Geriatric oncology: Comprehensive geriatric assessment tools (CGA) implementation and interdisciplinary clinical approach for elderly patients (pts) in AC Camargo Cancer Center (ACCCC), Sao Paulo, Brazil.

2014 
9549 Background: Ageing is a global phenomenon, also in Brazil. That shift in demographics has huge impact in healthcare. Although still emerging in developing nations, there is no major national innitiative focusing on oncologic geriatric pts. The study describes a program to improve care in >70y cancer pts in A C Camargo Cancer Center, Sao Paulo. We hypothesized that incorporating CGA into daily practice can improve individualized care. Methods: aims of the study were to evaluate if: 1) CGA could be feasible in daily practice, 2) it could be useful as a tool in treatment/tx decision making, 3) analyse the impact of CGA in the selection of tx, with its ability to predict complications (such as dose reduction, hospitalization, or tx discontinuation) in a recently implemented Oncogeriatric Unit. Pts >70y, candidates to receive systemic tx, underwent CGA assessments, which included scales of: ADL (Katz, Lawton), mini-nutritional assessment, depression (GDS), comorbidities and polypharmacy. Patients were cla...
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