles in PMC. The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Eligible patients were approached in clinic prior to their clinic visit for consent.

The generalizability of these results is limited by a sample of mainly highly educated and physically functional older adults at a single site.

Developing a cancer-specific geriatric assessment: Mean time to completion was 23 minutes at baseline SD 8. Sara jay bouncing tits Nadine j password. The unique patient identifier was linked to baseline characteristics of the patient, including age, sex, current treatment, and stage of cancer obtained from review of the longitudinal medical record.

The PUQ was a series of questions administered to physicians via e-mail following the patient's completion of both the baseline and follow-up CSGA. Cardiac and pulmonary late effects. The older cancer survivor. Women squirting nude. Although the majority of physicians note that the CSGA added information to their clinical assessment at both time points, most noted no impact on actual treatment plan recommended.

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